Where mental health administrators used to rely on subjective judgments of senior clinicians to evaluate the effectiveness of mental health services, they now rely more on a quality assurance (QA) plan. The primary motive for undertaking a QA program should be better service. QA may start out being very expensive in terms of personnel and…

Three models of evaluation emerge: objective and independent, objective but serving one interest, and pseudo-scientific public relations. Evaluation of an interdisciplinary mental health education program and roles must all be attended to or the weak link undermines the rest. (Author/RL)

Bertram S. Brown, former director of the National Institute of Mental Health, discusses conflicts between scientific and value dimensions of evaluation. He relates this conflict to: usefulness of mental health program evaluations; conduct of internal evaluations; release of findings; training; rating of reports; and planned change consultation.…

In order for health program evaluation to keep up with the evolution of disease patterns and epidemiology, a systems approach is proposed. Recommendations are made for the essential element in such an approach, namely, an integrated, comprehensive data base. (Author/AL)

Premature application of quantitative indicators formerly used for individual assessment and research to bureaucratic decision making can produce side effects that are dysfunctional in nature. In order to illustrate this phenomenon, the author reviews a general literature and utilizes examples form mental health care. (Author/BW)

This paper critiques current models for evaluation of mental health services provided to children and adolescents with emotional disturbances and offers an alternative model. The most popular model, Donabedian's tripartite model, is described. This model separately evaluates three domains: (1) structure (characteristics of the care providers,…

Proposes a model for planning activities that will help human service practitioners to prevent emotional problems in a targeted group or community. Provides practitioners with a framework for identifying variables affecting a population, a means for assessing which variables to address, and a structured approach to planning preventive…

This introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

In addition to publishing the papers given at key meetings, this series on health facilities includes discussions and responses. The series is intended to help meet the information needs of health service providers and others who require direct access to concepts and ideas evolving from the exchange of research results. Health facility reuse is an…

This commentary summarizes findings from previous articles on system-of-care mental health programs for children and adolescents with emotional and behavioral disorders. It addresses characteristics of participating children and families, system measurement system development, costs and sustainability, and family participation in program…

Children with serious emotional disorders receive inadequate and inappropriate services, rather than the comprehensive and coordinated system of care needed. To develop the knowledge needed to provide adequate and appropriate services, an alliance is needed among advocates, practitioners, and researchers. The Mental Health Services Program for…

This monograph derives from a conference sponsored by the Fogarty International Center for Advanced Study in the Health Sciences. The goals of the conference were (1) to establish channels of communication between health care evaluators from different disciplines and from different countries in the Americas, and (2) to promote an exchange of…

The UCLA Center for Healthier Children, Families and Communities (CHCFC) has developed the School Readiness Critical Pathways (SRCPs) as an evidence-based conceptual model that links related outcomes and strategies. This helps to organize an array of broad and diffuse evidence regarding the strategies that produce school readiness outcomes for…