Integration Difusion for SMI Service Delivery

SMI 服务交付的集成扩散

• 批准号: 7011356
• 负责人: Kimberley Roussin Isett
• 金额: $ 8.05万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-07 至 2006-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7011356
• 关键词: clinical research; community mental health services; geographic site; health care service availability; health care service evaluation; health care service organization; health services research tag; homeless; human data; mental disorders; patient care management; social support network

DESCRIPTION (provided by applicant): This grant seeks to describe and assess the process by which integration spreads through a multi sector service delivery network for Seriously Mentally III adults. Although calls for integration have been widespread over the past twenty years, a renewed interest in integration has emerged with the New Freedom Commission's published report, "Achieving the Promise". Despite past empirical efforts to address the integration levels in service delivery networks, little work has been completed to understand the process by which integration spreads in a network and how we might expect agencies from service sectors other than mental health to react to and interact with the mental health services and clients. This knowledge will aid policy makers and administrators to more effectively implement integration strategies and to create realistic expectations about the cooperation among agencies within their networks. This project uses secondary data from the CMHS' Access to Community Care and Effective Service Supports (ACCESS) program that provided funds to integrate services in nine sites (with an additional nine comparison sites) for homeless seriously mentally ill adults. We will utilize some social network data from these analyses along with additional organizational variables to determine the pattern through which integration spread within these nine networks, as well as to evaluate whether any specific combinations of organizational variables serve to impede or aid the uptake of integration practices within the networks. Analysis will be completed using repeated measures regression techniques.

描述（由申请人提供）：该补助金旨在描述和评估通过多部门服务提供网络为严重精神病III成人传播整合的过程。虽然在过去二十年中，要求融合的呼声很高，但随着新自由委员会发表的报告《实现承诺》，人们对融合重新产生了兴趣。尽管过去的经验努力，以解决服务提供网络的整合水平，很少有工作已经完成，以了解网络中的整合传播的过程，以及我们如何期望机构从服务部门以外的精神卫生作出反应，并与精神卫生服务和客户互动。这方面的知识将有助于决策者和行政人员更有效地执行一体化战略，并对网络内各机构之间的合作产生现实的期望。该项目使用CMHS的“获得社区护理和有效服务支持”（ACCESS）计划的二级数据，该计划为无家可归的严重精神病成年人提供资金，以整合九个地点（以及另外九个比较地点）的服务。我们将利用这些分析中的一些社会网络数据，沿着其他组织变量，以确定整合在这九个网络中传播的模式，以及评估组织变量的任何特定组合是否有助于阻碍或帮助网络中整合实践的吸收。将使用重复测量回归技术完成分析。