OREGON PARTNER'S PROJECT--A RANDOMIZED STUDY

俄勒冈州合作伙伴的项目——随机研究

• 批准号: 3387687
• 负责人: MARILYN K WACHAL
• 金额: $ 36.93万
• 依托单位: OREGON STATE DEPT OF HUMAN SERVICES
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-08-01 至 1994-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3387687
• 关键词: adolescence (12-20); behavior test; child behavior; child behavior disorders; child mental disorders; child mental health service; child welfare; community mental health services; health care cost /financing; health care service availability; health care service evaluation; health care service planning; health economics; health service demonstration project; human subject; interview; mental health services; middle childhood (6-11); mood disorders; patient care management; problem solving; questionnaires; satisfaction

The aim of this project is to evaluate the effectiveness of the Oregon Partners Project, a new mental health services program, funded by the Robert Wood Johnson Foundation, for children who are severely emotionally disturbed. The project consists of a flexibly financed system of case management for 5 to 18 year-old children with severe emotional disturbance in Multnomah County, the major metropolitan county in Oregon. Effectiveness is conceptualized from the perspective of the "fit" between client needs and system resources, as measured by the objectives set forth by the Child and Adolescent Service Program (CASSP), national Institute of Mental Health. These objectives specify that services should be comprehensive, individualized, least-restrictive, family centered, protective of rights, culturally appropriate, and sensitive to transition issues. A randomized research design will be used to assess the impact of flexible funding and case-management on (a) service fit, (b) child, family and system outcomes, and (c) case costs. A multifaceted evaluation plan will be used to accomplish this aim. Two separate treatment groups will be used, one of which will combine flexible funding with case management and the other of which will include case management without flexible funding. A third, "conventional-services" comparison group will be used to assess the combined impact of case management and flexible funding. Project clients will be randomly assigned across groups to facilitate causal inferences about program effectiveness. The project will operationalize and monitor the extent to which case management and flexible funding contribute to the achievement of CASSP treatment goals and to improvements in child, family, and system outcomes. Identifying how different goals and outcomes respond to the same program components will serve to demonstrate the empirical feasibility of as yet untested philosophical treatment ideology in addition, the project will demonstrate the cost-impact of flexible financing and managed care as mechanisms for leveraging State Medicaid resources with Federal matching funds.

该项目的目的是评估俄勒冈州的有效性 合作伙伴项目，一项新的心理健康服务计划，由 罗伯特·伍德·约翰逊（Robert Wood Johnson）基金会，适合严重的孩子 情感上的干扰。 该项目由一个灵活的资助 5至18岁的严重儿童的病例管理系统 主要都会县摩特诺玛县的情绪干扰 在俄勒冈州。 从 客户需求和系统资源之间的“适合”，由 儿童和青少年服务计划提出的目标 （CASSP），国家心理健康研究所。 这些目标指定 该服务应全面，个性化， 最不限制的家庭以文化为中心，保护权利 适当，对过渡问题敏感。 一项随机研究 设计将用于评估灵活资金和 （a）服务合适的案例管理，（b）儿童，家庭和系统 结果和（c）案例费用。 多方面的评估计划将用于实现这一目标。 二 将使用单独的治疗组，其中之一将组合 案件管理的灵活资金，另一个将 包括案例管理无灵活的资金。 第三， “常规服务”比较组将用于评估 案例管理和灵活资金的结合影响。 项目 客户将在各组中随机分配以促进因果关系 有关计划有效性的推论。 该项目将运行 并监视案件管理和灵活资金的程度 有助于实现CASSP治疗目标和 儿童，家庭和系统成果的改善。 确定如何 不同的目标和结果对同一计划组件做出响应 用于证明未经测试的经验可行性 哲学待遇意识形态此外，该项目还将 证明灵活融资和托管护理的成本障碍 使用联邦利用州医疗补助资源的机制 匹配资金。