USE OF PUBLIC SECTOR SERVICES BY SERIOUSLY MENTALLY ILL

严重精神病患者使用公共部门服务

• 批准号: 3475667
• 负责人: JAN GREER Greer Sullivan
• 金额: $ 12.8万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 1990
• 资助国家: 美国
• 起止时间: 1990-09-30 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3475667
• 关键词: automated medical record system; bipolar depression; community mental health services; criminal behavior; criminology; governmental health /scientific organization; health care cost /financing; health care quality; health care service evaluation; health surveys; hospital utilization; human data; human middle age (35-64); human population study; information retrieval; major depression; mental disorder diagnosis; mental health epidemiology; mental health facility; mental health information system; outpatient care; psychosocial service; schizoid personality; schizophrenia; social service evaluation; statistics /biometry; substance abuse related disorder; ward; young adult human (21-34)

This research will estimate the amount, distribution and cost of public sector services (inpatient and outpatient mental health services, acute medical services, and criminal justice system services) used by seriously mentally ill (SMI) persons. Because community care for the SMI involves the participation and coordination of many social agencies, it has been difficult to estimate overall costs; further, we have little idea about how costs are distributed across agencies. Better information is needed about where and by whom public funds are used before we can address issues of appropriateness and effectiveness of their use. The specific aims of this research are: 1) To determine the distribution of use and direct costs of services delivered by public sector agencies (community mental health clinics, public psychiatric hospitals, publicly funded medical services, and the criminal justice system) to SMI persons. 2) To examine demographic and clinical characteristics of SMI persons associated with use of specific agencies.3) To examine how SMI individuals who do and do not receive outpatient CMHC care differ in their patterns of use of the other service agencies. To address these aims, we will use secondary data from two public mental health systems: (1) survey data previously collected from SMI persons and their families in Mississippi and (2) administrative data sets from service agencies in Harris County (Houston), Texas. Both these mental health systems are relatively resource-poor, serve a high percentage of minority clients, and have rarely been the subject of research studies. This research is intended both to further health services research and to provide data to guide policy in these mental health systems.

这项研究将估计公共资源的数量、分布和成本。 部门服务（住院和门诊精神卫生服务、急性 严重使用的医疗服务和刑事司法系统服务） 精神病患者（SMI）。因为对 SMI 的社区关怀涉及 在众多社会机构的参与和协调下， 难以估计总体成本；此外，我们对如何 费用由各机构分配。需要更好的信息 在我们解决以下问题之前，公共资金在哪里以及由谁使用 其使用的适当性和有效性。 本研究的具体目的是： 1）确定 公共部门机构提供的服务的使用和直接成本 （社区精神卫生诊所、公立精神病医院、公立精神科医院） 向 SMI 人员提供资助的医疗服务和刑事司法系统）。 2) 检查SMI人群的人口统计学和临床​​特征 与特定机构的使用相关。3) 检查 SMI 个人如何 接受和不接受门诊 CMHC 护理的人的治疗模式有所不同 使用其他服务机构。 为了实现这些目标，我们将使用来自两个公众心理的二手数据 卫生系统：(1) 之前从 SMI 人员收集的调查数据和 他们在密西西比州的家人和 (2) 来自服务的行政数据集 德克萨斯州哈里斯县（休斯顿）的机构。这两个心理健康 系统资源相对匮乏，服务于少数族裔比例较高 客户，并且很少成为研究的主题。这 研究的目的既是为了进一步开展卫生服务研究，也是为了 提供数据来指导这些精神卫生系统的政策。