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首页> 外文期刊>American journal of orthopsychiatry >Population Targeting Amid Complex Mental Health Programming: Are California's Full Service Partnerships Reaching Underserved Children?
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Population Targeting Amid Complex Mental Health Programming: Are California's Full Service Partnerships Reaching Underserved Children?

机译：在复杂的心理健康规划中定位人口：加州的全部服务伙伴关系达到欠缺儿童吗？

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摘要

California's Mental Health Services Act (MHSA) created Full Service Partnership programs (FSPs) targeting socially and economically vulnerable children with mental illness who are underserved by counties' public mental health treatment system. To determine whether FSPs reach a distinctive group of children, this study compares indicators of FSP-targeted underservice for FSP entrants (n = 15,598) versus everyone treated in the counties' public mental health systems (n = 282,178) and for FSP entrants versus entrants in the most intensive Medicaid delivered program in California, Therapeutic Behavioral Services (TBS, n = 11,993). Results identify that, despite first encountering mental health services systems at earlier ages, FSP clients had fewer months of treatment and were less likely to have been treated in the prior 6 months, except for crisis care, as compared to all other children served, after considering clinical severity and indicators of service need. FSP entrants also had more substance abuse and trauma-related problems. Although less seriously ill than TBS served children, FSP served children were significantly underserved. The results indicate that, amid overlapping policies and programs, carving out and reaching a distinctly underserved population can be achieved in practice, and that specialized programs, such as the FSP program, which target underserved children, have the potential to augment a system's ability to reach the underserved.
机译：加州的心理健康服务法案（MHSA）创建了全面的服务伙伴关系计划（FSP），其针对具有由县公共心理健康治疗系统提供服务的社会和经济脆弱的儿童。要确定FSP是否达到独特的儿童组织，本研究比较了FSP参赛者的FSP目标下服务的指标（n = 15,598）与每个人在县的公共心理健康系统（n = 282,178）和FSP参赛者与参赛者中的每个人在加利福尼亚州的最具密集的医疗补助计划中，治疗行为服务（TBS，N = 11,993）。结果确定，尽管先前遇到精神卫生服务系统，但FSP客户的治疗较少，除了危机护理外，还不太可能在以前的6个月内对待，除了所有其他儿童之后考虑临床严重程度和服务指标需求。 FSP参赛者还有更多的药物滥用和创伤相关问题。虽然比TB服务的儿童不太严重，但FSP服务的儿童受到严重服务。结果表明，在实践中可以实现与重叠的政策和计划，雕刻和达到明显的欠缺人群，并且该专业计划，例如瞄准欠缺儿童的FSP计划，有可能增强系统的能力到达服务不足。

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