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…

Key stakeholders who implement Supported Education may find themselves asking two questions: (1) Has Supported Education been implemented as planned?; and (2) Has Supported Education resulted in the expected outcomes? Asking these two questions and using the answers to help improve Supported Education are critical for ensuring the success of one's…

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…

This paper critiques current models for evaluation of mental health services provided to children and adolescents with emotional disturbances and offers an alternative model. The most popular model, Donabedian's tripartite model, is described. This model separately evaluates three domains: (1) structure (characteristics of the care providers,…

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…

A program was initiated by the psychiatric faculty at the Florida International University School of Nursing to help provide students with clinical practice experience in the face of fewer in-patient facilities. When the student population cannot be absorbed, the faculty must provide optional experiences that meet the students' clinical…

Outcome evaluation assesses the results or benefits of mental health services received by clients or communities by comparing descriptive data on the mental health status of clients at different points in time. It aids clinicians and managers in planning programs and managing clinical services. A mental health center should establish goal-oriented…

This study of school-based mental health programs used stakeholder focus groups to examine factors related to positive treatment outcomes, barriers to accessing services, and methods for improving service delivery to high school students with emotional/behavioral disorders. Fifty-one high school students (34 receiving treatment) at three urban…

This selection of papers starts with insights into multi- and plurilingual settings, then proceeds to discussions of aims for practical work with students, and ends with visions of future developments within translation for the mass media and the impact of machine translation. Papers are: "Interpreting at the European Commission";…