Seduced by the elegance, sophistication and jargon characteristic of new developments in applied research, practicing evaluators are in danger of becoming distracted from achievement of their evaluative goal: that of ...
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The authors describe a semi-annual program for multidisciplinary peer review and supervision that is in use at two rural adult and child mental health and drug and alcohol service agencies. The program incorporates se...
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The authors describe a semi-annual program for multidisciplinary peer review and supervision that is in use at two rural adult and child mental health and drug and alcohol service agencies. The program incorporates semiannual chart reviews and face-to-face discussions held with each clinician by a multidisciplinary supervisory group. Several quality improvement issues addressed by this program are described, including improved communication, improved clinical diagnosis, the establishment of service parameters, more appropriate referrals for psychiatric and other medical care, and improved clinician skills. The program represents an inexpensive approach to peer review and supervision that can incorporate university-based consultants, improve quality of care, improve clinicians' skills, and be readily applied by clinical supervisors to most behavioral health settings.
作者：
Callaway, MEHall, JUniv Colorado
Publ Psychol Post Doctoral Fellowship Program Dept Psychiat Hlth Sci Ctr Boulder CO 80309 USA
In 1995, the state of Colorado began a new funding program for the provision of mental health services to Medicaid recipients. Medicaid funding was restructured from a fee-for-service system into a capitated managed c...
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In 1995, the state of Colorado began a new funding program for the provision of mental health services to Medicaid recipients. Medicaid funding was restructured from a fee-for-service system into a capitated managed care system. The restructuring altered the way in which mental health resources were allocated within Colorado's mental health system. This article explores the ethical principles inherent in the allocation of mental health resources within Colorado. The allocation system before and after the capitation pilot is analyzed according to three models of distributive justice. Under capitation, access to care corresponds to egalitarian ideals, while service delivery and outcomes follow a more utilitarian philosophy. Results from several empirical studies of the Colorado Medicaid system are used to support this ethical analysis. The analysis leads to the suggestion that the fair-opportunity rule may be a useful principle for developing just distribution systems in other states in the future.
This paper describes the needs assessment phase of a mental health promotion programme for rural communities in Ireland. As part of a larger study encompassing four rural communities, a cross-sectional study of the me...
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This paper describes the needs assessment phase of a mental health promotion programme for rural communities in Ireland. As part of a larger study encompassing four rural communities, a cross-sectional study of the mental health beliefs and perceptions of 1014 people was carried out. Employing a combination of interviewer-administered questionnaire and the vignette method, the needs assessment explores the levels of awareness, current practices, attitudes and stigma concerning depression and suicide among a randomly selected quota sample of community members. Lower levels of awareness, less confidence in dealing with mental health issues, negative attitudes to helpseeking and social stigma emerge as particular issues for men and the under 40 age group. Women were found to have more positive attitudes generally, were more likely to use informal social support networks and were more open about discussing mental health matters. The predominant interpretation of the depression vignette was to view it as a mental health problem with good prospects for recovery given appropriate help. Social relationships, negative thinking patterns and social stresses were perceived as being particularly important in explaining the origins of depression. The implications of the findings for planning the intervention phase of the project are considered.
INTERACT is a quarterly mental health and substance abuse newsletter for employees brought to market by the Psychology Exchange (Wyndmoor, Pennsylvania). INTERACT provides 4 pages of brief solutions-oriented articles,...
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INTERACT is a quarterly mental health and substance abuse newsletter for employees brought to market by the Psychology Exchange (Wyndmoor, Pennsylvania). INTERACT provides 4 pages of brief solutions-oriented articles, covering an array of psychological topics written for the lay reader. With a subscription to INTERACT a company could upgrade its employees' thinking about psychosocial issues and help to bring mental health issues out in the open. Subscribing to a mental health newsletter is a tacit endorsement for early intervention and the de-stigmatization of psychological problems. Market tests were conducted to study target populations and sales letters. The initial response from most subscribing companies was cautious experimentation. Initial orders were fewer and thinner than expected, but encouraging. A campaign directed at a single high stress occupation, law enforcement, resulted in immediate orders.
A random sample of 140 graduates of associate degree mental health/human services programs were studied to determine their work activities, adequacy of work performance, and job satisfaction. Seventy‐seven percent we...
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