CONTINUITY OF CARE AND CLIENT OUTCOMES IN THE ROBERT-WOOD-JOHNSON-FOUNDATION-PROGRAM-ON-CHRONIC-MENTAL-ILLNESS
CONTINUITY OF CARE AND CLIENT OUTCOMES IN THE ROBERT-WOOD-JOHNSON-FOUNDATION-PROGRAM-ON-CHRONIC-MENTAL-ILLNESS
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DOI：
10.2307/3350340
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发表时间：
1994-01-01
影响因子：
6.6
通讯作者：
GOLDMAN, HH
中科院分区：
文献类型：
--
作者：
LEHMAN, AF;POSTRADO, LT;GOLDMAN, HH
在巴尔的摩、辛辛那提、哥伦布和托莱多评估了根据RWJF慢性精神疾病计划（CMI）制定的地方精神卫生当局（LMHA）对服务和结果的影响。 在每个城市招募了两组急性24小时护理后出院的CMI患者：第一组在示威开始后不久绘制，第二组在两年后绘制。 俄亥俄州三个城市的LMHA在出院后两个月增加了第二队列的病例管理，但在12个月时没有增加。 第二组在巴尔的摩和辛辛那提经历了较低的营业额在案件经理在一年后出院，但没有显着改善客户的结果。 创建LMHA可能是改善结果的必要步骤，但不是充分步骤，随后应改善服务的数量和质量。
The impact on services and outcomes of the local mental health authorities (LMHAs) developed under the RWJF Program on Chronic Mental Illness (CMI) was evaluated in Baltimore, Cincinnati, Columbus, and Toledo. Two cohorts of clients with CMI discharged from an episode of acute 24-hour care were recruited in each city: the first cohorts were drawn shortly after the demonstration began and the second, two years later. The LMHAs in the three Ohio cities increased case management for the second cohorts at two months, but not at 12 months, after hospital discharge. The second cohorts in Baltimore and Cincinnati experienced lower turnover among case managers during the year after discharge, but there was no significant improvement in client outcomes. Creation of LMHAs may be a necessary, but not sufficient, step toward improving outcomes and should be followed by improvement in the quantity and quality of services.