Treatment Program Evaluation
Public Health Perspectives on Mental Health and Substance Use Disorders
Allyson Kelley
- 252 páginas
- English
- ePUB (apto para móviles)
- Disponible en iOS y Android
Treatment Program Evaluation
Public Health Perspectives on Mental Health and Substance Use Disorders
Allyson Kelley
Información del libro
This invaluable text provides a rigorous guide to the assessment and evaluation of treatment programs through a multi-disciplinary, holistic model of care. It highlights issues of race, social justice, and health equity, and offers real-world guidance to effect community healing and transformation.
Written by a researcher and experienced evaluator, the book begins by outlining the theories and research which frame our understanding of substance misuse, and upon which treatment programs are based. It then examines the principles which should underpin any evaluation, before detailing the practical various steps required to conduct an evaluation, from data collection to outcome measurement. The book shows, too, through detailed and effective evaluation, policy changes can be made and treatment programs improved. Including practical examples of evaluation and assessment throughout, and also assessing the numerous social systems which can support recovery, the book builds to a four-step public health model for establishing sustainable treatment programs.
In an era where substance misuse has reached epidemic proportions in the United States and beyond, this book will be essential reading for anyone involved in public health policy and practice in this important area.
Preguntas frecuentes
Información
1 Introduction and Overview
- Learning Objectives
- Orientation
- A Public Health Approach
- Definitions Matter: Substances and Substance Use Disorder
- Substance Use Disorders (SUD)
- Diagnosing Substance Use Disorder
- Alcohol Use Disorder (AUD)
- Mental Illness (MI)
- Co-Occurring Mental Health Issues and SUD
- Substance Use Disorder Treatment
- Reasons Why People Do Not Seek Treatment
- Mental Health (MH) Services Data
- Understanding SUD Treatment Programs and Services
- Treatment Program Levels of Care
- More on Public Health Approaches, Treatment, and Evaluation
- The Costs of Drug and Alcohol Abuse Treatment in the United States
- Social and Economic Costs Due to Drug and Alcohol Abuse
- Global Race, Age, Place, and Socioeconomic Status
- Race
- Sex, Gender, and Special Populations
- Age
- Trauma
- Place
- Lower Education and Unemployment
- Socioeconomic Status
- Global Efforts to Address MHSUD
- Global Prevalence and Unmet Needs: Prevalence of MI/MH, SUD, and Comorbid Conditions
- MHSUD Trends COVID-19
- COVID-19 Populations at Risk and Health Problems
- Evaluation of Programs and Treatment Methods
- Our Position as Evaluators
- My Position
- Wrap-Up
- Discussion Questions
- Additional Resources
- References
Learning Objectives
- Summarize the history of substance use in our world.
- Define mental health, mental illness, co-occurring disorders, substance use disorders, and prevalence at the United States and global level.
- Describe elements of a public health approach and the evaluation of programs that treat mental health and substance use disorders.
- Understand positionality and how it applies to the evaluation of treatment programs.
Orientation
A Public Health Approach
- Define problem through systematic collection of data.
- Identify risk and protective factors.
- Work across public and private sectors to create and test interventions that address SDOH.
- Support broad implementation of effective, evidence-based prevention, treatment, and recovery efforts.
- Monitor the impact of interventions (SAMHSA & Office of the Surgeon General, 2017).
- What is the problem? Situation analysis, surveillance, stakeholder perspectives, and observation.
- What is the cause? Identify risk and protective factors, acknowledge social justice issues, social determinants of health, socioecological factors at from the individual level to the chronosystem level.
- Which interventions work and for whom? Develop and test strategies and pilot studies; conduct formative research and research synthesis; and incorporate stakeholder perspectives. Do not continue interventions or policy that are ineffective or, in some cases, do more harm than good.
- How do you do the work? Consider the needs, resources, and context.
- What are we doing? Activities, interventions, process monitoring, evaluation, and quality assessments.
- Are we doing what we said we would do? Outputs and indicators show us what programs are doing.
- Are interventions effective? Outcome evaluations can tell us about effectiveness.
- Is there widespread adoption of interventions, programs, and policies? Survey and surveillance activities help document adoption of activities and effectiveness.
- Public health is _________________.
- Public health systems are ______________________.
- Mental health is _________________.
- Mental illness is _________________.
- Substance use is _________________.
- Substance misuse is _________________.
- Co-occurring disorders are _________________.
- Recovery means _________________.
- Mental health refers to an individual's well-being and state of mind.
- Mental illness refers to something that impacts an individual's mental state and how they think, feel, communicate, and behave.
- Substance use refers to the use of alcohol or other drugs (illegal or legal).
- Substance misuse and abuse is a pattern of harmful consumption of substances f...