789 resultados para National Center for Health Services Research
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Includes bibliographies.
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Bibliography: p.56.
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"Based on data collected by the National Center for Health Statistics through the National Health Interview Survey in 1983, 1984 and 1985."
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Published: Rockville, Md. <, 1973- >
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Description based on: March 1993; title from cover.
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"February 1977."
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Includes bibliography.
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"AHCPR91-0013"--P. [4].
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Mode of access: Internet.
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Mode of access: Internet.
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"May 1973"--P. [2] of cover.
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Mode of access: Internet.
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Mode of access: Internet.
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This paper provides an analysis of data from a state-wide survey of statutory child protection workers, adult mental health workers, and child mental health workers. Respondents provided details of their experience of collaboration on cases where a parent had mental health problems and there were serious child protection concerns. The survey was conducted as part of a large mixed-method research project on developing best practice at the intersection of child protection and mental health services. Descriptions of 300 cases were provided by 122 respondents. Analyses revealed that a great deal of collaboration occur-red across a wide range of government and community-based agencies; that collaborative processes were often positive and rewarding for workers; and that collaboration was most difficult when the nature of the parental mental illness or the need for child protection intervention was contested. The difficulties experienced included communication, role clarity, competing primary focus, contested parental mental health needs, contested child protection needs, and resources. (C) 2004 Elsevier Ltd. All rights reserved.
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This paper explains what happened during a three years long qualitative study at a mental health services organization. The study focuses on differences between espoused theory and theory in use during the implementation of a new service delivery model. This major organizational change occurred in a National policy environment of major health budget cutbacks. Primarily as a result of poor resourcing provided to bring about policy change and poor implementation of a series of termination plans, a number of constraints to learning contributed to the difficulties in implementing the new service delivery model. The study explores what occurred during the change process. Rather than blame participants of change for the poor outcomes, the study is set in a broader context of a policy environment—that of major health cutbacks.