Current Medical Diagnosis & Treatment in Psychiatry


Mental health services research is a new and growing area in mental health. Services research addresses questions that are significant to all stakeholders, including patients, clinicians, and policy makers: What are the best ways to assure access to services? How can we best describe the treatments that patients receive? Which treatments are most effective with which types of patients? What are the best ways to affect clinician practices? These are all questions posed by services researchers. In this chapter we have noted that we do not know the answers to these questions. We have also described the political and methodologic difficulties encountered in trying to answer them. If we are to achieve any real progress in serving those who need services, then we need to answer these and similar questions with well-designed research.



What Is Mental Health Services Research?

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National Institute of Mental Health: National plan for research on child and adolescent mental disorders. Rockville, MD: National Institute of Health, 1990.

Functions of Mental Health Services Research

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History of Services Research

Bickman L, Noser K, Summerfelt WT: Long term effects of a system of care on children and adolescents. J Behav Health Serv Res 1999;26:185. 

Bickman L, Summerfelt WT, Bryant D: The quality of services at the Fort Bragg Demonstration. J Ment Health Admin 1995;23:30.

Kessler RC et al: Lifetime and 12-month prevalence of diagnostic & statistical manual of mental disorders, 3rd edition, revised (DSM-III-R) psychiatric disorders in the United States: results from the National Comorbidity Study. Arch Gen Psychiatry 1994;51:8.

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Regler DA et al: The de-facto U.S. mental and addictive disorders service system: Epidemiologic Catchment Area prospective 1-year prevalence rate of disorders and services. Arch Gen Psychiatry 1993;50:85.

Rog DJ: Child and adolescent mental health services: Evaluation challenges. Pages 5–16 in: Bickman L, Rog DJ (editors): Evaluating Mental Health Service for Children. Jossey-Bass, 1992.

Stroul BA, Friedman RM: A system of care for severely emotionally disturbed children and youth. Georgetown University Child Development Center, CASSP Technical Assistance Center, 1986.

Current Issues & Findings in Mental Health Services Research

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Bickman L: Designing outcome evaluations for children’s mental health services: improving internal validity. New Directions for Program Evaluation 1992;54:57.

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Henggeler SW et al: The contribution of treatment outcome research to the reform of children’s mental health services: multisystemic therapy as an example. J Ment Health Admin 1994;21:229.

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Lambert MJ, Bergin AE: The effectiveness of psychotherapy. Pages 143–189 in: Bergin AE, Garfield SL (editors): Handbook of Psychotherapy and Behavior Change, 4th ed. John Wiley & Sons, 1994.

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Lipsey MW, Wilson DB: The efficacy of psychological, educational, and behavioral treatment: Confirmation from meta-analysis. Am Psychol, 1993;48:1181

Mechanic D, Schlesinger M, McAlpine DD: Management of mental health and substance abuse services: state of the art and early results. Milbank Q 1995;73:19.

Menninger KW: What is quality care? Am J Orthopsychiatry 1977;47:476.

Miller JJ: Managed care is harmful to outpatient mental health services: A call for accountability. Professional Psychology: Research and Practice 1996;27:349.

Nash D: Quality and utilization management: the cutting edge for 2000. Presentation at the American Managed Care and Review Associations Quality and Utilization Management Conference, Nashville, TN, October 1995.

Padgett DK et al: Ethnic differences in use of inpatient mental health services by blacks, whites, and Hispanics in a national insured population. Health Serv Res 1994; 29:135.

Salzer MS et al: Validating quality indicators: quality as a relationship between, structure, and outcome. Evaluation Review 1997;21:292.

Speer DC, Newman FL: Mental health services outcome evaluation. Clinical Psychology: Science and Practice 1996;3:105.

Summerfelt WT, Foster EM, Saunders RC: Mental health services in a children’s mental health managed care demonstration. J Ment Health Admin 1996;23:80.

Weisz JR et al: Effectiveness of psychotherapy with children and adolescents: a meta-analysis for clinicians. J Consult Clin Psychol 1987;55:542.

Weisz JR et al: The lab versus the clinics: effects of child and adolescent psychotherapy. Am Psychol 1992; 47:1578.

Weisz JR et al: Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. J Consult Clin Psychol 1995;63:688. 

Latest entries

  What Is Mental Health Services Research?

  Functions of Mental Health Services Research

  Child versus Adult Research

  History of Services Research

  Relevance to Psychiatry

  Current Issues & Findings in Mental Health Services Research

  Implications for Future Research

  Anxiety Disorders

  Eating Disorders

  Autistic Disorder

  Antisocial Personality Disorder


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