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Biomedical subjects

F L Newman

Publications and source records attributed to F L Newman.

At least 19 recordsLinked to original sources
PubMed1996

The need for research that is designed to support decisions in the delivery of mental health services.

M.E.P. Seligman (1995) argued that traditional approaches to mental health services research fail to provide useful information to consumers and practitioners, particularly in an environment increasingly dominated by managed care. The authors recommend 4 guidelines for designing a research program so that the results can support the decisions of the major stakeholders (clients-families, practitioners, service managers, and policymakers): (a) Research must be targeted and programmatic and encompass a strategy of complementary efficacy, effectiveness, and cost-effectiveness studies; (b) study design and measure selection must be sensitive to describe who, and in what context, is best served by which intervention; (c) the design must inform stakeholders as to the type and amount of effort that is required to achieve a behavioral criteria; and (d) the strategy should inform researchers how information should be formatted to best support the decisions of the key stakeholders.

Decision Support Techniques↗
PubMed1996

An approach to psychotherapy change process research: introduction to the special section.

This special section has a dual focus. One is on psychotherapy change research. The other is to explicate an approach to develop a program of research that builds on 2 aspects of scientific discovery: decomposition of observed phenomena and localization of specific elements that may combine to produce a complex whole. These aspects are considered within an ordered framework of 8 steps in the development and testing of a model, moving from discovery to model construction, validation, and prediction of complex outcomes. Studies on psychotherapy change processes were selected, after a masked review, to represent different levels in developing a program of research. Although it is argued that the early steps of decomposition and localization are important when developing a program of research, current editorial practices in first-tier journals, including the Journal of Consulting and Clinical Psychology, typically consider this type of study to be too preliminary for a scientific archival journal. Should this practice be revisited?

Humans↗
PubMed1994

Introduction to the special section on seeking new methods in mental health services research.

Mental health services research aims ultimately to improve the quality, impact, and cost-effectiveness of services. Experience during the past decade suggests that the goals and study conditions of mental health services research require special methods. This special section presents 7 articles that give a flavor of the issues addressed and some of the methods that characterize this emerging research area. Although the series cannot explicate the full breadth or all the nuances of these methods, our goal is to entice colleagues to join us in developing methods for addressing services research questions.

Humans↗
PubMed1994

Linking resource use to consumer level of need: field test of the level of need-care assessment (LONCA) method.

A team of service system planners in King County, Washington, field-tested the feasibility of the LONCA (level of need-care assessment) method as a strategy to match resources to consumer level of need. LONCA links resources to need by first measuring the incidence and intensity of consumer needs in specific functioning domains. It then preliminarily specifies the type and intensity of services required to minimally but appropriately address specific consumer needs, calculates service costs, and identifies clusters of consumers with similar need and cost profiles. The field test supported the feasibility of performing LONCA tasks. The resulting scheme for clustering consumers appeared to have face validity and was modestly associated with at least 3 independent indicators of resource need: program status, residential status, and hospitalizations. Despite its limitations, the article supports further development of LONCA for use as a resource allocation tool for local service systems.

Community Mental Health Services↗
PubMed1991

Introduction to the special section on seeking new clinical research methods.

This Special Section introduces a new section of the Journal of Consulting and Clinical Psychology that will be periodically offered in future issues under the title "Clinical Research Methods." This introduction describes (a) the section's goals, (b) a conceptual framework and potential areas of methodological development, (c) a summary of the articles in the current Special Section and their evaluation in terms of the conceptual framework, and (d) editorial policies and procedures used to foster innovative development of clinical research methods.

Behavior Therapy↗
PubMed1990

A case mix procedure for matching the clinical characteristics of patients with dual disorders to planned treatment and treatment costs.

A procedure for matching the clinical characteristics of patients with a dual substance abuse psychiatric disorder to planned treatment resource consumption is described. The procedure uses current standards and practices within the mental health literature on dual diagnosed patients, providing an empirical basis for quality assurance, utilization review, and program evaluation. These procedures permit an empirical linking of clinical service performance to the costs of clinical resources, thereby providing a means of: (a) evaluating program costs in terms of the specific clinical characteristics of patients and (b) planning budgets based on the patients' clinical needs. The methods are sufficiently flexible so that as new clinical research recommend changes in assessment and treatment, the case mix definitions and evaluation procedures can be easily modified.

Comorbidity↗
PubMed1989

Linking level of care to level of need. Assessing the need for mental health care for nursing home residents.

What are the mental health status and active treatment needs of nursing home residents? A stratified random sample of 828 residents in 25 facilities serving Medicaid recipients was assessed for levels of physical and psychosocial functioning. Although 91.2% had sufficiently high levels of medical and physical care needs to justify nursing home placement, 79.6% also had moderate to intense needs for mental health care. Older residents, relative to their younger counterparts, had more intense medical and mental health care needs. It was also found that psychiatric diagnosis was a poor indicator of mental health service needs, particularly among elderly individuals.

Adult↗
PubMed1987

Simple measures of case mix in mental health services.

The concept of Case Mix in community mental health service program evaluation can be useful in mental health program evaluation if the definition of case mix is expanded beyond Diagnostic Related Groups (DRG), where DRG is solely based upon diagnosis and length of hospitalization stay. A case mix definition based upon two principal characteristics is offered. One characteristic is clinical status defined in terms of diagnostic signs and symptoms, level of functioning, and age. The other characteristic is typical treatment strategy for a given period of time (e.g., 13 weeks). Two cases mixes typical of services designed for the chronically mentally ill are discussed.

Chronic Disease↗
PubMed1987

Simple measures of progress and outcome in the evaluation of mental health services.

There is a tautology regarding the use of progress and outcome measures. Such measures are easy to use in a reliable and valid fashion if the language of the measures is used as an integral part of (a) treatment planning and progress review, (b) clinical supervision, and (c) program management. The paper describes example guidelines and uses of measures in each of these functions. Also included are listings of scales with documented reliability and validity (by target population) and some sources for finding computer software for scoring some of the scales.

Evaluation Studies as Topic↗
PubMed1983

Assessing the impact of cognitive differences in the treatment of obsessive-compulsives.

Demonstrated a set of research techniques that combine multidimensional scaling, a quantitative cognitive procedure, and cost outcome analysis. The multidimensional scaling results supported Reed's (1969) notion that obsessive-compulsive clients are underinclusive and did not support Foa and Steketee's (1979) contention that they are overinclusive. Significant differences in extent of follow-up therapy were found between obsessive compulsives (N = 12) with the underinclusive cognitive style and those with a normal cognitive style.

Adult↗