Abstract:
:The legislative pressures now dominating the realm of program accountability are moving the mental health system from process to outcome evaluations. While the need for this type of assessment is generally acknowledged, its methodological validity and policy-setting utility are the subject of considerable controversy. Despite these concerns, outcome studies are expected to retain their present priority for some time to come. It is, therefore, essential that administrators, clinicians, and evaluators gain much greater clarity about the outcome study's intrinsic properties and requirements. These include its diverse organizational purposes, the several target populations affected by clinical services, the wide-ranging indices of effectiveness, and the numerous data collection instruments of varying psychometric quality. The outcome study's power to conclude whether causal linkages indeed exist between the clinical intervention and client functioning depends upon the sophistication with which these issues are recognized and resolved.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Schulberg HCdoi
10.1007/BF00754360subject
Has Abstractpub_date
1981-07-01 00:00:00pages
132-42issue
2eissn
0010-3853issn
1573-2789journal_volume
17pub_type
杂志文章abstract::Descriptive demographic, clinical and interview data from clients of an outpatient mental health clinic for older adults are presented. These clients are better educated and have a more frequent history of marital difficulties than older adults in general. Although a significant minority received V code and Adjustment...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752716
更新日期:1991-02-01 00:00:00
abstract::People taking antipsychotic medications are at increased risk for obesity, diabetes, and early mortality. Few weight loss interventions have targeted this population. Thirty-six individuals were randomized to an evidence-based 12-week weight loss intervention (PREMIER with DASH diet, n = 18) or to usual care (n = 18) ...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-014-9716-9
更新日期:2014-11-01 00:00:00
abstract::An analysis of the social welfare movement suggests two simultaneous but divergent philosophies within that movement. One philosophy includes a commitment to the individual client and action to increase the individual's opportunity to select his own goals and methods of achieving such goals. The opposing position assu...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01543066
更新日期:1967-03-01 00:00:00
abstract::Treatment and support of people diagnosed with severe mental illness in Sweden takes place in out-patient psychiatric services or municipality services. Most of the responsibility for support in daily life are provided by the close family. One crucial matter is how to support these families. This research project aime...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-018-0307-z
更新日期:2019-05-01 00:00:00
abstract::Are the addict and alcoholic mentally ill? By traditional standards, yes. The validity of the "mental illness" concept and its associated psychiatric labeling process, however, is challenged. A synthesis of the human ecological systems and third-force frames of reference is presented as a viable alternative to the med...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/BF01419665
更新日期:1975-01-01 00:00:00
abstract::A state-wide survey of 453 clinicians serving people with severe mental illness in community mental health centers evaluated the degree to which they provide services to families and their perceptions of barriers to developing such services. Most clinicians did not provide many services to families and reported barrie...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-008-9135-x
更新日期:2008-10-01 00:00:00
abstract::Mutual- and self-help groups for persons with severe mental illness have typically been most accessible to individuals who live independently. In an effort to make their organization more accessible to those who live in residential treatment facilities, Schizophrenics Anonymous (SA) ran introductory mutual-help meetin...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018744225397
更新日期:1998-08-01 00:00:00
abstract::This study assessed mental disorders among 144 homeless and poor adults using four different methods: (a) history of psychiatric hospitalization, (b) structured clinical interview, (c) self-report symptom checklist, and (d) interviewer ratings. These four methods yielded divergent estimates of mental illness, ranging ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018748009525
更新日期:1999-02-01 00:00:00
abstract::Supported employment (SE) is an evidence-based practice that helps people with severe mental disorders obtain competitive employment. The implementation of SE programs in different social contexts has led to adaptations of the SE components, therefore impacting the fidelity/quality of these services. The objective of ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-009-9207-6
更新日期:2010-02-01 00:00:00
abstract::The research was carried out as a pre-test, post-test patterned intervention with one group in order to evaluate the psychoeducation given to older people at nursing homes for a healthy lifestyle and developing life satisfaction. The research was done with 21 female and 21 male older people staying at the state-owned ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-013-9602-x
更新日期:2013-12-01 00:00:00
abstract::Little is known about patients' electronic cigarette use, interest in and use of smoking cessation treatments, and providers' attitude towards such treatment. We assessed patients (N = 231) and providers (45 psychiatrists, 97 case workers) in four Community Mental Health Centers. Interestingly, 50% of smokers reported...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0065-8
更新日期:2017-08-01 00:00:00
abstract::The purpose of this study was to develop criteria for appropriate and inappropriate referrals by telephone counselors to a crisis clinic. Interviews were conducted with staff members and volunteers of the Suicide Prevention and Crisis Service to explore possible criteria for making a referral. Nine criteria for inappr...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01435742
更新日期:1976-04-01 00:00:00
abstract::Italy's mental health law of 1978 provided for the gradual phasing out of psychiatric hospitals (PH) and the creation of comprehensive community-based systems. However, these changes have taken place at different times and in different forms. There are now three different organizational and care models operating in It...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00752444
更新日期:1989-04-01 00:00:00
abstract::This study sought to examine whether neighborhood social environment was related to patterns of depressive symptoms among primary care patients with type 2 diabetes mellitus (DM). Neighborhood social environment was assessed in 179 patients with type 2 DM. Individual patient residential data at baseline was geo-coded ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-015-9855-7
