Mental health services outcome evaluation.

Speer, David C.; Newman, Frederick L.

doi:10.1111/j.1468-2850.1996.tb00061.x

Cited by 39 publications

(28 citation statements)

References 79 publications

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“…The aim is to conduct mental health services research along the lines described by Speer and Newman. 19 The process by which this collaboration unfolded will be described briefly, followed by a discussion of specific suggestions regarding the use of the CAFAS as an outcome indicator.…”

Section: Discussionmentioning

confidence: 99%

Use of the child and adolescent functional assessment scale (CAFAS) as an outcome measure in clinical settings

Hodges

Wong

Latessa

1998

The Journal of Behavioral Health Services & Research

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This article discusses how the Child and Adolescent Functional Assessment Scale (CAFAS) can be used as an outcome measure in clinical settings. Outcome data from two clinical samples are provided: a small community mental health center located in Michigan and a large referred sample from the Fort Bragg Evaluation Project. Outcome indicators for assessing change over time included overall level of dysfunction, percentage of respondents with severe impairment, mean total score, mean scores for individual CAFAS subscales, and change in total score at the client level. Implications of the findings were discussed from several perspectives: improving services to individual clients, developing databases at the local level that can be used for the agency's continuing self-scrutiny, and pooling databases across sites that can be used to study broader issues within a managed care environment.

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Section: Discussionmentioning

confidence: 99%

Use of the child and adolescent functional assessment scale (CAFAS) as an outcome measure in clinical settings

Hodges

Wong

Latessa

1998

The Journal of Behavioral Health Services & Research

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“…This evaluation will of necessity be a study of client change while receiving treatment since the women's treatment needs, while ameliorated, are likely to endure beyond their discharge from a medium-secure environment. Appropriate comparisons can be made using repeated measures, however, between patients who have been in the treatment setting for 1 year and those who have been treated for less than this time (Speer, 1988). Additional comparisons may be made between patients who have an additional diagnosis of PD with those that do not, and also between patients referred but not admitted and patients admitted.…”

Section: Treatment Evaluationmentioning

confidence: 98%

The development of a ‘best practice’ service for women in a medium‐secure psychiatric setting: treatment components and evaluation

Long

Fulton

Hollin

2008

Clin Psychology and Psychoth

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The inadequacy of inpatient facilities for women with severe psychiatric and co-morbid difficulties has been repeatedly documented. The establishment of effective therapeutic programmes for women in medium psychiatric facilities is also in their infancy, and little research has been undertaken. This article describes the development of a 'best practice' psychological treatment programme for women with a dual diagnosis. Emphasis is placed on the need to develop further intensive gender-specific services using an established model for effective therapeutic service development. In addition to a detailed description of the group therapy programme, staff training initiatives, methods for ensuring treatment integrity and a methodology for service evaluation is given.

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“…The current sample represented a typical presenting population for CBT in outpatient mental health clinics (i.e., people with varying diagnoses, a range of presenting symptoms, and unique concurrent and previous treatment histories). As such, the present study has good external validity, as each of these factors is common in many treatment settings (Speer & Newman, 1996).…”

Section: Discussionmentioning

confidence: 72%

Predictors of Treatment Change and Engagement in Cognitive-Behavioral Group Therapy for Depression

Westra¹,

Dozois²,

Boardman³

2002

J Cogn Psychother

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This study examined predictors of treatment response in 48 individuals who presented for participation in a 10-session cognitive-behavioral group therapy (CBGT) program for depression. The majority of participants carried a diagnosis of major depression and all were concurrently on at least 1 antidepressant medication. The therapeutic approach involved an integration of 2 empirically supported therapies: Beck's cognitive therapy (Beck, Rush, Shaw, & Emery, 1979) and Lewinsohn's Coping With Depression course (Lewinsohn, Antonuccio, Breckenridge, & Teri, 1984). Participants completed the Burns Depression Checklist, the Dysfunctional Attitudes Scale (DAS), and the Burns Hopelessness Scale, a 5-item questionnaire which assesses the degree of optimism/pessimism an individual has regarding mood and symptom control. No significant differences were found on pre-treatment dysfunctional attitudes or depressive symptomatology between individuals who dropped out of treatment (n = 9) and treatment completers (n = 39). However, pre-treatment hopelessness scores were significantly higher in dropouts than in individuals who completed treatment. Increased pessimism about symptom control was also related to fewer reductions in DAS scores throughout treatment among completers and to poorer overall treatment response. These findings suggest that negative expectations about treatment outcome may be associated with reduced treatment benefit in CBGT, and may place individuals at significantly greater risk of premature treatment termination. The theoretical and clinical significance of these findings are discussed and suggestions for future research and practice are detailed.

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Mental health services outcome evaluation.

Cited by 39 publications

References 79 publications

Use of the child and adolescent functional assessment scale (CAFAS) as an outcome measure in clinical settings

Use of the child and adolescent functional assessment scale (CAFAS) as an outcome measure in clinical settings

The development of a ‘best practice’ service for women in a medium‐secure psychiatric setting: treatment components and evaluation

Predictors of Treatment Change and Engagement in Cognitive-Behavioral Group Therapy for Depression

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