A continuum of care. More is not always better.
A continuum of care. More is not always better.
复制标题
持续的护理。
DOI：
10.1037//0003-066x.51.7.689
复制
发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Bickman,L
中科院分区：
文献类型：
--
作者：
Bickman,L
本文介绍了一个耗资 8000 万美元的项目，旨在测试为儿童和青少年提供的连续心理健康和药物滥用服务是否比在更典型的分散系统中提供的服务更具成本效益。研究表明，成功实施了一个综合的连续体，该连续体具有更好的获取机会、更大的护理连续性、更高的客户满意度，并且在限制较少的环境中治疗儿童。然而，成本更高，临床结果并不比对比地点更好。文章的结论是，仅靠精神卫生系统的改革不太可能影响临床结果。心理健康服务提供者和研究人员之间需要合作，以更好地了解如何改进社区提供的服务。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）
This article describes an $80-million project designed to test whether a continuum of mental health and substance abuse services for children and adolescents is more cost-effective than services delivered in the more typical fragmented system. The study showed that an integrated continuum was successfully implemented that had better access, greater continuity of care, more client satisfaction, and treated children in less restrictive environments. However, the cost was higher, and clinical outcomes were no better than those at the comparison site. The article concludes that reform of mental health systems alone is unlikely to affect clinical outcomes. Cooperation is needed between mental health providers and researchers to better understand how to improve services delivered in the community.(PsycInfo Database Record (c) 2020 APA, all rights reserved)