The Sustainability of Systems of Care for Children’s Mental Health: Lessons Learned
The Sustainability of Systems of Care for Children’s Mental Health: Lessons Learned
复制标题
儿童心理健康护理系统的可持续性：经验教训
DOI：
10.1007/s11414-007-9065-3
复制
发表时间：
2007
期刊：
影响因子：
--
通讯作者：
B. Manteuffel
中科院分区：
文献类型：
--
作者：
B. Stroul;B. Manteuffel
联邦儿童及其家庭综合社区心理健康服务方案于1992年启动，向各州、社区、地区和印第安部落提供赠款，以发展护理系统，为患有或可能患有情绪障碍的儿童和青少年及其家庭提供服务。作为对该方案的国家评估的一部分，进行了一项研究，以评估受资助的地点在联邦赠款期后维持其护理系统的能力。这项研究涉及一个网络调查和电话采访当地和州的受访者，以检查在何种程度上的护理系统的关键组成部分保持在这段时间内，联邦资金逐步淘汰，并在补助金后的时期。研究结果表明，在保持广泛的服务阵列中包括的每一项服务的可用性，实施护理原则的系统，护理基础设施的系统，以及实现护理目标的系统方面，样本中所包括的社区发生了积极和消极的变化。此外，研究结果还确定了有助于或阻碍维持护理系统能力的因素，以及各种可持续性战略的有效性。研究结果不仅为联邦资助的护理社区系统提供了指导，也为参与护理系统发展的非资助社区提供了指导，以提高他们长期维持护理系统的能力。调查结果还将协助联邦、州和地方政策制定者、技术援助提供者、家庭成员、倡导者和其他关键利益相关者更有效地支持发展可行的、可持续的护理系统。
The federal Comprehensive Community Mental Health Services for Children and Their Families Program was initiated in 1992 to provide grants to states, communities, territories, and Indian tribes to develop systems of care to serve children and adolescents with or at risk for emotional disorders and their families. As part of the national evaluation of this program, a study was undertaken to assess the ability of funded sites to sustain their systems of care beyond the federal grant period. The study involved a web survey and telephone interviews with local and state respondents to examine the extent to which key components of systems of care were maintained during the period in which federal funds were phasing out and during the postgrant period. Study results demonstrate positive and negative changes that occurred in the communities which are included in the sample, with respect to maintaining the availability of each service included in the broad service array, the implementation of system of care principles, the system of care infrastructure, and the achievement of system of care goals. In addition, results identify factors that contribute to or impede the ability to sustain systems of care, and the effectiveness of various strategies for sustainability. Study findings offer guidance not only to federally funded system of care communities but also to nonfunded communities engaged in system of care development to enhance their ability to sustain systems of care for this population over time. Findings will also assist federal, state, and local policymakers, technical assistance providers, family members, advocates, and other key stakeholders to more effectively support the development of viable, sustainable systems of care.