ASSESSING CLIENT SUPPORT AND REPRESENTATION SERVICES

评估客户支持和代表服务

基本信息

批准号：
3376004
负责人：
Paul Peter Freddolino
金额：
$ 13.13万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1982
资助国家：
美国
起止时间：
1982-09-24 至 1987-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/3376004
关键词：
attention health care personnel health care quality health care service evaluation health care service utilization human subject human therapy evaluation mental disorders patient care management psychiatric patient care psychosocial service self concept social adjustment social support network

项目摘要

The proposed project will extend research on the effects of client support and representation (CSR) services. Subjects are 488 people discharged into from chronic and acute mental health care providers. The current research has established a large-scale field experiment with random assignment to one of three conditions. Subjects in the CSR condition receive an intervention designed to facilitate the subject's efforts to safeguard legal rights and to improve personal living conditions; the "greeter" condition provides a friendly relationship to the subject as a placebo control; the no-new-treatment condition serves as a baseline. Subjects are interviewed four times concerning psychiatric symptomatology, self-esteem, social adjustment, and a number of other process and outcome variables. The proposed project will gather and integrate relevant additional data, and pursue new topics of analysis. Specifically, the project will support completion of one-year follow-up interviews with 138 subjects precluded by the scheduled end of the current study. Collection of additional data will include exhaustive records of rehospitalization obtained from a thorough canvas of service providers; clinical ratings of adjustment for approximately one third of the sample; and extensive mental health service utilization data from county records. The project will support integration of the new data with previously collected data, and statistical analyses will be applied to the augmented data set. In addition, subjects have provided extensive information on the number, frequency and intensity of their social relationships and on receipt of social support. Analyses of these data will be informative concerning both the social networks of chronically mentally ill people, and the psychological effects of social support.

拟议的项目将扩展对客户支持影响的研究和代表（CSR）服务。受试者为 488 人来自慢性和急性精神卫生保健提供者。目前的研究建立了大规模的现场实验，随机分配三个条件之一。处于 CSR 条件下的受试者会收到旨在促进受试者努力维护的干预合法权利和改善个人生活条件； “迎宾员” 作为安慰剂，条件为受试者提供了友好的关系控制;未进行新治疗的情况作为基线。科目是接受了四次采访，内容涉及精神症状、自尊、社会适应，以及许多其他过程和结果变量。拟议的项目将收集并整合相关的附加数据，并追求新的分析主题。具体来说，该项目将支持完成对 138 名受试者的一年后续访谈当前研究的预定结束时间。额外数据的收集将包括从彻底的调查中获得的详尽的再住院记录服务提供商的画布；调整的临床评级大约样本的三分之一；和广泛的心理健康服务来自县记录的利用数据。该项目将支持整合将新数据与先前收集的数据进行统计分析将应用于增强数据集。此外，受试者还提供了有关数量的广泛信息，他们的社会关系的频率和强度以及收到的信息社会支持。对这些数据的分析将为这两方面提供信息慢性精神疾病患者的社交网络，以及社会支持的心理影响。