CENTER ON THE ORGANIZATION AND FINANCING OF CARE FOR SMI

我们建议建立一个研究中心，它汇集了 多学科研究人员和实践者小组 审查为重症患者提供护理的组织和资金 精神有问题。该中心将提供一个组织结构 和环境，这将促进互动和 调查人员在开发和开展工作方面的合作 研究项目。中心调查人员将研究和评估 目前对严重精神病患者的护理制度，以及 建议改善护理的组织和资金筹措的方法。 该中心将：提供便利的环境 多学科协作研究；加强和发展 与公共精神卫生的合作研究安排 提供系统；培训学生和青年调查人员； 向学术界传播研究成果，并 政策制定者以及制定和评估示范项目 在公共精神卫生服务系统中实施。 该中心由一个多学科小组组成， 具有生物统计学、经济学、金融学、 组织社会学、社会福利政策、卫生服务 研究、临床护理和心理健康服务 传送系统。该中心已经建立了一个正在工作的 与城乡精神卫生系统的关系 ，并正在努力与其他公众建立联系 传输系统。该中心的核心由 主任、联合调查员和临床助理将 制定建议并指导正在进行的项目。一个研究人员， 包括一名生物统计学家，将为所有赠款和 项目。由知名研究人员组成的顾问委员会 和社区领袖，将审查中心的工作并建议 总体方向。一组附属调查人员可以联系到 与该中心合作开发项目。 该中心的调查人员提出了12个研究项目， 为严重精神病患者提供护理的组织和资金 生病了。这些计划涵盖四个主要范畴： 严重精神疾病的费用；结构、组织和 医院服务的资金筹措；护理的连续性和质量 当患者在公共精神卫生服务中移动时 系统的成本和使用模式；以及 严重精神病患者，例如亚洲人、黑人、儿童和老年人。

We propose to establish a research center which brings together a multidisciplinary group of researchers and practitioners to examine the organization and financing of care for the severely mentally ill. The center will provide an organizational structure and environment which will facilitate the interaction and cooperation of investigators in developing and conducting research projects. Center investigators will study and evaluate the current system of care for the severely mentally ill, as well as suggest ways to improve the organization and financing of care. The Center will: provide a setting that will facilitate collaborative multidisciplinary research; strengthen and develop collaborative research arrangements with public mental health delivery systems; train students and young investigators; disseminate research findings to the academic community and to policymakers and develop and evaluate demonstration projects implemented in public mental health delivery systems. The Center is composed of a multidisciplinary group of investigators with expertise in: biostatistics, economics, finance, organizational sociology, social welfare policy, health services research, clinical aspects of care, and the mental health service delivery system. The Center has established a working relationship with the mental health system of the City and County of San Francisco, and is working on linkages with other public delivery systems. The core of the Center consists of the Director, Co-Investigators and Clinical Associates who will develop proposals and direct ongoing projects. A research staff, including a biostatistician, will provide support for all grants and projects. An Advisory Board, composed of established researchers and community leaders, will review Center work and suggest overall direction. A group of affiliated investigators is available to work with the Center to develop projects. The Center Investigators have proposed 12 research projects on the organization and financing of care for the severely mentally ill. The projects cover four major areas: overall estimates of the cost of severe mental illness; the structure, organization and financing of hospital services; the continuity and quality of care as patients move through the public mental health delivery system; and the cost and utilization patterns of subgroups of the severely mentally ill, e.g. Asians, Blacks, children and elderly.