Innovative Approaches to Mental Health Evaluation

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.

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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