Environmental interventions and therapeutic outcome.

H P Lefley

doi:10.1176/ps.30.5.341

Home/Archive/PubMed

PubMed · 447221

Environmental interventions and therapeutic outcome.

H P Lefley

View original source ↗Export metadata ↓

Abstract

An eveluation study to determine whether intensive environmental interventions for individual patients help their psychotherapeutic progress was conducted at a community mental health center serving a multi-ethnic, inner-city catchment area with multiple social stressors. Using the Kiresuk-Sherman goal attainment scaling method for therapeutic and environmental goals, researchers analyzed outcome levels of a random sample of 150 patients. Ninety-two of those patients received both psychotherapeutic and environmental interventions, 37 received only psychotherapy, and 21 received only environmental interventions. Evaluation indicated that environmental goal attainment effectively predicted therapeutic outcome among high-, moderate-, and low-success groups.

Explore related subjects

Community Mental Health Centers Ethnicity Evaluation Studies as Topic Florida Goals Humans Mental Disorders Outcome and Process Assessment, Health Care Psychotherapy Referral and Consultation Socioeconomic Factors Socioenvironmental Therapy Stress, Psychological Urban Population Comparative Study Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

H P Lefley. 1979. Environmental interventions and therapeutic outcome.. https://doi.org/10.1176/ps.30.5.341

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1979

Awareness, use, and consequences of evaluation data in a community mental health center.

A major aspect of the effort of the Mental Health Systems Evaluation Project of the Northwest Denver Community Health Center's has involved studying the utilization of program evaluation data by community mental health center managers and clinicians. The intent of this effort was twofold: to assess the impact of program evaluation feedback in the community mental health center per se; and to investigate factors that influenced this impact. The impact of such input was assessed initially at the level of "subjective utility." Later attempts involved more extended or interactive forms of input and impact assessment. Basic findings to date suggest that program evaluation data are most likely to have impact when directed at the managers most closely involved with the service at issue, and when presented, preferably simply and personally, in ways that insure an understanding of the data and its implications by those receiving it.

Community Mental Health Centers↗

PubMed1979

Consultation and education in rural community mental health centers.

This paper reports on the status of consultation and education in the rural community mental health center: First, it describes the rural programs on several organizational dimensions as compared to nonrural programs. Second, it identifies several distinctive characteristics of rural programs. Third, it presents a case illustration of a successful consultation-education service. Finally, it discusses strategies for strengthening consultation and education in the rural setting. The paper is based on the findings of a study of prevention programs in community mental health centers in Region III (Pensylvania, Delaware, Maryland, Washington, D.C., Virginia, and West Virginia).

Community Mental Health Centers↗

PubMed1979

Community mental health centers and the "seed money" concept: effects of terminating federal funds.

What happens to community mental health centers when federal funding ends? Analysis of the funding patterns of a cohort of "graduate" community mental health centers indicates that these centers remained fiscally viable subsequent to termination of basic federal grants. However, further analysis revealed two distinct funding patterns within the cohort. One group relied primarily on increased third-party reimbursements to offset the end of basic federal grants. The other sought more state funds and additional federal grants available through the Community Mental Health Center Amendments of 1975. As more centers "graduate," federal "floor funding" may be necessary to insure the survival of some of them.

Community Mental Health Centers↗