SERVICES FOR THE SEVERELY MENTALLY ILL

这是对ADAMHA研究科学家奖的申请。我们的目标是 (1)研究社区层面的服务组织模式 并找出它们在操作上的差异；综合证据 关于这些模式的成本效益；并确定关键 研究问题和方法；(2)改进服务措施 过程和结果；(3)探索创新的数据分析 适用于服务研究的技术；(4)检查成本 透过以下途径为严重精神病患者提供服务的成效 受控服务试验，包括：(A)一个自信的持续团队 模型与准职业“社区伙伴”模型的比较以及 专业诊所模式，(B)加州大写 “综合服务机构”模式与一般服务及 在“县机构间示范”现场提供服务，(C)6项治疗 精神分裂症患者及其家属的组合，(D)额外 研究集中在自助计划、双重诊断计划和 使用非典型抗精神病药物的项目。额外的专业成长 提出了目标。

This is a request for an ADAMHA Research Scientist Award. The aims are (1) To examine organizational models of services at the community level and identify their operational differences; to synthesize the evidence on the the cost effectiveness of these models; and to identify key research questions and approaches; (2) To improve measures of service processes and outcomes; (3) To explore innovative data analytic techniques applicable to services research; (4) To examine the cost effectiveness of services for the severely mentally ill through controlled services trials, including (a) an assertive continuous team model compared to a paraprofessional "community companion" model and a professional clinic-based model, (b) the California capitated "Integrated Service Agency" model compared to usual services and to services in a "County Interagency Demonstration" site, (c) six treatment combinations for schizophrenics and their families, (d) additional studies focused on self-help programs, dual-diagnosis programs, and programs using atypical neuroleptics. Additional professional growth objectives are proposed.