OREGON PARTNER'S PROJECT--A RANDOMIZED STUDY

该项目的目的是评估俄勒冈州 合作伙伴计划，一项新的精神健康服务计划，由 罗伯特·伍德·约翰逊基金会，为患有严重疾病的儿童 情绪不稳定。该项目由灵活融资的 5~18岁重症患儿的病例管理制度 大城市县马尔特诺玛县的情绪困扰 在俄勒冈州。有效性的概念化是从 客户需求和系统资源之间的“匹配”，由 儿童和青少年服务计划规定的目标 (CASSP)，国家精神卫生研究所。这些目标明确规定 服务应该是全面的、个性化的、 限制最少，以家庭为中心，保护权利，文化上 适当的，对过渡问题敏感的。一项随机研究 设计将用于评估灵活资金和 关于(A)服务适当性、(B)儿童、家庭和系统的案例管理 结果；(C)案件费用。 将使用一个多方面的评价计划来实现这一目标。二 将使用单独的治疗组，其中一个将联合 通过案例管理提供灵活的资金，其中另一个将 包括没有灵活供资情况下的案例管理。第三个， “常规服务”比较组将用来评估 案例管理和灵活供资的综合影响。项目 客户将被随机分配到不同的组，以便于因果关系 关于计划有效性的推论。该项目将投入运营 并监测案件管理和灵活供资的程度 有助于实现CASSP治疗目标，并 改善儿童、家庭和系统的结果。确定如何 不同的目标和结果将响应相同的计划组成部分 用来证明尚未检验的经验可行性 哲学治疗思想此外，该项目还将 展示灵活融资和管理式医疗的成本影响 与联邦政府一起利用州医疗补助资源的机制 配套资金。

The aim of this project is to evaluate the effectiveness of the Oregon Partners Project, a new mental health services program, funded by the Robert Wood Johnson Foundation, for children who are severely emotionally disturbed. The project consists of a flexibly financed system of case management for 5 to 18 year-old children with severe emotional disturbance in Multnomah County, the major metropolitan county in Oregon. Effectiveness is conceptualized from the perspective of the "fit" between client needs and system resources, as measured by the objectives set forth by the Child and Adolescent Service Program (CASSP), national Institute of Mental Health. These objectives specify that services should be comprehensive, individualized, least-restrictive, family centered, protective of rights, culturally appropriate, and sensitive to transition issues. A randomized research design will be used to assess the impact of flexible funding and case-management on (a) service fit, (b) child, family and system outcomes, and (c) case costs. A multifaceted evaluation plan will be used to accomplish this aim. Two separate treatment groups will be used, one of which will combine flexible funding with case management and the other of which will include case management without flexible funding. A third, "conventional-services" comparison group will be used to assess the combined impact of case management and flexible funding. Project clients will be randomly assigned across groups to facilitate causal inferences about program effectiveness. The project will operationalize and monitor the extent to which case management and flexible funding contribute to the achievement of CASSP treatment goals and to improvements in child, family, and system outcomes. Identifying how different goals and outcomes respond to the same program components will serve to demonstrate the empirical feasibility of as yet untested philosophical treatment ideology in addition, the project will demonstrate the cost-impact of flexible financing and managed care as mechanisms for leveraging State Medicaid resources with Federal matching funds.