The evaluation and selection of adequate causal models: a compensatory education example

Procedures for ascertaining relative model adequacy in latent variable structural relations models are discussed. Under diverse methods of estimation, this determination may be assessed using the chi square goodness of fit statistic, incremental fit indices for covariance structure models, and latent variable coefficients of determination. An example from evaluation research is taken (cf. Magidson, 1977; Bentler & Woodward, 1978). Numerical sensitivity of parameter estimates under alternative model specifications is demonstrated. Interpretive implications based on these procedures are discussed in terms of parameter sensitivity to alternative model specifications.     

Institutional child abuse

Although various forms of child abuse have been extensively investigated, other forms of psychological and institutional abuse continue to exist. This paper will focus on a variety of experiences occurring in institutions and residential centers that, in effect, cause a variety of detrimental effects and harm to those in those agencies who are supposedly “in treatment.” The various forms of institutional abuse will be examined and ramifications and repercussions explored.     

The behavior of the battered child: A behavioral deficiency syndrome resulting from developmental interferences and reactive learning

Behavioral observation of battered children reveals a generalized syndrome consisting of apathy, social isolation, emotional constriction, aggression, and intellectual, motor and language retardation. This syndrome is considered to be a ‘behavioral deficiency syndrome.’ Developmental interference imposed by abusive parents upon the child, and subsequent reactive learning by the child are discussed as etiological factors in the development of this syndrome. Implication of these etiological factors for therapy of the abusive family are also discussed.     

Social networks,stress and child abuse

The study investigated the relationship between situational stress, strength of informal social networks and maternal child abuse. Structured interviews were conducted with 41 abusive mothers and 59 non-abusing mothers using an author-developed instrument to measure social network strength and situational stress. Abusing mothers, on the average, reported significantly weaker, less supportive informal social networks than the non-abusing mothers. Both the neighbor-friend networks and the kinship networks of the non-abusing mothers were found to be stronger than those of the abusing mothers. The data also supported the positive association of situational stress with child abuse. Both situational stress and strength of social network proved to be significant predictors of abuse. The findings supported the hypothesized mediating effect of strong social networks upon the relationship between situational stress and child abuse. Mothers living in highly stressful life situations who reported strong social networks were less likely to be abusers than mothers living in high stress situations who reported weak social networks. The mediating functions of social networks are proposed, and the implications of the findings for interventions with high risk parents to prevent child abuse are discussed.     

Federal dissemination of child abuse and neglect information

This review examines the recent history of efforts at the federal level to disseminate child abuse and neglect information and describes current challenges to these endeavors. Two dissemination models are defined as are the problems associated with the adaptation of those models. Finally, general principles for transmitting information and the processes involved in such transmission are reviewed.     

Evaluating a management and organization development effort in mental health agencies.

Although the use of management and organization development techniques in health and human service settings is increasing, there are few systematic studies of their effects. Those which do exist are problematic in many respects. An 18-month program incorporating both management and organization development is described along with the results of its evaluation, which were positive and well-utilized. A discussion of the methods employed, the problems encountered, and the outcomes obtained illustrates that these evaluation efforts are needed and can be useful to program evaluators involved in planned-change efforts.     

Private thoughts and public actions:: A commentary on articles dealing with ethical issues in evaluation

This commentary represents a personal reaction to seven articles on ethical issues in evaluation. The author of the commentary begins with two assumptions: (1) Professional evaluators might not have the vocabulary and constructs to analyze their thoughts and actions in ethical terms, and (2) professional evaluators have often confronted troubling situations that probably contain ethical issues embedded within them. Consequently, she queries the seven articles individually and collectively in terms of the following questions: 1. What is the range of ethical problems I might encounter as an evaluator; and how do I recognize the ethical characteristics of professional dilemmas? 2. How do I describe troubling evaluation problems I have encountered that seem to have an ethical component? 3. What are some approaches I have used or might use in thinking about a proper course of action? 4. How do I know if, in a given situation, I have behaved ethically? 5. Where do we go from here?     

A remedial strategy for data analysis

Professional evaluators are often called upon to analyze data produced by a catastrophically inadequate evaluation design. This problem is occurring more frequently as accountability pressures force program experts into evaluation activities for which they are not trained. A remedial strategy involving diagnosis of error, application of a corrective procedure and sensitization of program personnel of the need for a more sophisticated stance, is proposed as a solution. A case study is described and the contribution of a remedial strategy to improved evaluation is outlined.     

Evaluating employee assistance programs. A review of methods, outcomes, and future directions

Renewed interest in assisting troubled employees has led to an upsurge in the development of employee assistance programs, coupled with demands for demonstrable effectiveness. This review examines the nature and scope of these programs, their administrative and methodological context, and the types and outcomes of evaluation studies conducted thus far. Proposals for improving future investigations through a number of different approaches and strategies are then made.     

