Challenges in implementing disaster mental health programs: State program directors' perspectives

Challenges in implementing disaster mental health programs: State program directors' perspectives
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DOI:
10.1177/0002716205285186
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发表时间:
2006-03-01
影响因子:
2.8
通讯作者:
Norris, FH
Norris, FH
中科院分区:
法学3区
文献类型:
--
作者:
Elrod, CL;Hamblen, JL;Norris, FH

文献摘要

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危机咨询援助和培训方案向各州和领地提供补充联邦资金,用于在总统宣布的灾难发生后提供个人和社区危机干预服务。评估这些服务的有效性的研究很少,指导政策和计划的数据也很少。一项对38个州项目主任(代表五年内所有此类项目的95%)的定性研究确定了各州在规划、申请、实施、维护、逐步淘汰和评估这些联邦资助的项目时面临的众多挑战。结果强调了将心理健康纳入州级灾难计划、促进机构之间的合作关系、澄清项目指南、在项目之间共享创新以及建设州需求评估和项目评估能力的重要性。
The Crisis Counseling Assistance and Training Program grants supplemental federal funding to states and territories for individual and community crisis intervention services in the aftermath of presidentially declared disasters. Little research has been conducted to evaluate the effectiveness of these services, and few data exist to guide policies and programs. A qualitative study of thirty-eight state program directors (representing 95 percent of all such programs over a five-year period) identified the numerous challenges that states experience when planning, applying for, implementing, maintaining, phasing out, and evaluating these federally funded programs. The results highlighted the importance of including mental health in state-level disaster plans, fostering collaborative relationships across institutions, clarifying program guidelines, sharing innovations across programs, and building state capacity for needs assessment and program evaluation.