In the emerging expanded school mental health (ESMH) field, quality is one of the most, if not the most important, issues to focus on. Program quality is fundamental to effectiveness, and in this era of increased accountability, documenting effectiveness is paramount to the advancement of the field. Although some preliminary evaluation studies have been conducted (e.g., Armbruster, Gerstein, & Fallon, 1997; Nabors & Reynolds, 2000), more information about quality of care and outcomes for youth receiving school mental health services is needed. In this chapter we review ideas for implementing continuous quality improvement (CQI) activities and evaluating the outcomes of expanded school mental health programs. We also discuss challenges to cqi and evaluation and present ideas for future work and research in the field
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References
Armbruster, P., Gerstein, S. H., & Fallon, T. (1997). Bridging the gap between need and service utilization: A school-based mental health program.Community Mental Health Journal, 33,199–211.
Bickman, L., & Noser, K. (1999). Meeting the challenges in the delivery of child and adolescent mental health services in the next millennium: The continuous quality improvement approach. Applied and Preventive Psychology, 8, 247–255.
Center for School Mental Health Assistance (1996). Documenting the effectiveness of school mental health programs. Baltimore, MD: Author.
Chowanec, G. D. (1994). Continuous quality improvement: Conceptual foundations and application to mental health care.Hospital and Community Psychiatry, 45, 789–793.
Donabedian, A. (1980). The definitions of quality and approaches to its assessment. Ann Arbor, MI:Health Administration Press.
Eppel, A. B., Fuyarchuk, C, Phelps, D., & Tersigni-Phelan, A. (1991). A comprehensive and practical quality assurance program for community mental health services. Canadian Journal of Psychiatry, 36,102–106.
Farmer, E. M. Z. (2000). Issues confronting effective services in systems of care. Children and Youth Services Review, 22, 627–650.
Flaherty, L. T., & Weist, M. D. (1999). School-based mental health services: The Baltimore models. Psychology in the Schools, 36, 379–389.
Forness, S. R., & Hoagwood, K. (1993). Where angels fear to tread: Issues in sampling, design, and implementation of school-based mental health services research. School Psychology Quarterly, 8, 291–300.
Hibbs, E. D. (1995). Child and adolescent disorders: Issues for psychosocial treatment research. Journal of Abnormal Clinical Psychology, 23,1–10.
Jacobsen, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59,12–19.
Kratochwill, T. R., & Stoiber, K. C. (2000). Uncovering critical research agendas for school psychology: Conceptual dimensions and future directions. School Psychology Review, 29, 591–603.
Lavender, A., Leiper, R., Pilling, S., & Clifford, P. (1994). Quality assurance in mental health: The QUARTZ system. British Journal of Clinical Psychology, 33, 451–467.
Lawthers, J., & Wood, P. (1996). In search of psychiatric performance measures. Clinical Performance and Quality Health Care, 4, 38–40.
Luk, E. S. L., Staiger, P., Mathai, J., Wong, L., Birleson, P., & Adler, R. (2001). Evaluation of outcome in child and adolescent mental health services: Children with persistent conduct problems. Clinical Child Psychology and Psychiatry, 6,109–124.
Mason, M. M. (2000). Meeting the challenges of data collection in outcome systems. Education and Treatment of Children, 23, 75–95.
Nabors, L. A., & Reynolds, M. W. (2000). Program evaluation activities: Outcomes related to treatment for adolescents receiving school-based mental health services.Children's Services: Social Policy, Research, and Practice, 3,175–189.
Nabors, L. A., Reynolds, M. W., & Weist, M. D. (2000). Qualitative evaluation of a high school mental health program. Journal of Youth and Adolescence,29, 1–13.
Nabors, L. A., Weist, M. D., & Reynolds, M. W. (2000). Outcome evaluation in school mental health: Overcoming challenges and developing a research agenda. Journal of School Health, 70(5), 206–209.
Nabors, L. A., Weist, M. D., & Tashman, N. A. (1999). Focus groups: A valuable research tool for assessing adolescents' perceptions of school based mental health services. Journal of Gender, Culture, and Health, 4, 39–48.
Nabors, L., Weist, M., Tashman, N., & Myers, P. (1999). Quality assurance and school-based mental health services. Psychology in the Schools, 36, 485&493.
Pumariega, A. J., & Vance, H. R. (1999). School-based mental health services: The foundation of systems of care for children's mental health. Psychology in the Schools, 36, 371–378.
Sechrest, L. B. (1987). Research on quality assurance. Professional Psychology: Research and Practice,18,113–116.
Special Issue: The national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program (2001). Journal of Emotional and Behavioral Disorders, 9.
Tashman, N., Weist, M. D., Acosta, O., Bickham, N. L., Grady, M., Nabors, L., & Waxman, R. P. (2000).Toward the integration of prevention research and expanded school mental health programs. Children's Services: Social Policy, Research, and Practice, 3, 97–115.
Weist, M. D., Nabors, L. A., Myers, C. P., & Armbruster, P. (2000). Evaluation of expanded school mental health programs. Community Mental Health Journal, 36, 395–412.
Weist, M. D., Sander, M., Lowie, J. A., & Christodulu, K. (2002). The expanded school mental health framework. Childhood Education, 78, 269–273.
Weisz, J. R., Weiss, B., & Donenberg, G. R. (1992). The lab versus the clinic: Effects of child and adolescent psychotherapy. American Psychologist, 47,1578–1585.
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Nabors, L.A., Lehmkuhl, H.D., Weist, M.D. (2003). Continuous Quality Improvement and Evaluation of Expanded School Mental Health Programs. In: Weist, M.D., Evans, S.W., Lever, N.A. (eds) Handbook of School Mental Health Advancing Practice and Research. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-73313-5_19
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