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Biomedical subjects

A R Fiester

Publications and source records attributed to A R Fiester.

14 recordsLinked to original sources
PubMed1980

Use of inpatient seclusion at a community mental health center.

Little research has been done on the use of seclusion in community mental health centers. The authors studied 56 seclusion room placements for 25 inpatients at a community mental health center and found that use of seclusion may more frequently be a function of staff than of patient need. Evening and night shifts made more frequent use of seclusion than did day shifts. Shifts staffed primarily with female employees used seclusion more than shifts where male staff predominated. Shifts with both a low staff-patient ratio and a larger number of female staff tended to use seclusion the most. The authors urge other CMHCs to critically examine their seclusion practices to ensure that they are humane and appropriate.

Adolescent↗
PubMed1979

Goal attainment and satisfaction scores for CMHC clients.

The purpose of this study was to explore the psychometric properties of goal attainment scales and client satisfaction measures. The findings revealed that goal attainment results, like other types of self-report psychotherapy outcome measures, are directly related to (a) indicators of a client's social class, and (b) the manner of treatment termination (unilateral dropout vs. mutual consent). The extent of client--therapist agreement on goal scores was relatively low thereby supporting the necessity of obtaining both perspectives in evaluating treatment outcome. Furthermore, because measures of client satisfaction were found to be sufficiently independent from goal outcome scores, it was concluded that they provide a unique source of program evaluation data. Finally, it was concluded that Goal Attainment Scaling is best considered to be a quality assurance tool for individual client/therapist dyads rather than a mechanism for the determination of the effectiveness of specific mental health programs and services.

Community Mental Health Services↗
PubMed1978

The acces system: a procedure for evaluating children's services at community mental health centers.

This paper describes the efforts made by one community mental health center to develop a system of program evaluation for children's treatment services. The approach described has the capability of objectively assessing (1) patterns of utilization of children's services; (2) satisfaction with services as well as the availability, accessibility, and acceptability of services; and (3) the quality of children's mental health services as measured by the attainment of individualized treatment goals. A rationale for the development of this system as well as a description of the modifications and automatization of the procedure are included. By way of illustration, initial results are presented which pertain to 500 goals written for 208 child clients receiving treatment within any one of three of the center's child direct-service programs.

Child↗
PubMed1978

A method of evaluating the impact of services at a comprehensive community mental health center.

Efforts of one community mental health center to develop a system of program evaluation designed to meet criteria mandated by recent Federal legislation are described. This approach represents a comprehensive evaluation system with the capability of objectively assessing: (a) patterns of utilization of services, (b) satisfaction with services as well as the availability, accessibility, and acceptability of services, and (c) the quality of direct mental health services as measured by attainment of individualized treatment goals. A rationale for the development of this system as well as a description of the modifications and automatization of the procedure are included. Initial results are presented which pertain to 2,900 goals written for 1,250 clients receiving treatment within five of the Center's direct service elements.

Attitude of Health Personnel↗
PubMed1976

Demographic data and mental health planning.

The use of readily available demographic data in mental health planning is discussed and illustrated. Four indices are identified as important in setting priorities for mental health services: social class, family organization, population mobility, and population heterogeneity.

Community Mental Health Services↗