comprehensive program development in mental health counseling: design, implementation, and...
TRANSCRIPT
COMPREHENSIVE PROGRAM
DEVELOPMENT IN MENTAL
HEALTH COUNSELING:
DESIGN, IMPLEMENTATION, AND EVALUATION
WRITTEN BY NANCY CALLEY;
PRESENTED BY CRYSTAL, CHRISTIE, AND RACHEL
INTRODUCING AN INTEGRATIVE PRACTICE MODEL!
• MENTAL HEALTH COUNSELORS MUST BE COMPETENT IN PROGRAM DESIGN, IMPLEMENTATION, AND SUSTAINABILITY
• A MODEL THAT COMBINES SCIENTIFIC KNOWLEDGE AND BUSINESS PRINCIPALS.
• THE MODEL CONSISTS OF 12 SEQUENTIAL, INTERRELATED PHASES
ZOINKS!
AS SOCIETY EVOLVES, COUNSELORS FIND THEMSELVES TREATING AN INCREASING NUMBER OF SPECIALIZED CLINICAL ISSUES
RESEARCH HAS NOT ADDRESSED THE PRACTICAL ASPECTS OF PROGRAM IMPLEMENTATION AND SUSTAINABILITY
$$$ MANAGED CARE $$$ DEMANDS EBP (EVIDENCE BASED PRACTICE)
BEST PRACTICE LITERATURE TOPICS: ASSESSMENT OF THE RISK OF VIOLENCE, TREATMENT OF OBSESSIVE-COMPULSIVE DISORDER, TREATMENT OF DEPRESSION, CLINICAL INTERVENTIONS FOR SPECIALIZED POPULATIONS OF JUVENILE SEX OFFENDERS, ADULT MALE SURVIVORS OF TRAUMA
RESEARCH PROPOSALS; HOPEFUL AMBITIONS
WILDERNESS THERAPY (HILL, 2007) RAPE SURVIVOR TREATMENT (HENSLEY,2002); AND OUTREACH STRATEGIES FOR FEMALE IMMIGRANTS AND REFUGEES(KHAMPHAKDY-BROWN, JONES, & NILSSON, 2006).
EMERGING IS A SMALL BODY OF WORK THAT EXPLORES OTHER FACTORS RELATED TO CLINICAL PROGRAM DEVELOPMENT, SUCH AS COST ANALYSES OF PROGRAM DEVELOPMENT AND IMPLEMENTATION (CHATTERJI, CAFFRAY, & CROWE, 2004; WILDERMAN, 2005), THAT PROMOTE A PRACTICAL UNDERSTANDING OF THE FINANCIAL IMPLICATIONS OF PROGRAM DEVELOPMENT. DONAHUE, LANZARA, FELTON, AND CHIP (2006) HAVE ALSO EXAMINED THE ROLE OF INTERAGENCY COLLABORATIONIN PROGRAM DEVELOPMENT.
PHASE I: ESTABLISHING THE NEED FOR THE PROGRAM
PHASE II: ESTABLISHING A RESEARCH BASIS FOR THE PROGRAM DESIGN
PHASE II.A: IDENTIFYING MULTICULTURAL CONSIDERATIONS FOR PROGRAM DESIGN
PHASE III: DESIGNING THE CLINICAL PROGRAM
PHASE IV: DEVELOPING THE STAFFING INFRASTRUCTURE
THE PLAN
PHASE V: IDENTIFYING AND ENGAGING COMMUNITY RESOURCES
PHASE VI: DRAFTING MULTIYEAR FINANCIAL PROJECTIONS
PHASE VII: IDENTIFYING POTENTIAL FUNDING SOURCES
PHASE VIII: BUILDING AND PRESERVING RELATIONSHIPS WITH COMMUNITY RESOURCES
THE FINANCIAL PHASES
PHASE IX: DRAFTING THE ADVOCACY PLAN
PHASE X: DESIGNING EVALUATION PROCEDURES
PHASE XI: DEVELOPING THE DATA REPORTING PLAN
PHASE XII: ACCREDITATION PLANNING
SPECIAL NOTE: ACCREDITATIONAMONG THE NATIONAL ACCREDITING BODIES SPECIFIC TO CLINICAL PROGRAMS ARE THE COUNCIL ON ACCREDITATION FOR CHILDREN AND FAMILIES (COA) AND THE JOINT COUNCIL ON ACCREDITATION OF HEALTH ORGANIZATIONS (JCAHO).
ACCREDITATION EXPENSES SHOULD BE BUILT INTO THE INITIAL ANNUAL BUDGET
COMPREHENSIVE CLINICAL PROGRAM DEVELOPMENT IN MENTAL HEALTH COUNSELING INVOLVES DESIGN, IMPLEMENTATION, AND EVALUATIONUSE OF THE MODEL MAY HELP MAKE US COMPETITIVE AGAINST OTHER MENTAL HEALTH PROFESSIONALS IN THE 21ST CENTURY.
THE NEED FOR A COMPREHENSIVE APPROACH TO PROGRAM PLANNING,
DEVELOPMENT, AND EVALUATIONWRITTEN BY: WAYNE N. WELSH
• THE NEED FOR PROGRAM DEVELOPMENT IS ALSO STRESSED BETWEEN POLICY MAKERS AND RESEARCHERS
• THE COMPREHENSIVE APPROACH OF PLANNING, DEVELOPMENT, AND EVALUATION OF PROGRAMS WILL INCREASE THE OUTCOMES LEADING TO RECIDIVISM.