Inpatient psychiatric treatment of the difficult child: Common practices and their ethical implications

This article reviews and discusses the available research literature pertaining to the prevalence of seclusion and restraint procedures in inpatient psychiatric treatment facilities for children and adolescence. The rationales for use, potential effects, and factors found to influence the application of these more extreme clinical interventions are considered. The author suggests that the supposed therapeutic function of these types of practices has not been substantiated and their implementation can vary widely from one setting to another. Results from several studies suggest that clearly defined criteria for use and more observational studies of prevalence and precipitant factors could considerably refine these procedures and reduce potential abuses. The psychopharmacologic approach to the treatment of difficult children is examined as a sophisticated counteraggression strategy which has yet to demonstrate therapeutic efficacy. These clinical procedures, which are utilized in scores of inpatient settings, generate serious ethical questions for the health professional concerned with the legal rights of those minors labeled as deviant members of families or the society at large.     

An evaluator of the future

For the evaluator who is part of the management of a human service organization, future expectations will be more demanding than at present. Operating staff, managers, and funders will already be familiar with the methods and the usefulness of capable program evaluation. Improved information tools will help the evaluator meet this challenge, by keeping the organization visible and manageable. A more fundamental change will be an improved “language of accountability”. Program standards, accreditation, and review now focus on structure and process characteristics. What is emerging is a growing consensus on definitions of client problems and program objectives in relation to these problems. This consensus spurs psychometric research on measures of problems and of the attainment of program objectives. Dependable, standard measures and meaningful comparative data will make the evaluation of program effectiveness possible.     

Cost/effectiveness analysis of alcoholism and drug abuse treatment programs: the relevance of recidivism and resource absorption.

Cost/effectiveness measures are increasingly being applied to alcoholism and drug abuse treatment programs. Program evaluators usually regard readmissions as inadequate for assessing outcome, and resource absorption is rarely examined; this paper presents the argument that increased attention to recidivism and resource absorption is integral to the program evaluation process. Readmissions formed 53% of admissions to U.S. drug abuse programs, and in alcoholism treatment centers, 4% of the patients accounted for 24% of the detoxications. Problems with assessing cost/effectiveness are associated with duration of treatment, average cost, time span of analyses, quasi-experimental designs, multiple episodes of treatment, "silting up", and extrapolation. Five approaches to dealing with these problems are suggested: analyzing existing program data bases for recidivism and resource absorption, considering recidivism when evaluating programs, tempering clinical enthusiasm with skepticism, matching patients with levels of care appropriate to previous treatment history, and assessing additional benefit derived from increasing amounts of care per patient as part of cost/effectiveness analysis.     

The development of preventive methods in child welfare

Past approaches, current trends and future directions in primary preventive social work are reviewed with an emphasis on child abuse and neglect. An historical analysis reveals the bases for current methods of dealing with social problems. In describing current practices, several models for the delivery of human services are defined. This review concludes with an overview of recent research on primary prevention in social welfare.     

What we know about child maltreatment

This article presents the results of an informal survey of nationally recognized experts on child maltreatment. The poll asked, “What do we know about child maltreatment?” A process of collating and sequential validation produced an outline of current knowledge that demonstrates some progress in understanding child maltreatment.     

Alcohol abuse on a college campus: A needs assessment

This paper reports the results of a needs assessment study conducted by a university-based alcohol abuse prevention project. Data are presented on the drinking patterns and drinking problems of a random sample of 462 students. Results suggest that students are experiencing numerous difficulties in the physical, educational, legal and psychosocial areas due to their use of alcoholic beverages. Implications for prevention and intervention programming are discussed and the need for planning programs from a data-based perspective rather than a rational and intuitive approach is stressed.     

Ecologically defining the mistreatment of adolescents

Ecologically defined, the problem of adolescent/family conflict for otherwise “normal” families is a reaction to crisis in the life cycle of the family. A family's success in weathering the crisis is indicated by their successful maturation to the next stage of the cycle; we can assume that in such cases the ratio of stress to coping ability was such that the family could integrate that stress. When conflict escalates to abuse and neglect, however, the indication is that stress has outstripped coping ability, and the implication is for stress-reducing intervention quite unlike the standard existing interventions in either the juvenile justice or child welfare systems, which negatively label family members, make them adversaries, fragment their coping capabilities, and even subject them at times to situations worse than those for which they needed help originally. The interventions called for are those that support beleaguered families; that are based on conceptualizations of people as adaptable and capable of solving their own problems if they are given adequate supports.