約束を達成するために
アメリカにおけるメンタルヘルスケアの変革
(要旨)

注釈

1. この最終報告書では、子供、もしくは子供たちという言葉が使われる場合は常に、親または保護者が未成年児童の選択及び決定の過程に参加するものと理解される。これによって、メンタルヘルス専門家、地域の支援団体、教師、そして障害者本人または家族が望むその他の全ての人々との関係を築く際に、家族が支援と指導を行うことが認められる。また、１８歳以上の障害者の家族がこのような支援と指導を行うことも、同様に認められるとする。
2. 機能障害とは、基本的な日常生活技術（食事、入浴、着替えなど）、道具的な生活技術（家計の維持、お金の管理、地域での様々な体験、服薬など）、及び社会や家庭、職場/教育現場における活動（一般法１０２－３２１で改正された公衆衛生法１９１２（c）項）を含む、一つまたはそれ以上の主要な生活活動において、その役割を果たすことを著しく妨げたり、制限したりする障害と定義される。
3. この最終報告書では、利用者とは、メンタルヘルスサービスを利用しているか、または利用したことがある人々をいう。（メンタルヘルス利用者、サバイバー、患者、クライアントなどともいう。）

参考文献

1. United States Public Health Service Office of the Surgeon General (2001). Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: Department of Health and Human Services, U.S. Public Health Service.
2. Department of Health and Human Services: Substance Abuse and Mental Health Services Administration (2002). National Household Survey on Drug Abuse: Volume I. Summary of National Findings; Prevalence and Treatment of Mental Health Problems.
3. Kessler, R. C., Berglund, P. A., Bruce, M. L., Koch, J. R., Laska, E. M., Leaf, P. J. et al. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36, 987-1007.
4. Farmer, E. M. Z., Mustillo, S., Burns, B. J., & Costello, E. J. (2003). The epidemiology of mental health programs and service use in youth: Results from the Great Smoky Mountains Study. In M.H. Epstein, K. Kutash, & A. Duchnowsk (Eds.), Outcomes for Children and Youth with Behavioral and Emotional Disorders and Their Families: Programs and Evaluation Best Practices 2nd ed., [in press]
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7. Wang, P. S., Demler, O., & Kessler, R. C. (2002). Adequacy of treatment for serious mental illness in the United States. American Journal of Public Health, 92, 92-98.
8. Balas, E. A. & Boren, S. A. (2000). Managing clinical knowledge for health care improvement. In Yearbook of Medical Informatics (pp. 65-70). Bethesda, MD: National Library of Medicine.
9. Institute of Medicine Committee on Quality of Health Care in America (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press.
10. American Psychiatric Association (1987). Diagnostic and Statistical Manual of Mental Disorders. (3rd Revision Edition.) Washington, DC: American Psychiatric Association.
11. Individuals with Disabilities Education Act (IDEA), Pub. L. No. 105-17. (1997).
12. World Health Organization. (2001). The World Health Report 2001 - Mental Health: New Understanding, New Hope. Geneva: World Health Organization.
13. World Health Organization. (2002). World Report on Violence and Health. Geneva: World Health Organization.
14. Rice, D. P. & Miller, L. S. (1996). The economic burden of schizophrenia: Conceptual and methodological issues and cost estimates. In M. Moscarelli, A. Rupp, & N. Sartorius (Eds.), Schizophrenia (pp. 321-334). Chichester, UK: Wiley.
15. Coffey, R. M., Mark, T., King, E., Harwood, H., McKusick, D., Genuardi, J. et al. (2000). National Estimates of Expenditures for Mental Health and Substance Abuse Treatment, 1997 (Rep. No. SAMHSA Publication SMA-00-3499). Rockville, MD: Substance Abuse and Mental Health Services Administration.
16. United States Public Health Service Office of the Surgeon General (2001). Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report of the Surgeon General. Rockville, MD: Department of Health and Human Services, U.S. Public Health Service.

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