IMPROVING MENTAL HEALTH STATISTICS IN MARYLAND

马里兰州精神健康数据系统的发展一直 遵循心理健康统计改善计划的原则 (MHSIP)。使用的最古老的系统是手动出入境人口统计 用于收集社区传统门诊患者的数据 精神健康中心(CMHC)。这些诊所是最大的 公共精神卫生服务，目前服务超过3万 每年都会有公民参加。目前没有唯一识别患者的数据 在此系统中报告。一种包含以下内容的VOS系统 还维护了大量的人口统计数据和服务数据 在每个站点的本地。来自其他程序元素的数据系统(住院患者， 住宅和社区改造)已经升级，允许 以电子方式传输数据，包括形成唯一客户的共同项目 标识符。 因为志愿人员服务科的修订本目前正在进行中 做好准备，这是修订和标准化人口统计的理想机会 数据项，并用电子报告系统取代人工报告系统 一。其他数据项，并取代人工报告系统 用一台电子设备。其他数据项，包括必要的数据项 因为唯一标识符将被包括在新要求中， 允许在整个马里兰州的公共精神领域跟踪客户 卫生系统。这种能力将允许更好的规划和 协调服务交付。新的报告和系统要求 将做好准备，并向当地机构提供MHA咨询和 提供资金以满足这些修订和扩大的要求。有限津贴 对于可能对CMHC人员有用的定制计划，将 MHA人员将主办地区性或全州研讨会，以允许 交流有关当前数据用途的信息，并鼓励 更多地在当地使用现有的数据库。 与此同时，马里兰州正在采取行动，将其精神系统分散 使用核心服务机构(CSA)模式的医疗保健。一个CSA将是 在每个集水区建立。它将承担主要责任 该地区的所有公共精神卫生服务对象，以及对 所有公共精神卫生基金都用于集水区。每个CSA都将是 需要建立一个跟踪客户和成本的数据系统。通过 严格编写这些要求，并与试点CSA一起工作 开发于1991财年(从1990年7月开始)，开发了CSA模型 信息系统，基于MHSIP的理念推广到其他司法管辖区。 在咨询新成立的CSA后，MHA将提供资金给 在项目中实施CSA信息系统，培训CSA 人员使用此系统，并允许有限的定制 满足CSA可能有的特殊需求。

Development of mental health data systems in Maryland has consistently followed the principles of the Mental Health Statistics Improvement Program (MHSIP). The oldest system in use is the manual entry/exit demographic from used to collect data on traditional outpatients served at Community Mental Health Centers (CMHC). These clinics are the largest providers of public mental health services, currently serving over thirty thousand citizens annually. No data uniquely identifying the patient are currently reported in this system. A Volume of Service (VOS) system containing extensive demographic data as well as service data is also maintained locally at each site. Data systems from other program elements (inpatient, residential, and community rehabilitation) have been upgraded, allowing for electronic transfer of data, including common items to form a unique client identifier. Since a revision of the service section of the VOS is currently being prepared, an ideal opportunity exists to revise and standardize demographic data items and to replace the manual reporting system with an electronic one. Additional data items, and to replace the manual reporting system with an electronic one. Additional data items including, those necessary for the unique identifier will be included in the new requirements, allowing for the tracking of clients throughout Maryland's public mental health system. Such capability will allow for better planning and coordination of service delivery. New reporting and system requirements will be prepared, and local agencies will be given MHA consultation and funding to meet these revised, expanded requirements. Limited allowances for customized programs which would be of use to CMHC personnel will be made, and MHA personnel will host regional or statewide workshops to allow for the exchange of information about current data uses and to encourage more local use of the available data bases. Simultaneously, Maryland is moving to decentralize its system of mental health care using a Core Service Agency (CSA) model. One CSA will be established in each catchment area. It will have primary responsibility for all public mental health clients in that area, as well as control over all public mental health funding for the catchment. Each CSA will be required to establish a data system which tracts clients and costs. By writing these requirements strictly and working with the pilot CSA to be developed in FY 1991 (beginning July, 1990), development of a model CSA information system, based on the MHSIP's philosophy to other jurisdictions. In consultation with newly established CSAs, MHA will provide funding to implement the CSA information system in the program, to train the CSA personnel in the use of this system, and to allow limited customization to meet special needs which the CSA may have.