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This article describes two sets of field studies undertaken by the program evaluation unit of a community mental health center. These studies analyzed clients' utilization of service and assessed service impact in the process of testing procedural variations in service delivery. In the first set of studies, a procedure for ensuring verbal client-therapist contact prior to the first appointment was developed and tested. This procedure reduced the no-show rate for initial appointments from 22 to 12%. In the second set of studies, a brief pretherapy orientation nearly eliminated dropout during the first month of therapy. Orientation had both short- and long-range impact on the amount of services used by clients as well as on their outcomes. Therapist's global ratings of client functioning reflected more change for oriented clients, who reported greater short-term symptom reduction as well. Non-oriented clients were more likely to drop out early and to impress their therapists less favorably. The results of these studies suggest that a combination of pretherapy orientation and verbal client-therapist contact prior to the initial appointment might greatly reduce the failure to complete treatment.

In order to clarify the effects of health locus of control and value placed on participation in health protective behaviors, a questionnaire was formulated that included (a) a 20-item shortened version of the Lau and Ware multidimensional HLC Scale, (b) the 4-item health value index used by Seeman and Seeman, and (c) a 10-item index of health protective behaviors. Interviews were conducted with 213 undergraduate, college students. Results of a multiple regression are presented for the entire sample and separately for those low and high in health value. For the entire sample, health value is a stronger predictor than HLC of participation in HPBs. For the separate equations, a more internal HLC substantially increases participation in HPBs for those high in health value but not for those low in health value. Furthermore, respondents with high health value and internal HLC appear most likely to engage in HPBs.

This research analyzes the influence of selected social psychological factors (health locus of control and health value), social support factors (influence of parents and peers, organizational involvement, and reliance on others during stressful times), and health-specific factors (recent health crisis and self-assessment of health status) on participation in health protective behaviors by males and females. While much research has focused on identifying determinative factors (often with inconsistent findings), little research has been directed to understanding if and how predictive factors vary by gender. Data for the research were obtained from personal interviews with 167 undergraduate college students collected during the fall semester of their freshman year and again during their sophomore year. Female students averaged statistically significant more health protective behaviors than did male students, and increased involvement in HPBs from their freshman to sophomore years (while male students' participation declined). Among the factors studied, peer practices (collected in time 2) is a statistically significant predictor for both males and females. Value placed on health predicts for females but not males, while grade point average predicts for males but not females. Overall, females and high GPA males are most likely to engage in HPBs.

There was no difference in the acceptance of a general personality interpretation supposedly based on psychological, graphological, or astrological assessment procedures. Ss told that their general personality interpretation was based on one of the three assessment procedures, however, accepted the interpretation to a greater degree than did Ss told the interpretation was "generally true of people." S faith in all assessment procedures and perceived diagnostician skill increased significantly from before to after receipt of the diagnostic feedback. Ss elicited a halo response after they had received the interpretation, such that they generated a highly consistent positive (or negative) view of the assessment procedures and diagnostician skills. Implications of results from this acceptance paradigm were discussed for diagnosticians and therapists.

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This study uses structural equation modeling and a panel design to explain participation in health protective behavior (HPB) among college students. The direct, indirect, and total effects of gender, social influences (parental and peer behavior), social attachments (activity involvement, social support, and romantic involvement), social triggers (personal health, acute illnesses, and personal or family health crisis), health value, and effort to improve health behavior on HPB are examined. A path model with a high goodness of fit and an R2 of .418 shows that gender; health value, and effort to change health behaviors are the most powerful predictors of HPB participation, while parents and peers influence HPB indirectly through influence on health value and effort to change. Neither the social attachment nor social trigger items influenced HPB in this sample. Implications of these findings are discussed.

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