[Planning, design, construction and economics of facilities for the aged].
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Present mental health care facilities are not reinforcing either to work in or to utilize. A new approach to agency design, in order to provide client self-respect and situational relief, to increase availability and accessibility of services, and to attract highly skilled staff should be adopted. The criteria for a reinforcing agency should be based on a client, staff, and community needs. Changes can be implemented by building new facilities or modifying old ones. The resulting facilities would enhance the treatment process, reinforce behavioral change, and reinforce productivity.
This paper presents an overview of a systems approach being implemented within the Kaiser-Permanente Medical Care Program (KPMCP) for the planning of large-scale, integrated health care facilities. This approach was motivated by the increasing change and complexity of factors, both external and internal to KPMCP, that now require more systematic treatment and that before were handled by more intuitive approaches. Among others, these factors include dealing with increasing regulation from government agencies and accommodating the active participation of knowledgeable personnel to ensure the continuation of a progressive and innovative system. Described within, along with more general issues, are various computer models, based upon Kaiser concepts and data that have been developed to facilitate the effective allocation of resources.
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