New assessment systems for residential treatment,management, research,and evaluation: A symposium

An introduction and overview are presented to new observational assessment systems for ongoing assessment and monitoring of both staff and resident (client or patient) functioning in residential treatment programs for emotionally disturbed and mentally retarded adults.Preparation of articles and the research and development on which the articles are based was supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from the Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.A symposium presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979.     

Systems use to objectify program evaluation,clinical, and management decisions

The utility of the observational assessment systems at different levels — from local clinical to systemwide management — is outlined. An overview is provided of TSBC information applied to individualized problem identification and programming/monitoring, discharge and competency determinations, and both absolute and comparative program evaluation. The utility of SRIC information for prgoramming/monitoring and for staff training and evaluation is outlined in addition to the applied uses of the information of the assessment systems in combination. Once implemented, the continuous data from the systems allow for empirically based self-corrective improvements in the quality of mental health services while automatically providing a basis for legal documentation and accurate cost/effectiveness comparisons of mental health programs.Preparation of this article and the research and development on which the article is based were supported, in part, by Public Health Service Grants MH-15553 and MH-25464 from the National Institute of Mental Health, and by grants from The Joyce Foundation and the Illinois Department of Mental Health and Developmental Disabilities.Presented at the 87th Annual Meetings of the American Psychological Association, New York City, September 1979, as part of a symposium on New assessment systems for residential treatment, management, research, and evaluation.     

Menstrual symptom questionnaire: further psychometric evaluation

Novak, Jones, and Jones (1975) state that menstrual distress (dysmenorrhea) is the greatest cause of lost work hours among women, and Kistner (1970) estimate this to be 140 million annual work hours. Thirty-five percent of female adolescents. 25% of college women, and 60–70% of single females in their 30's and 40's are said to be invalid during menstruation (Green, 1971). Treatment procedures for primary dysmenorrhea have included hypnosis (Lackie, 1964), physical exercises (Golub. 1959). natural childbirth techniques (House, 1969), and oral contraceptives.

Though hormones are the most recent, frequent and effective treatment approach (Novak et al. 1975). Tyler (1973) cautions against their use because of possible adverse side effects. Recently, systematic desensitization (SD) has been used to relieve menstrual distress (Mullen, 1968, 1971; Reich, 1972; Tasto and Chesney, 1974) without risk of such side effects. Although SD has been effective, considerable response variability has been noted.

Becuase of this variability. Chesney and Tasto (1975a) developed the Menstrual Symptom Questionnaire (MSQ) to psychometrically identify two types of primary dysmenorrhea: spasdomic dysmenorrhea which designates distress during the flow period associated with excessive muscle tension, and congestive dysmenorrhea referring to premenstrual tension related to water retention. This instrument was designed to define types of menstrual symptoms and not symptom severity. Test-retest reliability was 0.87 and discrimination between spasdomic and congestive dysmenorrhea was highly significant. Of 48 women tested. 29 were identified as spasdomic with MSQ scores between 82 and 102, while 19 scored in the congestive range (46–68). Interestingly, no women scored in the median range (69–81), suggesting that there exists two unique types of primary dysmenorrhea identifiable by the MSQ. Subsequently, Chesney and Tasto (1975b) reported that congestive women did not respond to SD, while spasdomic symptoms were significantly reduced. It was hypothesized that the relaxation training component of SD was effective with spasmodic muscle tension symptoms and ineffective with congestive water retention symptoms. Consequently, the MSQ was thought capable of accounting for previously reported response variability of primary dysmenorrhea to SD.

The present study was intended to replicate Chesney and Tasto's (1975a, 1975b) findings. The following Null hypotheses were tested; (a) the MSQ does not have significant test-retest reliability; (b) the congestive-spasmodic symptom dimension of the MSQ is not dichotomous; and (c) the MSQ does not predict SD effectiveness