The Safe Schools/Healthy Students (SS/HS) Initiative offers a unique opportunity to conduct large-scale, multisite, multilevel program evaluation in the context of a federal environment that places many requirements and constraints on how the grants are conducted and managed. Federal programs stress performance-based outcomes, valid and reliable…

The system of care approach as a strategy for serving children and adolescents with serious emotional disturbance (SED) is by any measure a success with one exception: there is controversy regarding the scientific evidence documenting that the services provided through systems of care improve the symptomatic and functional outcomes of the youth…

This manuscript describes the development and testing of an Internet-based cost survey that was designed by the authors for the National Assembly on School-Based Health Care (NASBHC) to capture the costs of school-based health programs. The intent of the survey was twofold. First, the survey was designed to collect comprehensive data on costs in a…

Evaluating school-based mental health services for children and youth with emotional disturbance (ED) has been a challenge for researchers. One particular challenge is the study design of using the student as the statistical unit of analysis, which in certain cases may lead to a violation of the "independence of error" assumption.…

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)

A developmental-acquisition model of case management was compared to usual case management services provided for the chronically mentally ill, using a sample of 89 persons referred to a large midwestern mental health center for community support services. The developmental-acquisition model was seemingly successful and deserves further refinement…

The relationship between service intensity and improvement in general psychological well-being was investigated at a Community Mental Health Center staffed primarily by Blacks and serving a Black clientele. Results for 145 Black, 18 White, and 12 other clients indicate a nonlinear relationship between level of services and patient improvement.…

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)

Describes an approach to introducing performance measurement into a large federal health program, the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, in response to the government Performance and Results Act. Also discusses characteristics of the HIV/AIDS epidemic that present unique challenges for performance measurement. (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)