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）。 使用最早的系统是人工出入境人口统计系统 用于收集社区服务的传统门诊患者的数据 心理健康中心。 这些诊所是最大的供应商， 公共精神卫生服务，目前服务超过三万 市民每年。 目前没有唯一识别患者的数据 在这个系统中报告。 服务容量（VOS）系统，包括 还维护了大量的人口统计数据和服务数据 在每个地方。 来自其他计划要素的数据系统（住院， 住宅和社区康复）已经升级， 数据的电子传输，包括共同的项目，以形成一个独特的客户端 标识符 由于目前正在修订VOS的服务部分， 准备好了，就有一个理想的机会来修订和标准化人口统计数据， 数据项，并以电子报告系统取代手工报告系统。 一个. 增加数据项，并取代人工报告系统 一个电子的。 附加数据项，包括必要的 唯一标识符将被包括在新的要求中， 允许在整个马里兰州的公共精神病院跟踪客户 卫生系统。 这种能力将有助于更好地规划和 协调服务提供。 新的报告和系统要求 将准备好，当地机构将获得MHA咨询， 为满足这些经修订和扩大的需求提供资金。 有限津贴 对于CMHC人员有用的定制程序， MHA人员将举办区域或全州范围的研讨会， 交流有关当前数据使用情况的信息，并鼓励 更多地在当地使用现有数据库。 与此同时，马里兰州正在采取行动， 核心服务机构（CSA）模式。 一个CSA将是 建立在每个集水区。 它将承担主要责任 为该地区的所有公共心理健康客户提供服务，以及控制 所有的公共精神健康基金 每个CSA将 需要建立一个数据系统来追踪客户和成本。 通过 严格编写这些要求，并与飞行员CSA合作， 在1991财政年度（1990年7月开始）开发，开发一个模型CSA 信息系统，基于MHSIP的理念，适用于其他司法管辖区。 在与新设立的CSA协商后，MHA将提供资金， 在项目中实施CSA信息系统，培训CSA 人员使用该系统，并允许有限的定制， 满足CSA可能存在的特殊需求。

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.