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)

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…

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)

Presents an introduction to current equivalence methodology, a preferred alternative to usual power analyses when one wishes to determine if performances on given outcome measures for different samples are equivalent (could have come from the same population). Examples of the approach are presented. (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 use of case-control methodology as an applied policy/planning research tool in assessing the potential effectiveness of behavioral interventions is studied in connection with diarrhea control in Zaire. Results with 107 matched pairs of children demonstrate the importance of hygiene-related knowledge and the utility of the research approach.…

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 stratified probability sample of 4,745 adults in Colorado was surveyed to determine the need for alcohol, drug abuse, and mental health services. Findings that variation in need prevalence across 48 subareas of the state substantially challenge the assumptions of a uniform rate of need in a state. (SLD)

Development, implementation, and evaluation of a treatment program for 222 violent criminal offenders with alcohol abuse or alcoholism are described. Evaluation of the program, with quasi-experimental techniques, shows that active program clients engage in fewer violent crimes and show improved life functioning in employment and social adjustment…

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…

A pilot study assessing parent satisfaction with mental health services for children was a disappointment in its low response rate (28%, 15 of 53 questionnaires). However, the questionnaire, the Client Satisfaction Questionnaire, was an easy to use and effective tool that identified some sources of dissatisfaction. (SLD)

Three studies are presented, which illustrate situations in which researchers and funders agreed on the primacy of either the experimental or pragmatic paradigms but acknowledged a role for the other. The studies involved evaluations of mental health care, information systems, and a curriculum for behavioral and academic dysfunction. (SLD)