CAREGIVER BURDEN AND SERVICES FOR THE MENTALLY ILL

这项拟议中的研究审查了心理健康服务和心理健康 服务系统，因为这些与家庭的照顾者负担有关 有严重精神病的成员。 的主客观 有一个严重的精神病家庭成员的负担，通常被称为 家庭负担，往往很高，可能会有所不同，这取决于建议， 为家庭提供支持、危机帮助和其他心理健康服务 成员 这一观点认识到， 家庭照顾生病的成员是健康的重要成果， 护理系统。 这项拟议的研究将描述什么类型的心理 向家庭成员提供保健服务，对比各系统的家庭负担 选择提供各种心理健康服务 为家庭成员和病人提供服务。 这项研究将有一个非实验性的设计，检查自然 在689个家庭中，每个家庭都有一个 严重精神病患者在九个公共精神卫生机构内接受治疗 系统. 威斯康星州的这九个县为基础的护理系统代表了 不同的干预策略，包括1）主要是住院，2） CSP团队，3）社会个案工作者模式，4）患者一对一 与辅助专业人员的联系，以及5）由非专业人员担任个案管理员 稀释剂. 县系统内的差异，在类型和数量 家庭成员获得的服务也将受到审查。 将通过1/2小时的家庭电话访谈收集数据 成员们讲述他们的负担经历，他们接受的服务， 他们病人的行为，其他影响家庭的压力源， 家属对患者行为的归因， 试图科普这种行为。

The proposed study examines mental health services and mental health service systems as these are related to caregiver burden with families having a severely mentally ill member. The subjective and objective burdens of having a severely mentally ill family member, often called family burden, are often high and may vary depending on the advice, support, crisis help, and other mental health services provided to family members. this perspective recognizes the general proposition that burdens placed on families caring for ill members are important outcomes of health care systems. This proposed research would describe what types of mental health services to family members contrasting family burden across systems of services which are selected to provide wide variations in mental health services to family members and to patients. The study would have a non-experimental design, examining the natural variation of experiences of burden within 689 families each having a severely mentally ill member in treatment within nine public mental health systems. These nine county-based systems of care in Wisconsin represent diverse intervention strategies including 1) predominantly inpatient, 2) CSP team, 3) social caseworker model, 4) patients having one-on-one contacts with para-professionals, and 5) lay persons as case manager extenders. Variation within county systems in the type and amount of services family members receive will also be examined. Data will be gathered using a 1/2 hour long telephone interview with family members concerning their experiences of burden, the services they received, their patient's behavior, other stressors impacting the family, attributions by the family concerning the patient's behavior, and family attempts to cope with the behavior.