In this study. SO men in an in-patient comprehensive rehabilitation program receiving disability compensation were compared with 25 non-recipients with respect to prc-and post-program measures of personality functioning. physical functioning and reported pain. On the pre-program measures. the only significant difference cmerging hetwecn the two groups was found on the Mfscale o f the MMPI, with the compensation group showing a slightly lower mean score. The two groups respondcd cqually well on virtually all outcome measures. One interesting exception was found on the subjective measure of pain. which showed the compensation group reporting ii higher level of subjective pain, and the non-compensation group a lower level than would be predicted o n the basis of pre-program scores. Overall. and contrary to popular belief. the results suggest that compensation recipients can derive considerable benefit from pain managcment interventions despite the ostcnsible rcinforccmcnt provided by disability payments.
The restructuring of how behavioral health care services are financed, managed, and delivered has controlled costs but raised concerns about quality. The need and opportunity has never been stronger for professionals and organizations from previously disparate segments of the field to closely collaborate on broad-based quality initiatives. This article reviews the collaborative initiatives established by one organization that are affecting all segments of the field through research projects, publications to disseminate information, and conferences to promote discussion. Implications, new directions, and opportunities for evaluation researchers are proposed.
Statistical reliability of the Treatment Perceptions Survey (TPS) questionnaire was examined using data from 19 California counties. The 14-item TPS was designed for clients receiving substance use disorder services at publicly funded community-based programs. The TPS is being used for evaluation of the State’s 1115 Medicaid Waiver, external quality review of county-based systems of care, and quality improvement efforts. The survey addresses four domains of access to care, quality of care, care coordination, and general satisfaction that each include multiple items, plus a single item focused on self-reported outcome. Reliability test results of the four domains as composite measures were statistically significant. General satisfaction ratings were the best predictor of self-reported outcome in a path analysis model, followed by ratings of care coordination and quality of care. Separate analyses of TPS data from clients receiving specialty mental health services suggest the questionnaire can also be used reliably in mental health settings.
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