Oversight is defined in a broad manner, encompassing a wide variety of mechanisms within the mental health field. Implications for mental health practice brought out by these descriptions of mechanisms are discussed to illustrate the utility of them in better understanding oversight practices. (Author/LMO)

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)

The self-selection problem in program evaluation is explored, and two ways of addressing it, covariate control approaches and two-stage sample selection models, are described. A longitudinal study of the effects of participation in Alcoholics Anonymous illustrates both approaches and shows the advantages of the two-step procedure. (SLD)

The client-oriented cost outcome system provides feedback of the data generated by or for consumers for a program's service planning, delivery, quality control, and evaluation methods. The system's conceptual framework, necessary components, and applications for program evaluation are described. Available from: Pergamon Press, Maxwell House,…

The intensive case management service provided by a mental health consumer team of case managers was compared to services of nonconsumer case managers. Results from 91 clients with serious mental illness found significant differences in outcomes after a year only in the areas of patient satisfaction and contact with family. (SLD)

A methodology was developed for conducting a benefit-cost analysis of an innovative supported employment intervention for the psychiatrically disabled. Results indicated that the program, which targeted 19 participants, approached cost efficiency of almost .90 of benefits to costs. The value of the methodology for program evaluation is discussed.…

This special issue focuses on several methodological issues in the evaluation of the largest mental health and substance abuse project for children and adolescents conducted at a single site, the U.S. Army's Fort Bragg Child and Adolescent Mental Health Demonstration program. The introduction and seven articles describe this program and the…

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)

Issues involved in applying the needs assessment model of the Colorado Social Health Survey to planning and management in Massachusetts are reviewed. The methodology in this special issue provides a new paradigm for mental health needs assessment in general and will be valuable in the Massachusetts plan specifically. (SLD)

Implications of the Colorado Social Health Survey for indirect needs assessment in mental health planning and administration are discussed. The survey model parameters' generalizability to other areas of the nation should be investigated, as well as improved ways of linking specific populations to needs, preferences, and outcome dimensions. (SLD)

The design and testing of a simulation of the planning evaluation process for use in training is presented and its use in a five-day professional workshop is described. Comments are made on this trial run and on the task of evaluation training in general. (MH)

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)

The epidemiological method of case-control study is described, and its advantages and disadvantages are discussed for use in health program evaluation. Examples are reviewed, with a step-by-step description of the method. Potential applications are discussed, including worksite health promotions, screening programs, and large-scale public health…

A model of evaluation is presented that allows direct service agencies in mental health and substance abuse areas to evaluate their programs cost effectively and appropriately. The approach emphasizes research partnerships as potentially valuable ways for self-help group members to explore their own practices through communication and critical…

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.…