OBJECTIVE: This study proposes a model with five criteria for evaluating
the effectiveness of intensive outpatient behavioral health care programs
and applies this model to a brief partial hospital-crisis stabilization
program. The five criteria are client selection, program attendance,
service utilization and focus of treatment, client improvement, and
cost-effectiveness. METHODS: The program evaluation model was tested with a
sample of 285 adults with severe mental illness who were admitted for or
were receiving outpatient treatment at a state- funded community mental
health center. Evaluation data included pre- and postprogram ratings by
clinical staff of clients' symptoms, level of functioning, and treatment
readiness; current and retrospective reports of clients' symptoms based on
interviews with clients; and clients' service and financial records.
Clients and clinicians also provided data about the problems addressed
during treatment sessions. RESULTS: Program dropouts used significant
facility resources before dropping out. Clients who participated in the
partial hospital-crisis stabilization program showed reduced symptoms,
improved daily functioning, and improved treatment readiness. Clients who
showed more improvement cost less to treat. CONCLUSIONS: The evaluation
model produced the information necessary for demonstrating program
effectiveness. The results support the belief that clinical effectiveness
and cost-effectiveness are positively related.
Abstract Teaser