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CONSUMER PROVIDERS IN CRISIS RESPONSE SYSTEMS

危机响应系统中的消费者提供商

基本信息

批准号：
3567437
负责人：
MARGARET PENNINGTON
金额：
$ 5万
依托单位：
KY ST CABINET/HEALTH/FAMILY SERVICES
依托单位国家：
美国
项目类别：
财政年份：
1989
资助国家：
美国
起止时间：
1989-09-30 至 1993-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3567437
关键词：
community mental health services health care service evaluation health economics human subject mental retardation psychosocial rehabilitation quality of life

项目摘要

The Department for Mental Health/Mental Retardation Services is applying to the National Institute of Mental Health for funds to demonstrate and evaluate the effectiveness, generalizability and relative cost of individualized, proactive crisis planning and the provision of consumer support crisis services within the context of existing patterns of crisis response services. The Department has designated persons with a severe mental illness as a priority. Persons within that population who have been crisis free for 60 days will be the subject population of this demonstration project. Three regional community mental health centers have been selected as demonstration sites. At each site, clients will be randomly assigned to receive crisis planning and existing crisis services or to receive consumer support crisis services, crisis plann- ing, and existing crisis services. Each of the sites will have a group of consumer volunteers trained to provide peer support and crisis intervention. The major hypotheses to be tested in the project are that (A) Crisis plan services and crisis plan services with consumer involvement will both be associated with superior outcomes for these severely mentally ill clients as measured by clinical status, community functioning, family functioning, vocational status, quality of life, and mental health services utilization in comparison to severely mentally ill clients not receiving such services; (B) Crisis plan services with consumer involvement will achieve superior outcomes to crisis plan services alone; and (C) Crisis plan services with consumer involvement will be more cost effective than crisis plan services alone with costs measured on a contact unit basis per client across all contacts and all clients. An experimental design coupled with two quasi-experimental groups will be used to evaluate the project. Three non-demonstration sites will be selected to collect comparison data. Process and outcome evaluations will be used to study the implementation and the effects of the demonstration. Outcome questions will be concerned with the comparative effects and cost-effectiveness of the experimental and control interventions as measured on a battery of outcome indicators.

精神健康/精神发育迟滞服务部正在申请向国家精神卫生研究所申请资金，以演示和评估以下项目的有效性、可推广性和相对成本个性化、主动的危机规划和为消费者提供在现有模式的背景下支持危机服务危机应对服务。本局已指定具备以下资格的人士将严重的精神疾病作为优先事项。该人口中的那些人已经60天没有危机了，这将是人口的主题示范项目。三个地区社区精神卫生中心已被选为示范点。在每个站点，客户将随机分配接受危机计划和存在的危机服务或接受消费者支持危机服务，危机预案- ING，以及现有的危机服务。每个站点都将有一个组受过培训的消费者志愿者提供同行支持和危机干预。该项目中要检验的主要假设是 (A)危机计划服务和消费者危机计划服务两者的参与都将与这些方面的卓越结果相关根据临床状况、社区情况衡量的严重精神疾病患者功能、家庭功能、职业地位、生活质量以及精神卫生服务利用情况与严重精神疾病的比较没有获得此类服务的不良客户；(B)危机预案服务消费者参与将取得比危机计划更好的结果 (C)消费者参与的危机预案服务将比仅有成本的危机计划服务更具成本效益在所有联系人和所有联系人中按每个客户的联系人单位进行测量客户。一种耦合两个准实验的实验设计将使用小组来评估该项目。三个非示范将选择地点收集比较数据。过程和结果将利用评价来研究执行情况和效果。这场示威。结果问题将与试验性和经济性的比较效果和成本效益根据一系列成果指标衡量的控制干预措施。