Innovative Approaches to Mental Health Evaluation - 1st Edition - ISBN: 9780126630206, 9781483276502

Innovative Approaches to Mental Health Evaluation

1st Edition

Editors: Gerald J. Stahler William R. Tash
eBook ISBN: 9781483276502
Imprint: Academic Press
Published Date: 28th December 1981
Page Count: 414
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Description

Innovative Approaches to Mental Health Evaluation is a collection of papers that provides a broad range of ideas, methods, and techniques in program administration and evaluation in the field of mental health. The book is organized into 2 sections. Part I, consisting of 8 chapters, presents the necessary evaluation strategies and approaches that effectively address the important mental health issues for the 1980s such as prevention programs; the linking of health and mental health delivery systems; accountability in assuring quality of services; deinstitutionalizing the chronically mentally ill; and providing for greater local participation in mental health program management. Part II, surveys the promising evaluation methods, approaches, and relevant issues that are emerging in the new organizational and political environment of the mental health system. The book will be of good use to mental health administrators, researchers, managers, students, and evaluators.

Table of Contents


Contents

LIst of contributors

Preface

I Major Mental Health Issues: The Evaluative Response

1 The Design and Evaluation of Future Mental Health Systems

Editor's Introduction

The Political System

The Patient System

The Delivery System

The Reimbursement System

The Manpower System

The Accountability

Summary

References

2 Conceptual and Methodological Considerations in Evaluating Preventive Intervention

Editor's Introduction

Introduction

General Methodological Issues

Measurement Issues

Statistical Issues

Conclusion

References

3 The Health-Mental Linkage: Mandates and Challenges for Program Evaluation Research

Editor's Introduction

"Discovering" the Health-Mental Health Linkage

Explaining the Health-Mental Health Linkage

Staffing the Health-Mental Health Linkage

Legislating the Health-Mental Health Linkage

Evaluating the Health-Mental Health Linkage

Summary

References

4 Linking Primary Medical Care Programs With Mental Health Programs

Editor's Introduction

The Public Policy Context

The Need for Linkage

Linking Community Health Centers and Community Mental Health Centers

Problems and Opportunities

The Formal Linkage Program

Role of the Linkage Worker

Training Health Providers to Identify Mental Conditions

Evaluating Linkages

Future Directions

References

5 Evaluating Quality Assurance Programs

Editor's Introduction

Introduction

Summary and Future Directions

References

6 Conceptual Issues in the Evaluation of the Deinstitutionalization Movement

Editor's Introduction

Introduction

Definition of Deinstitutionalization and Underlying Assumptions

Problems in Evaluating Deinstitutionalization

Levels of Evaluation in Deinstitutionalization

Impact Evaluation in Deinstitutionalization: Relevant Issues

Limitations of Model Programs

Discussion

Some Conclusions and Directions for Future Inquiry

References

7 Community Participation in Evaluation

Editor's Introduction

Limitations in Traditional Program Self-Evaluation

Trends toward Accountability

Rationale for Citizen Participation: A Dual Perspective

Conceptualization ï f Participation in Program Evaluation

Examples of Participative Evaluation of CMHCS

Issues in Citizen Participation in Evaluation

Suggestions for Improving the Practice of Citizen Evaluation of CMHCS

Conclusion

References

II Emerging Evaluation Methodologies, Approaches, and Issues

8 Evaluation, Assessment: Principles and Practice

Editor's Introduction

The Changing Environment for Evaluation

Increased Interest in Performance? Maybe

Evaluability Assessment: Principles

Evaluability Assessment: Practice

Applications

References

9 Metaevaluation: An Assessment of the Congressionally Mandated Evaluation System Ffor Community Mental Health Centers

Epilogue

Introduction to the Problem

The Evaluability Assessment

Conclusions

References

10 Results Oriented Management: Integrating Evaluation and Organizational Performance Incentives

Editor's Introduction

Introduction

Political Forces: Conflicting Goals, Competing Objectives

A Personal Note

Outline of a Solution

Problems in Achieving Results-Oriented Management

Some Examples of Movement toward Results-Oriented Management

Conclusions

References

12 Qualitative Methods of Evaluation Research: Major Applications for Mental Health Program Evaluation

Editor's IntroductioN

Introduction

Qualitative Methods

The Functions of Qualitative Methods

Program Outcomes: Expected and Unexpected

Utilization of Results

Summary and Conclusions

References

13 Performance Monitoring: Response to the 1980 Mental Health Systems Act

Editor's introduction

Dilemma 1 : State of the Art Is Not Ready

Dilemma 2: Emphasis on Cure, Not Care

Dilemma 3: Local Programs May Not Use Performance Measures

Dilemma 4: Increased Burden for Data Collection

Dilemma 5: Stifling of Innovation

Dilemma 6: Biases in the Data Collected

Recommendations for a Performance Monitoring System

References

11 Cost Effectiveness Evaluation in Mental Health Care

Editor's Introduction

Some Basic Concepts

Concluding Note on Cost-Effect Assessment

Effects and Costs over Time

The Value of a Systems Analysis Perspective

An Illustrative Application

References

14 The Concept and Measurement of Quality Of Life as A Dependent Variable in Evaluation of Mental Health Services

Editor's Introduction

Introduction

Quality of Life Theory

Quality of Life

Theoretical Formulation

Measurement: The Oregon Quality of Life Questionnaire

Methodology

Subjects

Psychometric Properties of the Oregon Quality of Life Questionnaire

Tests of Hypotheses: Effectiveness of the Mental Health System

Summary and Conclusions

Reference Notes

References

15 Enhancing the Utilization of Mental Health Evaluation At State And Local Levels

Editor's Introduction

Introduction 3

Alternative Evaluation Models

Defining Utilization

Innovative Approaches to Utilization Enhancement

Prospects for Evaluation Utilization

References

16 Summary and Future Directions

Subject Index

Details

No. of pages:
414
Language:
English
Copyright:
© Academic Press 1982
Published:
Imprint:
Academic Press
eBook ISBN:
9781483276502

About the Editor

Gerald J. Stahler

William R. Tash