Describes experiences in developing a multi-program economic evaluation and costing study of Assertive Community Treatment (ACT), a widely studied community mental health treatment model. The project description shows how the worlds of research and service delivery can collaborate to come to symbiotic resolutions. (Author/SLD)

Modified evaluation planning tools, such as document models, logic models, and program theory models in planning for the evaluation of the coordination of domestic violence services in metropolitan Baltimore, Maryland. Data from a variety of sources (targeted agencies) show that activities of agencies in the coordinated community response are…

The impact of a newly instituted prime vendor (wholesaler) pharmaceutical system at Veterans Affairs (VA) hospitals was studied at 33 VA centers and 32 matched comparison hospitals. Results indicate satisfaction with the new system and illustrate the solutions to some interesting evaluation problems. (SLD)

The rationale for a multistage approach to evaluating services demonstration programs is discussed. The approach takes into account limitations that are often found in such programs. The National Evaluation of Models for Linking Drug Abuse Treatment and Primary Care provides an example. (SLD)

A model for assessing the needs of the rural elderly based on the goal of empowerment is described and evaluated through a case study in Pennsylvania. Overall, the 63 community workers positively evaluated the needs assessment data derived through the model. Ways to enhance the model are discussed. (SLD)

The satisfaction of 469 parents or guardians and 387 of their children who received mental health services at 22 community agencies in Illinois was assessed with standardized measures and procedures. Youths' satisfaction was less than that of their parents. Results are used to formulate a prediction model. (SLD)

A literature review describes evaluation activities in mental health services in financial, programmatic/clinical, and new constituency areas. Expanding reimbursement for alternative mental health services is offered as a way of developing a formal structure to ensure better utilization of evaluation results. (SLD)

Articles in this special issue use survey data to provide policymakers with validated indirect needs assessment models that will help them obtain information about populations requiring different levels and types of mental health services. The articles provide the basis for predictive needs assessment and explanatory models of resource allocation.…

The nine articles of this special section focus on the role of evaluation in the reform of the mental health system in Washington. The reform process is described from its inception through its design to the dissemination and utilization of evaluation results. The final article considers implications for statewide evaluations. (SLD)