This article describes lessons learned about implementing evaluations in hospital settings. In order to overcome the methodological dilemmas inherent in this environment, we used a practical participatory evaluation (P-PE) strategy to engage as many stakeholders as possible in the process of evaluating a clinical demonstration project.…

Background: Evaluations of substance use screening and brief intervention (SBI) curricula typically focus on learner attitudes and knowledge, although effects on clinical skills are of greater interest and utility. Moreover, these curricula often require large amounts of training time and teaching resources. This study examined whether a 3-hour…

Systems-based practice (SBP) is rarely taught or evaluated during medical school, yet is one of the required competencies once students enter residency. We believe Texas A&M College of Medicine students learn about systems issues informally, as they care for patients at a free clinic in Temple, TX. The mandatory free clinic rotation is part of…

Conducted an economic evaluation of five outpatient adolescent treatment approaches (12 total site-by-conditions) to identify average economic costs to society. Results suggest that some types of substance-abuse intervention for adolescents can reduce social costs immediately after treatment. (SLD)

The usefulness of a Client Characteristics Checklist that has been used in many programs sponsored by the Wilder Foundation over 10 years was studied. The checklist is used to document a variety of potential risk factors and descriptive characteristics of individuals and families served by Foundation programs. Client characteristics across the…

The authors present an overview of recent developments and ultimate goals in quality of care assessment, with special reference to the nurse practitioner. A proposed evaluation model is included. (Author)

Shows how evaluators can handle conflict and create, restore, and maintain conditions for an ongoing negotiation process using the example of a vocational rehabilitation project for psychiatric patients in which a conflict developed between management and therapists. (SLD)

A series of followup investigations exploring the impact of methadone maintenance treatment, methadone detoxification treatment, therapeutic communities, and outpatient drug-free treatment for the drug abuser was conducted. Limitations of these modalities were revealed in the followup studies. Implications for treatment and policy include: (1)…

This paper gives a brief overview of how qualitative and quantitative interviews can be combined to get a fuller picture of a program and its outcomes. This concept is illustrated through a discussion of evaluations of the Employment Intervention Demonstration Program, a multi-site research demonstration project funded by the Substance Abuse…

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)

Assessed the effectiveness of rehabilitation services provided to patients (N=277) of a large psychiatric hospital. Follow-up data revealed that 43.3 percent were productively engaged, 65.9 percent considered themselves satisfied with their level of community adjustment, and 41.1 percent were rated as involved in the community. Age, sex, and…

It is argued that there is a benefit to applying techniques of exploratory data analysis (EDA) to program evaluation. The evaluation of a rehabilitation program for people with rheumatoid arthritis (20 subjects and 21 comparisons) through EDA supports the argument, indicating outcomes more precisely than conventional analysis of variance. (SLD)

The Working Together (WT) project involved the design and delivery of an online learning resource for healthcare teams in long-term care (LTC) so that knowledge regarding interprofessional collaborative patient-centred practice (ICPCP) could be readily accessed and then transferred to the workplace. The purpose of this paper is to better…

The P.E.P. Report 1969-1973 focuses on the various findings of the Program Evaluation Project. This chapter deals with the first year development of an integrated program evaluation system for the Adult Outpatient Program, Hennepin County Mental Health Service, Minneapolis, Minnesota. This evaluation system is an extension of and expansion of the…