Mental health needs assessment of children and adolescents

Needs assessment is essential input for program planning. Little data are, however, available about the various approaches and whether strategies for needs assessment are viable. It was found by an inexpensive methodology that opinions about the importance of various services, opinions about the potential acceptance of services, services provided, and the total need for services are interrelated. A hybrid approach that utilized data from teachers and the people that provide mental health services was also a practical means to obtain information about the unmet needs of children and adolescents in the country. Data supported the value of this technique for the assessment of the unmet needs of children and adolescents. Thus, an inexpensive methodology can provide useful information from multiple perspectives.     

Evaluating sociodemographic data: implications for program planning and development

Sociodemographic data can have broad implications for program planning and development. Yet, such data are often obtained and analyzed in a non-rigorous methodological fashion. Four of these methodological issues are discussed in this paper. Their relevance for program planning and development are clarified, using examples from the utilization, needs assessment, illness behavior, and social functioning literature.     

Resolving conflicting demands on evaluation: A test demonstration of videotex for farmers

Evaluating an innovation for federal, state, and local policymakers and program managers alike entails conflicting demands on the evaluation study. Policymakers at federal, state, and local levels are best assisted by impact evaluations, whereas state and local program managers are best assisted by process evaluations. In-house evaluators often have an advantage in conducting process evaluations; external evaluators generally have an advantage in conducting impact evaluations. A cost-effective approach may be to combine in-house process evaluation and external impact evaluation. This dual approach was found to reduce conflicting demands on the evaluation of an experimental videotex system for agricultural producers.     

Problem characteristics, decision processes and evaluation activity: a preliminary study of mental health center directors

This article reports on the results of a preliminary study on the characteristics of problems and problem solving in mental health centers. The major findings were that directors were generally quite satisfied both with the available level of information intended to help them make decisions, and with their ability to make good, even optimal, decisions. Much of this confidence resulted from the use of assumptions about the problems which reduced the need for empirical information. The problem solving process was highly dynamic and interactive, with changes over time in the characteristics of problems, constraints and alternative solutions. The directors played an active role in attempting to foster and influence the direction of many of these instabilities. Some implications for evaluation and research are discussed.     

Making a case for an interface between quasi-experimental designs and social impact analyses

This paper describes the community impact assessment conducted after Concorde operations were initiated at Dulles International Airport. Problems in the design and conduct of this study that make causal interpretations implausible are discussed. The present authors report an improved design to eliminate these problems as well as increase the external validity of the results. A discussion of how the careful implementation of quasiexperimental designs allows for treatment-related causal interpretations to be made is also included. Finally, it is emphasized that practical application of these data make it possible to improve the implementation of the treatment in communities receiving it at a later date.     

The efficacy of early intervention programs for children with organic impairment: A quantitative review

The results of studies examining the effectiveness of early intervention for infants and children with organic impairment and developmental delay were reviewed using recently developed quantitative methods that treat the literature review process as a unique type of scientific inquiry. Thirty-eight studies meeting certain predetermined criteria were included in the review. The 38 studies contained a total of 118 statistical hypothesis tests that evaluated the effectiveness of early intervention. An analysis of these tests based on the calculation of effect sizes revealed that subjects receiving early intervention performed better on a wide range of dependent measures than subjects not receiving intervention. The outcomes were found to be related to several design and study characteristics. Larger effect sizes were associated with preexperimental designs, and also with studies in which the internal validity was rated as poor. Several other design variables such as how subjects were assigned to conditions and how the dependent measure was recorded were related to study outcome as measured by effect size. The conclusion was made that an accurate interpretation of the early intervention research literature cannot be made without consideration of specific design variables and study characteristics.     

Child deaths attributed to abuse and neglect: An empirical study

This study of 267 child deaths associated with abuse or neglect in Texas during 1975 through 1977 suggests a number of indicators for identifying potential child fatalities. Families where abuse or neglect is implicated in a child fatality are characterized by small family size, young parents, and under-utilization of community support services. Over three-fourths of the families in the study had never come to the attention of the state's child protective services agency. In addition, when fathers were present in the home, they were as likely to be involved in the abuse or neglect as mothers. Neglect was implicated in the death of a child as often as abuse. The study suggests the need for further examination of child fatality profiles associated with abuse and neglect and increased community outreach efforts to provide support to high-risk families, The study also has implications for social policy decisions, particularly in relation to efforts to resist attempts to exclude neglect from child protective service responsibility.     

