Doing the Difficult and Dangerous: The Community Program Practice Scale

Hargreaves, William A.; Jerrell, Jeanette M.; Lawless, Suzanne Fares; Unick, Jay

doi:10.1007/s10488-006-0089-4

Cited by 7 publications

(12 citation statements)

References 18 publications

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“…Staff and member evaluations were concordant on 68% of the environmental domains, with the highest level of agreement occurring in the PES domain assessing the emotional, psychological, and interpersonal climate of the program milieu, which provides some indication of overall program quality (Hargreaves et al 2007). Across all program areas, staff ratings of the environment were slightly higher than those of members, but only significantly different in six specific areas.…”

Section: Comparing Staff and Member Evaluations Of The Program Enviromentioning

confidence: 87%

“…Thus, attempts to describe services or practices, and evaluate the environments of mental health programs have been touted as venturing into the ''difficult and dangerous'' due to a lack of theory-driven approaches and overreliance on nonconsumers to describe services (Bickman 2000). Hargreaves et al (2007), however, have demonstrated that these environments can indeed be successfully described as well as distinguished from one another by comparing underlying goals and concrete practices. However, the authors warn, evaluations based solely on a program's climate do not guarantee accuracy about the services provided, but when program climate indicators are poor they can ''raise questions about quality and program implementation (p.…”

Section: Staff and Member Perceptionsmentioning

confidence: 99%

“…The current study employed the Program Environment Scale (PES; Burt et al 1998) to assess the program climate and services from both members and staff. The PES is designed to assess a range of practices across multiple program models (Hargreaves et al 2007). The PES also assesses practices that contribute to the program's climate and environment as well as those that reflect the core program philosophy and values such as empowerment and staff and member relations.…”

Section: Study Questionsmentioning

confidence: 99%

“…The PES is a cross-model practice measure (Hargreaves et al 2007) and is not specific to measuring clubhouse environments unlike other measures (Macias and Barreira et al 2001). However, it is useful in gathering information about the quality of the program climate.…”

Section: Program Environmentmentioning

confidence: 99%

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Staff and Member Perceptions of the Clubhouse Environment

Pernice-Duca

2009

Adm Policy Ment Health

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Several studies have been conducted about Clubhouse operations and the users of Clubhouses (i.e., members); however none have sought to weigh the importance of both staff and member perceptions of the Clubhouse environment. A measure assessing the program climate as well as service components was administered to both members and staff across a representative sample of Clubhouses. In addition, level of program fidelity was included to examine differences between high and low fidelity clubhouses and ratings of the program environment. Two overarching questions were explored in this study: (1) to what extent do staff and members share common perceptions of the Clubhouse environment, and (2) is fidelity to the Clubhouse model relevant to rating of the program environment? Members and staff were concordant on 68% of the environmental assessments. Across all program environment domains, staff ratings of the clubhouse environment were higher than those of clubhouse members. Staff endorsed items reflecting the philosophy of the psychosocial program whereas consumers perceived the environment in terms of the actual services or lived experiences. Members of relatively high fidelity Clubhouses rated the program environment higher on five dimensions.

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Section: Comparing Staff and Member Evaluations Of The Program Enviromentioning

confidence: 87%

Section: Staff and Member Perceptionsmentioning

confidence: 99%

Section: Study Questionsmentioning

confidence: 99%

Section: Program Environmentmentioning

confidence: 99%

See 2 more Smart Citations

Staff and Member Perceptions of the Clubhouse Environment

Pernice-Duca

2009

Adm Policy Ment Health

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“…The PES is a cross-model practice measure that has been used in assessing common elements across a variety of community based psychiatric programs (Hargreaves et al 2007). The PES also assesses practices that contribute to the program's emotional and psychological climate as well as those that reflect core program philosophy and values such as empowerment and staff-member relations.…”

Section: Program Environmentmentioning

confidence: 99%

Factors Influencing Staff Perceptions of the Organizational Environment of Clubhouses

Pernice-Duca

Saxe

Johnson

2009

Adm Policy Ment Health

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Environmental aspects of a treatment program can characterize both quality and experience for staff and clubhouse members alike, thus shaping the treatment environment. The current study examined the interplay of staff recovery attitudes and organizational characteristics on staff evaluations of the clubhouse environment. Two over-arching questions were explored in this study: (1) What is the association between staff characteristics, and perceptions of the clubhouse as an organization; and (2) to what extent is fidelity to the clubhouse model associated with staff attitudes and perceptions? Congruent with the generalist approach, staff came from a variety of mental health disciplines. Overall, clubhouse staff possessed optimistic attitudes about recovery and were positive about the organizational environment. There were only minor differences associated with role or background characteristics. There was evidence that employment in a Clubhouse with relatively higher fidelity to model was associated with more positive recovery attitudes to recovery and perception of the clubhouse as being more empowering, having more reasonable rules and greater staff continuity. However, characteristics of the clubhouse organization, auspice agency, and staff recovery attitudes were related to specific dimensions of program environment, and accounted for greater variability across clubhouse environments than fidelity alone.

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Comparison of therapeutic action, style and content in cognitive–behavioural and psychodynamic group therapy under clinically representative conditions

Watzke

Rueddel²,

Koch

et al. 2008

Clin Psychology and Psychoth

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It is still an open question whether psychotherapists adhere to their therapeutic conceptions in routine practice (clinician's treatment adherence) and thus to what extent the two most common approaches, cognitive-behavioural (CBT) and psychodynamic therapy (PDT), differ from each other as theoretically expected (treatment differentiation). This holds true especially in case of group therapy.The study compares essential process components of CBT and PDT group treatments under clinically representative conditions using non-participating observer ratings. Results demonstrate that CBT group therapists use more cognitive, behavioural and psychoeducational strategies, foster self-efficacy to a larger extent and are more supporting and empathetic. PDT group therapists use more interpretative and confrontative interventions and focus on interactional and dynamic aspects. The results strongly support that not only in individual psychotherapy-as shown in prior research-but also in the group setting do CBT and PDT reveal very distinct profiles and that therapists primarily abide by their theoretical training also in clinical practice. They allow one to identify differential process components of the group setting and to trace back parameters of outcome to the process of CBT and PDT for clinical routines.

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Doing the Difficult and Dangerous: The Community Program Practice Scale

Cited by 7 publications

References 18 publications

Staff and Member Perceptions of the Clubhouse Environment

Staff and Member Perceptions of the Clubhouse Environment

Factors Influencing Staff Perceptions of the Organizational Environment of Clubhouses

Comparison of therapeutic action, style and content in cognitive–behavioural and psychodynamic group therapy under clinically representative conditions

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