Mental Health Outcome Evaluation bridges the gap between traditional research and evaluation methods by presenting an alternative to the highly technical and statistical methods developed in the laboratory for mental health care professionals. It focuses on outcome evaluation of mental health services for adults, concentrating on the general principles that can be used to assess the service effectiveness of community health centers, clinics, and private practices. The book presents a formidable argument for descriptive outcome studies through its evaluation of the results and consequences of care and treatment as well as clinician ratings. It is written in a non-technical style, making it accessible to anyone in the mental health industry.
Key Features
* Addresses industry efforts to monitor and assess information about results and consequences of mental health care and treatment
* Evaluates use of clinician ratings as outcome information
* Offers accessible general principles for managers and mental health services researchers
* Presents the best argument for descriptive outcome studies

After World War II, Sweden led the Western world in social programs. By the 1970s it was considered a model of the successful welfare state, providing a broader and more elaborate system of social programs and security to more people than any other country, the centerpiece of which was its health care system. As Twaddle explains, however, by 1990 there was a significant shift in Sweden's health policy debates.

Instead of speaking about the medical care system in terms of effectiveness, solidarity, and public planning, the discussions grew focused on competition, markets, and privatization, taking on more of the characteristics of the U.S. system. Twaddle explores the nature of the proposed changes in medical care, the context in which those changes were being proposed, and the steps that were taken to implement change. He concludes that the problem of market- oriented reforms in health care seems to be almost universal.

The Juran Prescription surveys the breadth of knowledge and skills and identifies the practical steps needed if clinicians are to build quality programs that are tailored to their individual organizations. Based on the highly effective management techniques of renowned Dr. Joseph Juran, this book outlines management strategies and techniques that transform health care organizations. The author examines the principle at the heart of Juran's teachings - total quality management - as reflected in such impressive management innovations as outcomes measurement, guidelines for practice, reengineering, and patient-focused care. The Juran Prescription is a comprehensive primer written for physicians, administrators, managers, and other health care personnel who play a leadership role in today's highly complex and competitive environment.

During emergency situations, society relies upon the efficient response time and effective services of emergency facilities that include fire departments, law enforcement, search and rescue, and emergency medical services (EMS). As such, it is imperative that emergency crews are outfitted with technologies that can cut response time and can also predict where such events may occur and prevent them from happening. The safety of first responders is also of paramount concern. New tools can be implemented to map areas of vulnerability for emergency responders, and new strategies can be devised in their training to ensure that they are conditioned to respond efficiently to an emergency and also conscious of best safety protocols. Improving the Safety and Efficiency of Emergency Services: Emerging Tools and Technologies for First Responders addresses the latest tools that can support first responders in their ultimate goal: delivering their patients to safety. It also explores how new techniques and devices can support first responders in their work by addressing their safety, alerting them to accidents in real time, connecting them with medical experts to improve the chances of survival of critical patients, predicting criminal and terrorist activity, locating missing persons, and allocating resources. Highlighting a range of topics such as crisis management, medical/fire emergency warning systems, and predictive policing technologies, this publication is an ideal reference source for law enforcement, emergency professionals, medical professionals, EMTs, fire departments, government officials, policymakers, IT consultants, technology developers, academicians, researchers, and students.

Written by a pediatrician for pediatric clinicians on the front line in response to the ever increasing obligations they acquire for the well being of children, this book focuses on the potential of health care to impact the social morbidities that affect children's health. Dr. Rushton does not suggest that child health practitioners must do more, but rather they must reorient their efforts in order to achieve optimal outcomes for children. As specialists in child health, pediatric clinicians have skills they can utilize to ensure better outcomes for children, but doing so will require a reorganization of health supervision and the establishment of links with other social services. Group visits, psychosocial screening, school health, public-private partnerships, home visitation, parent-child centers, and use of auxiliary anticipatory guidance specialists are all tools described in the development of a coordinated, community-based, family-centered approach to pediatric health care supervision. This is a book for private practitioners, community health professionals, academicians who support them, and all those others who want to ensure that our children are nurtured by the child health care system. The crux of this book is to provide a template for thoughtful consideration by the thousands of pediatric providers who care deeply about their profession.

