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Mental Health Services Research (mental + health_services_research)
Selected AbstractsEthical Challenges in Practice-Based Mental Health Services Research: Examples From Research With Children and FamiliesCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 2 2008Ann F. Garland Researchers have been encouraged to improve the practical relevance and utility of their work by conducting research based on "real-world" service settings and collaborating with other stakeholders, such as service providers and consumers. Practice-based research presents multiple ethical challenges, not well addressed in the literature. We discuss ethical challenges in three general categories, derived from our experience in practice-based research on child and family services: (a) multiple roles and potentially competing demands of research and clinical care, (b) multiple potential uses of research data, and (c) policy and fiscal challenges. Suggested directions for future work are also proposed. [source] The therapeutic relationship in secondary mental health care: a conceptual review of measuresACTA PSYCHIATRICA SCANDINAVICA, Issue 4 2007J. Catty Objective: The study aimed to determine the conceptual basis of measures of the patient,professional relationship used in routine mental health services research by reviewing their face, content and construct validity. Method: A comprehensive literature search identified measures of the relationship used in mental health services research. The conceptual basis of each identified measure was identified by a review of measures' authors assessments of face, content and construct validity plus item analysis of the measures themselves. Results: The search identified 15 measures. The seven developed in psychotherapy were likely to be better validated conceptually; most were based on therapeutic alliance models. Measures developed specifically for mental health services were based on a wider range of models including global assessments of the relationship. Conclusion: Most of the better validated measures originate in psychotherapy, but there is limited evidence for their validity in general mental health services. Four measures are recommended. [source] The European Service Mapping Schedule (ESMS): development of an instrumentfor the description and classificationof mental health servicesACTA PSYCHIATRICA SCANDINAVICA, Issue 2000S. Johnson Objective: This paper describes the development of an instrument for description and classification of mental health services and for measurement of service use. Purposes to be served by the instrument include: (i) identification of gaps in the spectrum of services in a catchment area; (ii) obtaining background information which may be important to understanding why apparently similar interventions lead to different outcomes in different areas; (iii) investigating how introduction of a particular type of service influences use of other local services; and (iv) understanding the relationship between sociodemographic factors and service use. Method: The instrument was developed through meetings of an international expert panel and pilot stages in several European countries. Results: Use of the European Mapping Service Mapping Schedule (ESMS) appears feasible in several countries and allowed description and classification of the full range of services identified within each of the study catchment areas. Conclusion: The ESMS promises to fill a gap in the technology available for mental health services research. Further practical experiences of its use for a variety of purposes in a variety of settings are now needed to indicate how far the ESMS does successfully generate data which are useful to researchers and planners. [source] Assessing program fidelity in substance abuse health services researchADDICTION, Issue 11s3 2000Robert G. Orwin This paper addresses how treatment fidelity and related constructs (e.g. program implementation) can be assessed in alcohol, drug abuse and mental health services research. First, it introduces definitions of fidelity and related concepts, and then describes various concepts and tools from program evaluation that have proven useful for assessing fidelity. Next, several of these are illustrated in detail through a case study of a multisite fidelity assessment in substance abuse services research: the process evaluation of the NIAAA Homeless Cooperative Agreement Program. This evaluation included analysis of implementation at the program- and participant-level, the development of scales from the individual services data to estimate intervention strength, fidelity, and "leakage" (i.e. the degree to which services intended exclusively for intervention groups were inadvertently delivered to comparison groups) and the methods with which these data were used to assess whether programs were implemented as planned. [source] | ||||||||||