This article analyzes the changes experienced by a mental health care organization in response to environmental threats and fluctuating expectations. On a general, more theoretical level, the article demonstrates how ...
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This article analyzes the changes experienced by a mental health care organization in response to environmental threats and fluctuating expectations. On a general, more theoretical level, the article demonstrates how processes of environmental selection as well as organizational adaptation shape organizational forms. On a concrete, applied level, those administrative practices are articulated that can help ensure that reform efforts are successful. Administrators also must be aware of the inertial forces operating upon stable organizational forms and work to ensure that the organization remains vital and open to change.
This article reports the results of a randomized trial of a team of case managers who are mental health consumers compared to a team of nonconsumers. Using a repeated measures MANOVA design, consumer case managers wer...
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This article reports the results of a randomized trial of a team of case managers who are mental health consumers compared to a team of nonconsumers. Using a repeated measures MANOVA design, consumer case managers were found to be as effective as a team of nonconsumer case managers in maintaining the stability of severely mentally disabled clients served over a 2-year period. Implications for the employment of consumers in mental health services and the vocational capacity of persons with mental illness are discussed.
The Working Alliance Inventory was used to measure the strength of the therapeutic relationship between seriously mentally disabled case management clients and their case managers in a randomized trial of consumer-pro...
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The Working Alliance Inventory was used to measure the strength of the therapeutic relationship between seriously mentally disabled case management clients and their case managers in a randomized trial of consumer-provided case management services. It was found that while there was no difference in the strength of the alliance between the consumer and nonconsumer teams of case managers, there were positive relationships between alliance and some outcomes, including quality of life, symptomatology, attitudes toward medication compliance, and satisfaction with mental health treatment.
The deinstitutionalization movement in the United States has traditionally neglected the rehabilitation potential of the seriously mentally ill elderly. With the proliferation of the elderly population, unique program...
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The deinstitutionalization movement in the United States has traditionally neglected the rehabilitation potential of the seriously mentally ill elderly. With the proliferation of the elderly population, unique programs and community-based settings must be created and expanded to meet the mental health needs of this population in a cost-effective and humane manner. The mental health continuum presented is a model composed of programs that target the seriously mentally ill elderly in a variety of community placements including residential treatment facilities, nursing homes, retirement homes, and permanent housing.
This article describes a multiple-use patient monitoring and evaluation system, the Treatment Progress Scales (TPS), which has been used for the last six years on 4,600 psychiatric and chemically dependent patients in...
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This article describes a multiple-use patient monitoring and evaluation system, the Treatment Progress Scales (TPS), which has been used for the last six years on 4,600 psychiatric and chemically dependent patients in a state-operated mental health facility. The system has been used for patient monitoring, management information, and program evaluation purposes. The article summarizes these and offers a brief overview of the TPS, its psychometric properties, and its advantages and disadvantages.
The present article focuses on critical issues in the provision of service coordination to children and youth with serious emotional disabilities (SED) and their families, particularly those concerns most relevant to ...
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The present article focuses on critical issues in the provision of service coordination to children and youth with serious emotional disabilities (SED) and their families, particularly those concerns most relevant to program organization and administration. Perspectives and issues gleaned from a review of evaluative data, focus group discussions with service coordinators and their supervisors, and clinical and administrative experience within a statewide SED initiative are considered in three areas: (1) roles, responsibilities, and relationships;(2) organizational context;and (3) training and supervision. Recommendations for enhancement of child, youth, and family mental health service coordination are provided.
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