CENTER ON FINANCING OF CARE FOR SEVERELY MENTALLY ILL

在过去的两年半里，我们建立了一个多学科的 研究中心的组织和资助照顾严重 精神病患者。 该中心已成功开发 协作关系，在具有心理学专业知识的研究人员之间 卫生经济学和金融学、临床心理学和社会福利。 我们有两位新的中心合作研究者，Catalano博士和Dr. 维加 此外，中心的研究涉及与 在公共精神卫生机构工作的附属调查人员（San 弗朗西斯科、圣克拉拉和阿拉米达县以及加州州） 在几个学术环境中。 中心研究还涉及 来自两个相关的NIMH培训项目的学员。 资助中心 项目已从加州州获得，罗伯特伍德 约翰逊基金会和国家心理健康研究所。 的 中心已建立了一个工作文件系列，并参加了 建立心理健康服务研究基地。 该中心已制定了4个研究重点领域。 领域的 为严重精神病患者提供的服务，我们研究 创新的手段，提供综合的临床，社会和实践 服务，重点是个案管理和自助机构 模型 在为各州公共服务筹资方面， 我们研究了替代融资方法对机构的影响， 成本，结果和精神卫生服务的提供，在多个 程度. 在特殊人群领域，我们研究了 需要和使用精神卫生服务的模式，强调 少数民族成年人、儿童和青年，以及同时患有 物质使用障碍 在方法论方面，我们确定了以下方法： 改进用于研究组织、流行病学和 严重精神病患者护理的财务问题。 主要 建议和附录M详细说明了将探讨的具体项目， 每个区域。

During the last 2-1/2 years we have established a multi-disciplinary Center to study the organization and financing of care for severely mentally ill persons. The Center has successfully developed collaborative relationship, among investigators with expertise in mental health economics and finance, clinical psychology, and social welfare. We have involved two new Center co-investigators, Dr. Catalano and Dr. Vega. Additionally, Center research involves collaboration with affiliated investigators working in public mental health agencies (San Francisco, Santa Clara, and Alameda counties and the State of California) and in several academic settings. Center research has also involved trainees from two related NIMH training programs. Funding for Center projects has been obtained from the State of California, the Robert Wood Johnson Foundation, and the National Institute of Mental Health. The Center has established a working paper series and has participated in building a mental health services research base. The Center has developed 4 areas of research priorities. In the area of organization of services for severely mentally ill persons, we examine innovative means of providing integrated clinical, social, and practical services, with an emphasis on case management and self-help agency models. In the area of financing of public services in counties and institutions we examine the effects of alternative financing methods on the costs, outcomes, and delivery of mental health services at multiple levels. In the area of special populations we examine characteristic patterns of need for and use of mental health services, emphasizing ethnic minority adults, children and youth, and persons with co-occurring substance use disorders. In the area of methodology we identify ways to improve approaches used to study the organizational, epidemiologic, and financial aspects of care for severely mentally ill persons. The main proposal and Appendix M detail the specific projects to be explored in each area.