A monitoring and evaluation plan for alcoholism programs.
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Biomedical subjects
Publications and source records attributed to S I Miller.
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The need for evaluation of psychiatric services is becoming more and more apparent as third-party coverage becomes more available. A variety of expensive and complex data and computer systems have been developed. Small institutions and programs, however, cannot afford them. The system described in this report uses diagnosis and a standardized problem list in order to define the treatment outcome of a variety of therapies delivered in an interdisciplinary setting. The system, which has been developed and is operating at low cost, satisfies a variety of needs.
Using chart-review procedures, the authors examined the management of patients with a recognized alcohol problem in 12 medical facilities and 20 alcoholism programs throughout Alaska. The evaluation, which covered a one-year period, focused on the service delivery system rather than on treatment outcome, and sought to determine if problems of alcohol abuse were being solved. The authors found that a treatment plan was developed, followed up, and evaluated for 8 per cent of the problem drinkers treated in medical facilities and for 16.7 per cent of those in alcohol programs.
A study was made of the attitudes of a multidisciplinary staff of an evening mental health clinic. The focus of the clinic is on short-term treatment, and one of the main purposes of the study was to investigate the reactions of staff members to this type of treatment orientation. Results indicated that staff members, when considered as a whole felt that their confidence in their short-term treatment skills and their belief in the effectiveness of a short-term, interdisciplinary treatment center increased over the course of the first year the clinic was open. These results were not consistent across disciplines, and possible reasons for this inconsistency were discussed.
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