The Kedzie Center, a psychodynamically-informed community mental health center on Chicago's northwest side, was created through a truly innovative strategy for funding urban mental health services. Legislation in Illinois allows areas of the city to vote by referendum to levy a tax, calculated as 0.4% of property taxes, to support needed clinics directly, of which Kedzie is the first of (currently) four. Each of the six referenda put forward thus far under the Expanded Mental Health Services Act won a landslide endorsement from the voters in its catchment area, who feel ownership and investment in the services they have created. A small group of psychoanalytically-oriented clinicians was chosen by a governing commission made up of appointee community members to run the first EMHS clinic. Since its creation 7 years ago, the Kedzie Center has offered a test case for the success of the EMHS Act, and has been able to use the flexibility its funding model affords to provide long-term primary, ancillary and coordinated care that is tailored to the community it serves. Yet its success as a vibrant hub for this diverse and challenged urban area has not immunized it from the difficulties involved in creating an integrated community psychoanalysis. Kedzie's success has come with both tension and growth regarding its mission, its staff development and its role in the wider community.

中文翻译：

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Kedzie 中心：从头开始融入社区的心理健康

Kedzie 中心是位于芝加哥西北部的一个以心理动力学为基础的社区心理健康中心，它是通过一项为城市心理健康服务提供资金的真正创新战略创建的。伊利诺伊州的立法允许该市的地区通过全民投票投票征收税款，计算为财产税的 0.4%，以直接支持所需的诊所，其中 Kedzie 是（目前）四个诊所中的第一个。迄今为止，根据《扩大精神卫生服务法》提出的六项公投中的每一项都赢得了其服务区选民的压倒性支持，他们对自己创建的服务感到主人翁和投资。由指定社区成员组成的管理委员会选择了一小群以精神分析为导向的临床医生来运营第一家 EMHS 诊所。自7年前创立以来，Kedzie 中心为 EMHS 法案的成功提供了一个测试案例，并且能够利用其资助模式提供的灵活性来提供为其服务的社区量身定制的长期初级、辅助和协调护理。然而，它作为这个多元化和充满挑战的城市地区充满活力的中心的成功并没有使它免受创建综合性城市所涉及的困难。社区心理分析。Kedzie 的成功伴随着其使命、员工发展和在更广泛社区中的作用的压力和成长。