Counseling self-efficacy (CSE), defined as one's beliefs about his or her ability to effectively counsel a client, is an important precursor of effective clinical practice. While research has explored the association of CSE with variables such as counselor training, aptitude and level of experience, little attention has been paid to CSE among…

This descriptive case study reports on the positive impact of a consultative review methodology used to conduct quality assurance reviews as part of the Residential Treatment Center Evaluation Project. The study details improvement in the quality of services provided to youth in unmonitored residential treatment facilities. Improvements were…

Advantages and disadvantages to various methods of assuring quality and accountability in community mental health centers are discussed. Examples are external structure review, peer monitoring, and site visitation. (LAB)

Reports the implementation of a quality assurance program in Colorado mental health facilities, designed to help managers know how they were doing on operational issues. The program was simple, low cost, and easy to implement. All levels of management found it a useful tool. (Author/WAS)

The New Jersey Performance Management System (PMS) is a major mechanism used by the leadership of the New Jersey Division of Mental Health and Hospitals to contract for, monitor, and manage community mental health services. This paper describes PMS, its components, implementation, and limitations. (Author/LMO)

Continuous quality improvement efforts are vital to high-quality early intervention services. This article describes an ongoing quality improvement project within an infant mental health-based Early Head Start program. Both strategies and challenges in implementing issues and lessons learned in the initial 2-year phase of the quality improvement…

Quality improvement (QI) activities, designed to enhance program evaluation efforts and to improve quality of care, have become increasingly important in children's services research. QI activities examine outcomes and provide accountability data that can be very useful for telling the story of the development, implementation, and effectiveness of…

Describes changes in management and accreditation among Canadian health organizations caused by changing federal transfer payments and philosophies of service. Examines the status quo of evaluation in organizations based on either quality assurance or continuous quality improvement. Challenges facing evaluators in the health care sector are…

Examines forces motivating reform in mental health services, suggesting that mental health practitioners and researchers have relied on traditional and apparently unsuccessful methods (with little or no scientific support) to ensure service quality and effectiveness; debunking six myths about mental health services; and suggesting that…