更新日期:2015-11-01 00:00:00
abstract::An extensive body of literature provides evidence supporting the effectiveness of assertive community treatment (ACT) with regard to non-forensic outcome measures, such as number of hospital admissions and length of stay. However, research findings on the effectiveness of ACT for forensic outcome measures, such as rea...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
doi:10.1007/s10597-016-0044-0
更新日期:2016-11-01 00:00:00
abstract::We examined whether county-level increases in continuity of mental health care (i.e., mental health visits per mental health patient) at Community Health Centers (CHCs) correspond with a decline in Emergency Department (ED) visits for suicidal ideation and self-harm (1) overall, and (2) among specific race/ethnicities...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00745-x
更新日期:2020-11-09 00:00:00
abstract::Severe mental illness entails multiple hospital admissions and a large use of public resources. The Reflecting Team (RT), together with other dialogue strategies, place in a single therapeutic space, the patient, his family and a team of professionals to find together a solution to a situation of stagnation. The aim o...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-020-00716-2
更新日期:2020-09-29 00:00:00
abstract::This Is My Brave (TIMB) is a contact-based mental illness stigma reduction program, set in theaters, meant to reduce stigma, increase beliefs about empowerment and recovery, and improve attitudes towards treatment seeking for mental health concerns. The authors conducted the first empirical evaluation of TIMB using a ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-018-0238-8
更新日期:2018-04-01 00:00:00
abstract::In schizophrenia, treatments that improve outcomes have not been reliably disseminated. A major barrier to improving care has been a lack of routinely collected outcomes data that identify patients who are failing to improve or not receiving effective treatments. To support high quality care, the VA Mental Health QUER...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-010-9328-y
更新日期:2011-04-01 00:00:00
abstract::Recovery from substance abuse and mental health disorders (dual-diagnosis) requires time, hard work and a broad array of coping skills. Empirical evidence has demonstrated the buffering role of social support in stressful situations. This paper investigates the associations among social support (including dual-recover...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1001982829359
更新日期:2000-10-01 00:00:00
abstract::One hundred and twenty-two adult outpatients, 81 women and 41 men, in a community mental health center responded to a survey of history of sexual assault and abuse. Overall, 48% reported they had been sexually assaulted or abused, 59% of women and 24% of men. Forty-two percent of women and 17% of men reported they had...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00760631
更新日期:1993-02-01 00:00:00
abstract::The secretaries in community mental health centers have functions that transcend their job descriptions. Their performance of these functions contributes to the success or failure of their centers' therapeutic programs. The Mental Health Training Institute of North Carolina initiated two separate pilot training progra...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01420354
更新日期:1975-07-01 00:00:00
abstract::This community survey studied remission from pathological gambling (PG) among American Indian (AI) and Hispanic American (HA) veterans. Remission was defined as having a lifetime diagnosis of PG, but no gambling symptoms in the last year. Sample consisted of 1624 AI and Hispanic veterans. Instruments included demograp...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-006-9057-4
更新日期:2006-12-01 00:00:00
abstract::In structured interviews with 96 women with severe mental illness, nearly two-thirds had not used condoms during sexual intercourse in the past 3 months, more than two-thirds had sex with multiple partners, and almost one-third had been treated for a sexually transmitted infection (STI) in the past year. Women who rep...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-006-9069-0
更新日期:2007-02-01 00:00:00
abstract::Five issues have been identified as major impediments to program evaluation. Examination of these issues shows many of them to be resolved in the process of conducting evaluations. It is asserted that only by implementing evaluations will the field move foreward. At the present time much energy is wasted discussing or...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01410890
更新日期:1977-07-01 00:00:00
abstract::In recent years post-secondary education has been recognized as a viable option in the psychosocial rehabilitation of individuals with mental illness. This study reports the first evidence of effectiveness of a supported education demonstration project which used an experimental design to compare the effects of differ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/a:1018763018186
更新日期:1998-12-01 00:00:00
abstract::This study described the prevalence and correlates of comorbid moderate-severe depressive symptoms (comorbid depression thereafter) and their association with quality of life (QOL) in schizophrenia patients treated in primary care. 623 schizophrenia patients were enrolled. Patients' socio-demographic and clinical char...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0023-5
更新日期:2016-11-01 00:00:00
abstract::The role of 12-step programs and 12-step-oriented treatments for dually diagnosed individuals (DDI) remains unclear. Here are presented the results of a pilot study in which 10 seriously mentally ill patients received a modified 12-step facilitation (TSF) therapy emphasizing engagement of DDI in a specialized 12-step ...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-005-2596-2
更新日期:2005-02-01 00:00:00
abstract::This descriptive study was aimed to evaluate the attitudes of the engaged men and women who are of legal age to marry towards gender roles and acceptance of couple violence, and determine their sexual/reproductive health education needs. It was conducted in two marriage registry offices in Ankara, Turkey. The study sa...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-017-0227-3
更新日期:2018-04-01 00:00:00
abstract::Jail diversion and forensic community treatment programs have proliferated over the past decade, far outpacing evidence regarding their efficacy. The current study reports findings from a randomized clinical trial conducted in California for frequent jail users with serious mental illness that compares a forensic asse...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-010-9299-z
更新日期:2010-08-01 00:00:00