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An evaluation of state public mental...

Magnabosco Bower, Jennifer L.

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An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness./
作者:	Magnabosco Bower, Jennifer L.
面頁冊數:	281 p.
附註:	Adviser: Marcia K. Meyers.
Contained By:	Dissertation Abstracts International62-02B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3005758
ISBN:	0493153136

An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness.
Magnabosco Bower, Jennifer L.

An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness. - 281 p.

Adviser: Marcia K. Meyers.

Thesis (Ph.D.)--Columbia University, 2001.

Further research can help to solidify the plausible causations these results suggest and to continue to develop measurement and management sciences necessary for effective state mental health administration and system performance.

ISBN: 0493153136Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness.
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245 1 0 $a An evaluation of state public mental health system performance for adult persons with serious mental illness: Effects of state political culture and state mental health planning and implementation characteristics on state public mental health system comprehensiveness.
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500 $a Source: Dissertation Abstracts International, Volume: 62-02, Section: B, page: 0775.
502 $a Thesis (Ph.D.)--Columbia University, 2001.
520 $a Further research can help to solidify the plausible causations these results suggest and to continue to develop measurement and management sciences necessary for effective state mental health administration and system performance.
520 $a This study was a retrospective, cross-sectional and comparative investigation of our 52 U.S. state public mental health systems.
520 $a A Mental Health Expert Survey was developed and sent to 200 State Mental Health Authority (SMHA) Commissioners, Planners, Researchers and Members of the State Mental Health Planning Council. Demographic information and retrospective ratings of specific state public mental health system characteristics were collected. Survey data were used to construct four indexes: state public mental health system comprehensiveness (CSSI; alpha of .95), block grant (annual) and overall (multi-year) planning, and service system integration activities. Well-established secondary sources were used to collect information on state and SMHA characteristics, and SMHA controlled mental health expenditures.
520 $a A Planning-Implementation-Performance Evaluation Model was developed to test the study's hypotheses. A state sample (44/52 entities) was constructed to maintain the state as the unit of analysis. A maximum of five independent variables were used in each regression specification, representing each of the five constructs of the Model. The stepwise regression specification with the highest explanatory power (Composite Policy Liberalism, overall planning and per capita expenditures) explained 39% of the variation in respondents' ratings of the CSSI. The model's F statistic was highly significant (7.064 at p = .001). Overall findings suggest that state public mental health systems for adult persons with serious mental illness are plausibly more comprehensive if states have (1) A more liberal political culture; (2) Multi-year planning; (3) Financial implementation strategies controlled by the SMHA; (4) SMHAs that emphasize planning more than spending, and integrate the two strategies; are <italic>either</italic> free-standing or structurally linked to other state agencies; and have <italic>either</italic> decentralized <italic>or </italic> centralized administrative roles.
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