FORMAL AND INFORMAL M H SERVICE NETWORKS IN RWJ SITES

RWJ 站点的正式和非正式 MH 服务网络

• 批准号: 3384332
• 负责人: ROBERT I PAULSON
• 金额: $ 23.97万
• 依托单位: UNIVERSITY OF CINCINNATI
• 依托单位国家: 美国
• 财政年份: 1989
• 资助国家: 美国
• 起止时间: 1989-02-01 至 1992-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3384332
• 关键词: chronic disease /disorder; community mental health services; health care service organization; health care service utilization; human subject; mental health services; patient care management

This three year project will study the interorganizational development of community systems for persons with severe and persistent mental illnesses in six (6) cities. Five (5) of these cities are Robert Wood Johnson (RWJ) demonstration sites; the sixth will serve as a comparison city. The study will analyze the changes in the delivery of services to chronically mentally ill persons during the operational phase of the RWJ demonstration, particularly the relationship between formal structures informal case manager networks, and client outcomes. The study has three distinct components, each of which will be conducted at two points in time to coincide with the collection of outcome data from the RWJ Evaluation Project. The first component is a network analysis of the formal community support system using the key informant most knowledgeable about the orginization's interaction with the rest of the community support system. The second component consists of a study of the case managers' view of the formal system which should give an indication of the extent to which the RWJ initiatives have been implemented at the line worker level. Lastly, the informal networks which case managers actually use to deliver services will be studied to see if differences in these networks affect client outcomes. The data from each of the levels will be compared across sites to illuminate the differences in structural arrangements and network characteristics, the degree of implementation, and informal networks. The relationship between each component will be used to construct site profiles. These will all then be related to client outcomes. Finally, the changes at all these levels will be looked at over time to trace their evolution and to evaluate their impact on client outcomes.

这个三年项目将研究组织间 为患有严重和严重的人开发社区系统 六（6）个城市的持续精神疾病。 其中五（5）个 城市是罗伯特·伍德·约翰逊（RWJ）示范地点；第六 将作为比较城市。 该研究将分析 变化为长期心理不适的服务提供 在RWJ演示的运营阶段的人， 特别是正式结构之间的关系 案例经理网络和客户结果。 该研究有三个 不同的组件，每个组件将在两个点进行 及时与收集结果数据相吻合 RWJ评估项目。 第一个组件是网络分析 使用主要线人的正式社区支持系统 了解Orgination与其余的互动 社区支持系统。 第二个组件包括 对案件经理对正式系统的看法的研究 应该指出RWJ的程度 倡议已在线工人级别实施。 最后，非正式网络哪个案件经理实际用过 将研究提供服务，以查看这些服务是否有所不同 网络影响客户结果。 来自每个级别的数据将在各个站点上比较 阐明结构安排和网络的差异 特征，实施程度和非正式 网络。 每个组件之间的关系将用于 构建站点配置文件。 这些都将与客户有关 结果。 最后，所有这些级别的变化将被查看 随着时间的流逝，追踪其演变并评估其影响 关于客户结果。