ABSTRACT
The implementation of recovery-oriented and evidence-based practices has become a major challenge for mental health systems and front-line practitioners. This study developed an instrument that would assess the benefits or results that accrue from supervision, including client-centered supervision. The Perceptions of Supervisory Support Scale was administered to 262 case managers. Analyses (including factor analyses and repeated measures analysis of variance) confirmed content validity and reliability. Sub-scales included: (1) emotional support; (2) support for client goal achievement; and (3) professional development support. The scale could guide support for front-line practitioners in delivering client-centered care and could be useful for future research.
Subject(s)
Case Management , Mental Disorders/therapy , Mentors , Person-Centered Psychotherapy , Surveys and Questionnaires , Attitude of Health Personnel , Evidence-Based Practice , Humans , Psychometrics/statistics & numerical data , Reproducibility of Results , Social WelfareABSTRACT
OBJECTIVE: The study examined the relationship between fidelity of strengths model case management (SMCM) and client outcomes of psychiatric hospitalization, competitive employment, postsecondary education, and independent living. METHODS: Data were collected over an 18-month period during regularly scheduled fidelity reviews for 14 case management teams representing ten agencies serving an average of 953 clients diagnosed as having a serious mental illness. Time-varying covariate linear growth modeling examined the relationship between fidelity scores and client outcomes. RESULTS: A statistically significant association was found between fidelity scores and psychiatric hospitalization, competitive employment, and postsecondary education. CONCLUSIONS: The study results offer promising evidence that higher SMCM fidelity has a positive effect on clients over an 18-month period, thereby providing an effective complement to current mental health treatment.
Subject(s)
Case Management , Employment , Independent Living , Mental Disorders/rehabilitation , Educational Status , Humans , Treatment OutcomeABSTRACT
This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation.
Subject(s)
Evidence-Based Medicine/organization & administration , Mental Disorders/therapy , Humans , Interinstitutional Relations , Interprofessional Relations , Leadership , Mental Disorders/diagnosis , Mental Health Services/organization & administration , Pilot ProjectsABSTRACT
OBJECTIVE: This study reports student outcomes for the Kansas Consumers as Providers (CAP) training program. Graduates provide mental health services to other consumers in the community. CAP is a semester-long class plus a 104-hour internship in a social service agency. METHODS: This paper reports on the results of a two-year quantitative, longitudinal study of people with psychiatric disabilities who completed the program. RESULTS: Graduates had statistically significant pre-post differences in employment and post-secondary education enrollment at all three follow-up points. CONCLUSION: Results suggest that CAP graduates can and do provide valuable mental health services to other consumers.
Subject(s)
Community Mental Health Services , Health Personnel/education , Internship, Nonmedical , Mental Disorders/rehabilitation , Peer Group , Rehabilitation, Vocational , Vocational Education , Adolescent , Adult , Aged , Curriculum , Employment/statistics & numerical data , Female , Follow-Up Studies , Humans , Kansas , Longitudinal Studies , Male , Mental Disorders/psychology , Mentors , Middle Aged , Salaries and Fringe Benefits , Social Work/educationABSTRACT
OBJECTIVE: This study reports participating agencies use of a single fidelity dimension, Outcome Monitoring, during the 2-year National EBP Implementation Project. METHOD: The study involved an emerging theme qualitative approach for analyzing the implementation of fidelity achieved for five EBPs in 49 sites across eight states. RESULTS: Twenty-seven percent of the sites reached a high level of implementation fidelity. CONCLUSION: Results suggest that four interrelated factors contributed to whether agencies successfully implemented Outcome Monitoring-agency data collection methods, agency culture, practitioner skill, and how well "consumer outcomes" are defined.
Subject(s)
Community Mental Health Services/organization & administration , Diffusion of Innovation , Evidence-Based Medicine , Outcome Assessment, Health Care/methods , Case Management , Humans , Interviews as Topic , United StatesABSTRACT
This study reports on the strategies used to implement the evidence-based practices of supported employment and integrated dual diagnosis treatment. Using qualitative research methods, the study uncovered eight strategies that contributed to successful implementation in six sites.
Subject(s)
Diffusion of Innovation , Evidence-Based Medicine , Mental Health Services/organization & administration , Diagnosis, Dual (Psychiatry) , Employment, Supported , Humans , Mental Disorders/therapy , Observation , State Government , Substance-Related Disorders/therapyABSTRACT
Consumers providing direct services at mental health centers contribute positive qualities to the service delivery system; however, there are few instructional programs to prepare consumers for these roles. Of the few consumer-provider training programs that exist, those conducting research have focused on employment and hospitalization outcomes. No program has researched changes in students' perceptions of subjective well-being. Research with students in the Kansas Consumer as Provider (CAP) training program found significant differences in students' perception of hope, self-esteem, and recovery after the training program.
