A national survey of mobile crisis services and their evaluation.
A national survey of mobile crisis services and their evaluation.
复制标题
全国移动危机服务调查及其评估。
DOI：
10.1176/ps.46.9.893
复制
发表时间：
1995
影响因子：
3.8
通讯作者：
M. Mcdermeit
中科院分区：
文献类型：
--
作者：
J. Geller;W. Fisher;M. Mcdermeit
目的
虽然移动的危机服务已被广泛接受为一种有效的方法来提供紧急服务，没有系统的研究记录了这些服务的流行或有效性。这项调查收集了有关移动的危机服务使用和评估的全国数据。
方法
1993年，50个州、哥伦比亚特区和美国领土的精神卫生机构接受了调查。反复进行随访，以确保100%的响应。
结果
共有39个州实施了移动的危机服务，向各种环境派遣小组。尽管受访者报告说，使用移动的危机服务与患者和家庭的良好结果以及较低的住院率有关，但调查发现，很少有服务系统收集有关这些服务有效性的评估数据。
结论
对移动的危机服务的功效的宣称导致了它们的广泛传播，但几乎没有或根本没有经验证据。需要对新的和现有的服务提供模式进行更严格的评价。在管理式保健所倡导的环境中，这种评价的必要性将增加，因为管理式保健更加强调成本效益。
OBJECTIVE
Although mobile crisis services have been widely accepted as an effective approach to emergency service delivery, no systematic studies have documented the prevalence or effectiveness of these services. This survey gathered national data on the use and evaluation of mobile crisis services.
METHODS
In 1993 mental health agencies in 50 states, the District of Columbia, and U.S. territories were surveyed. Repeated follow-up was done to ensure a 100 percent response.
RESULTS
A total of 39 states have implemented mobile crisis services, dispatching teams to a range of settings. Although respondents reported that use of mobile crisis services is associated with favorable outcomes for patients and families and with lower hospitalization rates, the survey found that few service systems collect evaluative data on the effectiveness of these services.
CONCLUSIONS
The claims of efficacy made for mobile crisis services, which have led to their widespread dissemination, are based on little or no empirical evidence. More rigorous evaluation of new and existing modes of service delivery is needed. The need for such evaluation will increase in the climate promulgated by managed care, in which greater emphasis is placed on cost-effectiveness.