Standards for Organizational Consultation Assessment and Evaluation Instruments

Although consultation researchers and practitioners have called attention to the need for more psychometrically sound instruments, little advancement has occurred in this area. The authors outline key quantitative and qualitative psychometric standards for organizational consultation assessment and evaluation instruments. In addition, a framework and review of several existing questionnaires are presented. Implications for instrument use by practitioners and suggestions for further research are discussed.     

The Emergence of Clinical Research Ethics Consultation: Insights From a National Collaborative

The increasing complexity of human subjects research and its oversight has prompted researchers, as well as institutional review boards (IRBs), to have a forum in which to discuss challenging or novel ethical issues not fully addressed by regulations. Research ethics consultation (REC) services provide such a forum. In this article, we rely on the experiences of a national Research Ethics Consultation Collaborative that collected more than 350 research ethics consultations in a repository and published 18 challenging cases with accompanying ethical commentaries to highlight four contexts in which REC can be a valuable resource. REC assists: 1) investigators before and after the regulatory review; 2) investigators, IRBs, and other research administrators facing challenging and novel ethical issues; 3) IRBs and investigators with the increasing challenges of informed consent and risk/benefit analysis; and 4) in providing flexible and collaborative assistance to overcome study hurdles, mediate conflicts within a team, or directly engage with research participants. Institutions that have established, or plan to establish, REC services should work to raise the visibility of their service and engage in open communication with existing clinical ethics consult services as well as the IRB. While the IRB system remains the foundation for the ethical review of research, REC can be a valuable service for investigators, regulators, and research participants aligned with the goal of supporting ethical research.     

A Multi-Dimensional Framework for Evaluation of Instructional Consultation Teams

ABSTRACT

This article describes a multidimensional framework for evaluating team-based services in schools. The theory and literature on developmental, causal and confirmatory program evaluation are discussed as the foundation for this framework. The model of Instructional Consultation Teams (IC-Teams) is presented as an illustration of how program evaluation research supports program development and provides evidence of program impact. The inferred impact of IC-Teams upon over-referral and identification of students for special education, especially minority students, is investigated using the confirmatory criteria of consistency. Three studies investigating the impact of IC-Teams upon special education referrals of the IC-Team model are presented. The studies, conducted across three implementations of the program with three different methodologies, demonstrated decreases in the referral, evaluation and placement of students in special education. The need for additional research and limits of the approach are discussed.     

The Effectiveness of Collaborative/Therapeutic Assessment for Psychotherapy Consultation: A Pragmatic Replicated Single-Case Study

This pragmatic study evaluated the effectiveness of a collaborative assessment intervention as an approach to midtherapy consultation, which has yet to be empirically tested. Ten adult participants in ongoing psychotherapy with a variety of presenting concerns, primarily consisting of general mood and adjustment issues, received a brief assessment-based intervention based on Finn's (2007) Therapeutic Assessment model. Following the collection of assessment questions and the administration of a multimethod assessment battery, clients and therapists participated in a joint feedback session with the assessor. Clients were then followed as their psychotherapy continued. The results of idiographic and aggregate analytic approaches revealed significant reductions in client-reported symptomatic distress, as evidenced by a medium effect size (d = –.50) and a significant change in the trajectory of distress. Client reports of the process of psychotherapy revealed a significant increase in the clients’ ratings of the working alliance. The findings suggest that a midtherapy consultation using collaborative/therapeutic assessment methods is beneficial but that further rigorous investigation is needed.     

Outcomes and Findings of Program Evaluation for the Intensive Mental Health Program

We describe changes in adaptive functioning for children enrolled in the Intensive Mental Health Program (IMHP), an innovative model for serving children with the most severe forms of SED. Most children show marked improvements in multiple indicators of role performance and symptomatology. Although a high risk, high need group, most children attended school regularly and lived with a stable caregiver at discharge.     

Planning and Implementing a Statewide Collaborative Gerontology Education Program for Religious Professionals in Rural Areas

ABSTRACT

This paper describes a gerontology continuing education program for clergy and lay leaders in West Virginia. Though spearheaded by the West Virginia University Gerontology Center, the project was a collaboration between university, social service and church agencies. Issues related to collaborative planning, both negative and positive, are discussed.     

Service Delivery Issues and Program Evaluation in Pediatric Psychology

Presents a framework for categorizing pediatric psychology research into practice and service system outcomes and functioning. The questions of importance are (a) who is being served, (b) what services are provided, (c) how treatments are implemented, (d) how services are organized and staffed, (e) what are the outcomes of the services, (f) how do various consumers perceive services, (g) how services are reimbursed, and (h) what are alternatives and innovations? The framework of program evaluation is detailed for domains most germane to service delivery in pediatric/child health psychology. Such domains include diagnostic information on patients, types of intervention, behavioral/psychological outcome variables, costs of treatments, service system functioning, and perceptions of satisfaction from multiple sources. This framework may be useful in directing future research on the delivery of services in pediatric psychology settings, thereby adding to the value of the field.     

An Evaluation of the Jamaican Anticrime Program

A sweeping anticrime package was implemented in Jamaica in 1974. This program included severe penalties for possession of illegal guns, censorhsip of gun scenes from television and the movies, and greatly broadened police powers. The impact of this anticrime package on crime was assessed using quasiexperimental time-series designs with both months and years as the units of analysis. In a one year period there was a 14% reduction in homicides ( p <.05), a 32% reduction in rapes ( p <.01), a 25% reduction in robberies ( p <.05), and a 37% reduction in nonfatal shootings ( p <.01). Data from the second year following the implementation of the anticrime package were not available. The data from the fist year suggest that strict anticrime measures can reduce crime.     

An Evaluation of the NAMI Basics Program

This brief report describes results from an evaluation of NAMI Basics, a peer-delivered family education program for family caregivers of children and adolescents with mental illness. Over six classes, family members are given information (e.g. education about mental illness and treatments), skills training (e.g. family communication skills) and advocacy support. We report data from 36 caregivers who completed pre and posttest instruments measuring self-care, empowerment, and family problem-solving and communication skills. Results showed significant improvements in self-care, empowerment, and “incendiary” family communication after participation in the program. Results suggest that NAMI Basics may improve both parental functioning and familial processes. Implications and future directions are discussed.     

Current Status of Program Evaluation Efforts*

ABSTRACT: This article represents an overview of the various types of evaluation research conducted in the fields of crisis intervention, suicide prevention, and mental health in general. An attempt is made to classify it according to its content and purpose, and to assess the relative merit of each. Emphasis is on goal attainment and outcome type of evaluation.     

Counseling Juvenile Offenders: A Program Evaluation

This article reviews the results of the effectiveness of counseling services provided by the Juvenile Counseling and Assessment Program (JCAP) of the Juvenile Court of Clarke County, Georgia. Individual and group counseling services were provided for 55 male and female adjudicated delinquent youths, ages 9 to 17, over a period of 4 to 6 months. The recidivism rates of the youths who had received counseling services were compared to the recidivism rates of a control group that had not received counseling services.     

相关利益人对医疗救助的认识研究

为了解相关利益人对医疗救助的认识和评价,于2008年7月对宁夏和山东的6个县进行了机构访谈和家庭问卷调查.结果表明,卫生部门和财政部门对医疗救助不很了解,相关部门管理者对医疗救助的看法不一致;农村居民对提供医疗救助的机构和医疗救助的政策内容知晓率非常低.因此,要完善医疗救助管理平台,加大医疗救助政策宣传力度,从而提高医疗救助管理效率和促进医疗救助的有效需求.