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Reactivity and Responsiveness in Children’s Service Systems 儿童服务系统中的反应性和响应性
Pub Date : 2020-03-24 DOI: 10.4324/9781315784281-4
W. Nugent, C. Glisson
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引用次数: 0
Youth Entering an Emergency Shelter Care Facility: Prior Involvement in Juvenile Justice and Mental Health Systems 进入紧急庇护护理机构的青少年:先前参与少年司法和心理健康系统
Pub Date : 2020-03-24 DOI: 10.4324/9781315784281-2
A. Litrownik, H. Taussig, J. Landsverk, A. Garland
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引用次数: 1
Youth and Provider Perspectives on Social Service Providers’ Roles in Mental Health Services 社会服务提供者在心理健康服务中的角色的青年和提供者观点
Pub Date : 2020-03-24 DOI: 10.4324/9781315784281-6
A. Stiffman, D. Elze, E. Hadley-Ives, Sharon Johnson
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引用次数: 0
Physician-Patient Gender and the Recognition and Treatment of Depression in Primary Care 初级保健中医患性别与抑郁症的认识与治疗
Pub Date : 1999-08-19 DOI: 10.1300/J079V25N03_03
L. Badger, M. Berbaum, P. Carney, A. Dietrich, M. Owen, John T. Stem
ABSTRACT This study investigates the relationships among patient's gender, physician's gender, and physician's inquiries about depression symptoms and psychosocial stressors, treatment and subsequent medical record notation of depression in primary care. One hundred forty-six physicians at three sites were visited twice by a standardized patient (SP) who enacted either major depression with a psychosocial presentation or minor depression with a somatic presentation. Each of the two cases was portrayed by both male and female SPs who were assigned randomly to physicians. Results showed high rates of inquiry about depression symptoms and treatment, but rates varied considerably by presentation and across physician-patient gender combinations. Male physicians explored symptoms and discussed a diagnosis with female patients significantly more often than with male patients. Both male and female physicians recommended counseling more often for patients with the somatic presentation when they were female than wh...
摘要:本研究探讨了初级保健中患者性别、医生性别、医生询问抑郁症状和心理社会压力源、治疗和后续病历记录之间的关系。一名标准化患者(SP)对三个地点的146名医生进行了两次访问,这些患者要么表现出带有心理社会表现的重度抑郁症,要么表现出带有身体表现的轻度抑郁症。这两个病例中的每一个都由男性和女性sp描述,他们被随机分配给医生。结果显示,对抑郁症症状和治疗的问询率很高,但问询率因病情和医患性别组合而有很大差异。男性医生与女性患者探讨症状和讨论诊断的频率明显高于男性患者。男性和女性医生都建议对女性躯体症状患者进行咨询。
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引用次数: 3
The Dynamics of Interagency Collaboration: How Linkages Develop for Child Welfare and Juvenile Justice Sectors in a System of Care Demonstration 机构间合作的动力:如何在一个照料示范系统中发展儿童福利和少年司法部门的联系
Pub Date : 1999-08-19 DOI: 10.1300/J079V25N03_05
Jeanne C. Rivard, M. Johnsen, J. Morrissey, B. Starrett
ABSTRACT This paper describes results of a secondary analysis of interorganizational network data collected in an evaluation of a system-level intervention that was designed to integrate service delivery across multiple sectors serving children with serious emotional disturbances. Data measuring the extent of interorganizational resource exchange were analyzed to investigate changes in patterns of interagency collaboration involving child welfare and juvenile justice sectors. A general pattern of increasing resource exchanges over time is characterized as relatively modest but important in demonstrating incremental growth in cooperative interorganizational relationships. Findings are consistent with reports documenting the project's implementation and qualitative impressions of agency respondents.
本文描述了对系统级干预评估中收集的组织间网络数据的二次分析结果,该干预旨在整合多个部门为严重情绪障碍儿童提供的服务。对衡量组织间资源交换程度的数据进行了分析,以调查涉及儿童福利和少年司法部门的机构间合作模式的变化。随着时间的推移,资源交换增加的一般模式的特点是相对温和,但在表明合作组织间关系的渐进增长方面很重要。调查结果与记录项目执行情况的报告和机构答复者的定性印象一致。
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引用次数: 12
Depression Treatment and Cost Offset for Rural Community Residents with Depression 农村社区居民抑郁症的治疗与费用抵销
Pub Date : 1999-08-19 DOI: 10.1300/J079V25N03_07
Mingliang Zhang, K. Rost, J. Fortney
ABSTRACT This study examined the relationship between costs of treating physical problems and costs of treating depression, for 322 rural residents with depression. Multiple regressions were used to control for sociodemographics, depression severity, and physical and mental health comorbidities at baseline. The results indicated a $1.42 (n = 322) reduction in the costs of treating physical problems for a $1.00 increase in the costs of treating depression. The reduction was $2.61 (p < 0.05) among those receiving depression treatment (n = 125). These findings suggest a net savings from depression treatment, in addition to other benefits such as improved symptoms and functioning and increased productivity.
摘要本研究调查了322名农村抑郁症患者的生理问题治疗费用与抑郁症治疗费用之间的关系。采用多元回归来控制社会人口统计学、抑郁严重程度以及基线时的身心健康合并症。结果表明,治疗身体问题的费用减少1.42美元(n = 322),治疗抑郁症的费用增加1美元。在接受抑郁症治疗的患者(n = 125)中,减少了2.61美元(p < 0.05)。这些发现表明,除了改善症状和功能以及提高生产力等其他好处外,抑郁症治疗还可以节省净成本。
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引用次数: 5
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Mental Health Services and Sectors of Care
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