Abstract
A measure of service individualization, derived from the goals in clients' treatment plans, was developed and used to evaluate this treatment process variable for 141 severely mentally ill persons served by three psychosocial rehabilitation programs. Relatively few of the 364 goals reviewed were highly individualized. Level of service individualization was inversely related to clients' functional skills, residential independence, level of education, and a primary diagnosis of an affective disorder, but positively related to a diagnosis of schizophrenia or another psychotic disorder. The goal individualization measure differentiated both between programs and among staff members, even after controlling for differences on client variables.
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References
Anthony, W.A., Pierce, R.M., Cohen, M.R., & Cannon, J.R. (1980).The skills of diagnostic planning. Baltimore: University Park Press.
Arns, P.G., & Linney, J.A. (1993). Work, self, and life satisfaction for persons with severe and persistent mental disorders.Psychosocial Rehabilitation Journal, 17 (2), 63–79.
Bachrach, L.L. (1983). Planning services for chronically mentally ill patients.Bulletin of the menninger Clinic, 47, 163–188.
Bartko, J.J. & Carpenter, W.T. (1976). On the methods and theory of reliability.The Journal of Nervous and Mental Disease, 163, 307–317.
Bond, G.R., Miller, L.D., Krumwied, R.D., & Ward, R.S. (1988). Assertive case management in three CMHCs: A controlled study.Hospital and Community Psychiatry, 39:411–418.
Brekke, J.S. (1988). What do we really know about community support programs? Strategies for better monitoring.Hospital and Community Psychiatry, 39:946–952.
Brekke, J.S., & Test, M.A. (1987). An empirical analysis of services delivered in a model community support program.Psychosocial Rehabilitation Journal 10(4), 51–61.
Brekke, J.S., & Test, M.A. (1992). A model for measuring the implementation of community support programs: Results from three sites.Community Mental Health Journal, 28, 227–247.
Cnaan, R.A., Blankertz, L., Messinger, K.W. & Gardner, J.R. (1990). Experts' assessment of psychosocial rehabilitation principles.Psychosocial Rehabilitation Journal, 13(3), 59–73.
Commission on Accreditation of Rehabilitation Facilities. (1990).Standards manual for organizations serving people with disabilities. Tucson, AZ; Author.
Farkas, M.D., Cohen, M.R., & Nemec, P.B. (1988). Psychiatric rehabilitation programs: Putting concepts into practice?Community Mental Health Journal, 24, 7–21.
Huxley, P., & Warner, R. (1992). Case management, quality of life, and satisfaction with services of long0term psychiatric patients.Hospital and Community Psychiatry, 43, 799–802.
Jerrell, J.M. & Hargreaves, W.A. (1991). The operating philosophy of community programs. Berkeley: Institute for Mental Health Services Research, Working Paper #18.
Moncher, F.J., & Prinz, R.J. (1991). Treatment fidelity in outcome studies.Clinical Psychology Review, 11, 247–266.
Moos, R. (1974).Evaluating treatment environments: A social ecological approach. New York: Wiley.
Rosenheck, R., Neale, M., & Gallup, P. (1993). Community-oriented mental health care: Assessing diversity in clinical practice.Psychosocial Rehabilitation Journal, 16(4), 39–50.
Schneider, L.C., & Struenig, E.L. (1983). SLOF: A behavioral rating scale for assessing the mentally ill.Social Work Research and Abstracts, 19, 9–21.
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Arns, P.G., Linney, J.A. The relationship of service individualization to client functioning in programs for severely mentally Ill persons. Community Ment Health J 31, 127–137 (1995). https://doi.org/10.1007/BF02188762
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DOI: https://doi.org/10.1007/BF02188762