• SUCCESSFUL INTERVENTIONS ARE GENERATED THROUGH A SEVEN STAGE MODEL APPROACH
THE NEED FOR DETAILED PROGRAM DESCRIPTIONS
• VARIABLES WITHIN PROGRAM FEATURES MUST BE DESCRIBED ACCURATELY FOR THE PROGRAM IMPLEMENTED
• IT IS CRUCIAL FOR THE VARIABLES TO BE RELEVANT FOR THE PARTICULAR STUDY TARGETED
• MAPPING AN INTERVENTION APPROACH CREATES A SUCCESSFUL AND MORE MEANINGFUL IMPACT ON THE OUTCOME
PRE-EVALUATION RESEARCH!
EACH PROGRAM IS VERY UNIQUE, THEREFORE, THERE ARE MANY FACTORS THAT NEED TO BE CAREFULLY ASSESSED IN ORDER TO ENSURE THE QUALITY OF THE VARIABLES IN QUESTION.
EVALUATION OF A PROGRAM TWO CRITERIA
1.EVALUABILITY ASSESSMENT – OBJECTIVES NEED TO BE CLEARLY SPECIFIED AND MEASUREABLE!
• PROGRAM GOALS, COMPONENTS, AND OBJECTIVES CAN BE CONSTRUCTED THRU EXAMINATION WITH PROGRAM ADMINISTRATORS, STAFF, AND CLIENTS. DETERMINE WHICH RESOURCES ARE OF VALUE FOR THE PROGRAM.
2. PROCESS EVALUATION – NEEDS TO BE SUFFICIENT FOR CLIENTS AND WELL DESIGNED.
• A THOROUGH REVIEW OF WHAT IS ON PAPER VS. WHAT IS IN ACTION NEEDS TO BE CONDUCTED THRU INTERVIEWS, OBSERVATION, AND SURVEYS. DETERMINE THAT ALL COMPONENTS ARE BEING PROCESSED AS PLANNED.
STRONG INFERENCE DESIGNA STRONG INFERENCE DESIGN REQUIRES THE SCIENTIST TO ARTICULATE BOTH THE
THEORETICAL REASONS AND UNDER WHAT CONDITIONS A BEHAVIORAL CHANGE (OUTCOME) IS EXPECTED TO OCCUR.
• MEASUREMENT OF THE THEORETICAL MECHANISM THAT HYPOTHETICALLY CAUSES A CHANGE IN OUTCOME
• DEVELOPMENT OF PROCEDURES THAT ENSURE THE SCIENTIFIC RELIABILITY AND VALIDITY OF THE MEASUREMENT OF THESE INTERVENING CAUSAL MECHANISMS
• PROOF THAT CHANGES IN THESE MECHANISMS ARE ASSOCIATED WITH CHANGES IN OUTCOMES
MULTI-LEVEL
RESEARCH DESIGNSSTANDARDIZED ASSESSMENTS OF PROGRAMS AND INDIVIDUALS WOULD SET THE TABLE FOR THESE MORE SOPHISTICATED ANALYSES.
COLLECTING MORE STANDARDIZED INFORMATION ACROSS PROGRAMS WOULD BETTER ASSIST RESEARCHERS AND PROGRAM ADMINISTRATORS TO DETERMINE USEFUL TECHNIQUES ON A BROADER SCALE
META-ANALYSES
MORE DIRECTION
CLASSIFICATION
NON-BEHAVIORAL VS. BEHAVIORAL: NEED ASSESSMENTS OF DIFFERENT PROGRAM TYPES THAT IDENTIFY THE CRITICAL TREATMENT DIMENSIONS FOR A GIVEN POPULATION.
GOALS: LEARNING ORGANIZATIONS & MUTUAL ADAPTATION•AGENCIES NEED TO BE
ACTIVE PARTICPANTS TO DETERMINE THE STRENGTHS AND WEAKNESSES OF THE PROGRAM IMPLEMENTED. THE AGENCIES INVOLVED NEED TO BE COGNISANT OF THE APPROACHES TAKEN AND HELP DETERMINE HOW EFFECTIVE THE PROGRAM IS .
• THE PROGRAM NEEDS TO BE ADAPTABLE TO THE ENVIRONMENT IT IS ESTABLISHED IN. COMMITMENT TO THE PROGRAM IS NECESSARY AS PROGRAM STAFF AND THE ORGANIZATION ITSELF DIRECTLY AFFECT THE PROGRAM’S SUCCESS.
SEVEN STAGES
STAGE 1: ANALYZING THE PROBLEM
STAGE 2: SETTING GOALS AND OBJECTIVES.
STAGE 3: DESIGNING THE PROGRAM OR POLICY.
STAGE 4: DEVELOPING AN ACTION PLAN.
STAGE 5: DEVELOPING A PLAN FOR MONITORING PROGRAM/POLICY IMPLEMENTATION.
STAGE 6: DEVELOPING A PLAN FOR EVALUATING OUTCOMES
STAGE 7: INITIATING THE PROGRAM OR POLICY PLAN
REFERENCESCALLEY, N. G. (2009). COMPREHENSIVE PROGRAM DEVELOPMENT IN MENTAL HEALTH COUNSELING: DESIGN, IMPLEMENTATION, AND EVALUATION. JOURNAL OF MENTAL HEALTH COUNSELING,31(1), 9-21.
WELSH, W. N. (2006). THE NEED FOR A COMPREHENSIVE APPROACH TO PROGRAM PLANNING, DEVELOPMENT, AND EVALUATION. CRIMINOLOGY & PUBLIC POLICY, 5(3), 603-614. DOI:10.1111/J.1745-9133.2006.00395.X