A critique of progress in adolescent smoking prevention

Researchers have developed a number of programs for preventing adolescent smoking. This critique evaluated a cross-section of 12 of these programs. The majority demonstrated short-term effectiveness in reducing the onset of smoking. The studies stressed three common themes: information about smoking's physiological and social effects, skills to cope with peer and advertising pressures, and the modification of attitudes. Despite many positive outcomes in reducing smoking, the studies did not clearly establish whether the interventions did so by imparting coping skills or by modifying attitudes. This leaves in doubt the exact processes that influence smoking behavior. Carbon monoxide and thiocyanate analyses have not been established as alternatives to self-report, as these methods prove unreliable with adolescent populations. Due to the lack of longitudinal studies, the long-term effectiveness of these interventions remains undetermined.     

Evaluations of the special supplemental program for Women,infants, and children's (WIC's) effectiveness

The U.S. General Accounting Office (GAO) analyzed the evaluations of the Special Supplemental Program for Women, Infants, and Children (WIC) to determine whether they support assertions that have been made about the program's positive effects for five outcomes. Insufficient evidence was found for making any general or conclusive judgments about WIC's effectiveness overall, but in a limited way, the information does indicate the likelihood that WIC has positive effects in some areas. GAO also assessed problems in the state of evaluation efforts. That the program evaluations do not reveal whether WIC is having the effect intended by the legislation underscores the need to design and implement better studies. Generally speaking, GAO believes that if the lessons learned from past efforts are heeded, it should be possible to produce information on the overall effectiveness of WIC.     

Measuring corporate social performance: The problem of values

Debates over the social performance of corporations have carried with them implicit evaluations of that performance. The apparent subjectivity and bias of these informal evaluations has led to the development of more formalized corporate social performance assessment methodologies — social audits. In this paper it is argued that these social audits are also influenced by subjectivity and bias considerations; and thru the case study of a social audit of a corporate safety program, the underlying value issues at the core of these influences are explored. The value implications of the various social audit methodologies in use are discussed; and several value sensitive stages/elements of social audit research and evaluation research in general are identified. Recommendations set forth for minimizing the negative consequences of value-influenced evaluations are a value-explicit evaluation approach, greater standardization of evaluation procedures, a dialectic evaluation approach, and better informed evaluation consumers.     

Matching children with placements

Utilizing profiles of children in diverse residential programs, a computerized model was developed to explore the possibility of replicating existing placement patterns and to aid practitioners in making future child placement decisions. The model provides a method for rank-ordering placement alternatives for children needing residential care.     

Complexity of process and role in the evaluation of an interdisciplinary mental health education program: The deacon's masterpiece

Research and literature on program evaluation must attend to problems of application, which can have major effect on the outcome. Increasing numbers of innovative, multifaceted programs operating in complex settings are presenting for evaluation. Evaluation process must become flexible, creative, and multifaceted in order to produce valid and comprehensive results, and to meet the needs of this field. Evaluators and evaluation, the evaluated program, and the environment become a mutually interacting system in the process of evaluation. Evaluation goals and roles must be conceptualized, agreed upon, sanctioned, and appropriately implemented or conflict and ineffectiveness will result. Three models of evaluation emerge: objective and independent, objective but serving one interest, and pseudo-scientific public relations. Evaluation of an interdisciplinary mental health education program illustrates these issues. Evaluation technology, process, and roles must all be attended to or the weak link undermines the rest.     

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.     

Alternative systems of ethics and their application to education and evaluation

Three schools of moral thought are presented to illustrate differences in moral reasoning and the assignment of value claims. Several educational program alternatives are used as illustrations of moral reasoning within and across the schools of thought. Finally, the schools of moral thought are used in a discussion of evaluation practice. Good practice in the current evaluation literature is shown to be a blend of the three schools of thought.     

An examination of methods in the evaluation of volunteer programs.

Although many volunteer programs have been called "successful" and the use of paraprofessionals urged, few program evaluations with a benefit-cost analysis have been reported. Several major studies of volunteer utilization are reviewed, and particular needs with reference to program evaluation are discussed. Three alternative evaluation methodologies are proposed. The importance of utilizing a comprehensive evaluation incorporating all three methodologies is discussed. An ongoing volunteer program in a community mental health center is used as an illustration.