Emergency Response to Domestic Terrorism analyzes the emergency response to the bombing of the Alfred P. Murrah Federal Building in Oklahoma City on April 19, 1995.
Terrorism is a complex threat, and the American government is expected to deter or intervene in every attack. For that reason, the government must be better prepared to respond to acts of terror. One critical element is to understand what constitutes an "effective response."
To answer this key question, the author examined the existing literature and interviewed thirty-one elite participants in the emergency response to the bombing. The result is a unique qualitative case study that analyzes the response efforts undertaken after the bombing to draw conclusions about their relative success or failure.
Emergency Response to Domestic Terrorism looks at the nature and interrelationship of bureaucratic structures involved in the response, the organizational networking between the response bureaucracy, and the impact of bureaucratic culture on the response.
The work contributes to the existing literatures in both emergency response and bureaucracy. First, theoretical arguments about bureaucracies and their function are put to the test as they are applied to a specific crisis situation. Second, interview materials with key individuals who were on the scene of this American terrorist disaster are provided. Third, the emergency response literature is examined to determine whether the Oklahoma City bombing exhibited the anticipated response challenges. In addition, the work provides insights into the extent to which response communities are familiar with federal response guidelines. The overall results of the study are applicable to emergency response to terrorist incidents and to natural disasters.
By bringing together the academic and the practical aspects of emergency response, the work will appeal to students, practitioners, and policymakers. Further, it will foster better understanding of public policy and public administration in general.

In addition to advising judicial decision-makers by assessing such issues as pre-trial competency, insanity, and dangerousness, mental health professionals working in criminal justice system settings manage and treat mentally ill and substance abusing offenders on a daily basis. This work may involve either institutional treatments or community-based programs. The purpose of this bibliography is to collect the professional literature from numerous disciplines, including psychology, psychiatry, nursing, education, and social work, that addresses the theoretical, empirical, and practice-related issues encountered by mental health researchers and practitioners in developing and providing services to mentally ill and substance abusing offenders in criminal justice system settings. There are over 1250 annotated citations and author and subject indexes to facilitate access to the resources listed.

This book is a thorough, balanced, and insightful study of the present status and future direction of health care economics and its far-reaching ramifications. Health Economics provides exhaustive analyses of such major issues as cost-benefit, cost-effectiveness, quality enhancement, and technology assessment.

Part One presents a basic overview of cost analysis, production functions, and provider cost behavior. Part Two considers economic models of physicians and hospital behavior, and recent changes in methods for paying physicians. Part Three focuses on employee cost sharing, HMOs, gatekeepers to contain utilization, and the use of case managers in long-term care. Part four looks at equity, social welfare, and the unique problems of urban medical centers. Part Five focuses on consumer information, quality measurement, and health manpower policies for nonphysician providers. Cost-effectiveness and cost-benefit analysis is reviewed in Part Six. The last part summarizes major future policy options and suggests a number of mixed strategies, including capitation. In short, "Health EconomicS" provides policy makers, health care providers, and students with the analytical tools needed to effectively balance efficiency and quality.

More than ever before, ethnic struggle finds expression in the growing incidence and scale of displaced persons and refugee flows, as well as in exacerbated levels of ethnic minority abuse and involuntary assimilation. Demographic and political sources of instability in multi-ethnic societies assure the continuing significance of ethnic strife and the potential for intrastate ethnic violence far into the next millennium. While not all disagreements between ethnic groups can be expected to escalate into violence, more than a few have produced intractable and destructive conflicts, and one or more of these conflicts could ultimately reach levels that overwhelm international resources and capabilities.

Carment and Harvey examine how regional and international security organizations can prevent destructive ethnic conflict and manage cases in which violence already is at hand. First they develop a conceptual framework for advancing basic research on the prevention and management of intrastate ethnic violence. They evaluate theoretical knowledge about the nature of ethnic conflict, using case material and quantitative assessments, and they apply these assumptions against recent instances of conflict management through an in-depth study of NATO's involvement in Kosovo and Bosnia. This book serves as an important research tool for students, scholars, and policy makers involved with ethnic conflict and international relations.

During the 1980's, many Americans participated directly and indirectly in the drama and tragedy of major catastrophes, from volcanic eruptions to air crashes, closing the decade with the devastating Exxon Valdez oil spill, Hurricane Hugo, and the San Francisco earthquake. The objective of this volume is to examine how we have addressed some of the major hazards and, to the extent possible, assess the effectiveness of these efforts. This volume inventories and evaluates the major programs and policies designed to deal with the most common and destructive natural and man-made disasters, dividing them into four categories: mitigation, preparedness, response, and recovery. Disaster-types included in the handbook are earthquakes, volcanoes, hurricanes, floods, tornadoes, fires, droughts, hazardous materials accidents, nuclear facility accidents, structural failures, and transportation accidents. Following the analyses of specific disaster-types, the book considers the utility of all-hazard programs, such as the Federal Emergency Management Agency's Integrated Emergency Management System and documents the status of present emergency management efforts in the United States. A list of emergency management organizations is also included.

Each disaster-type is evaluated in terms of the frequency of occurrence, potential for property loss and human casualties, predictability of events, and the history of such disasters in the United States. In addition to analyzing the disasters themselves, the book outlines the development of emergency management efforts by federal, state, and local governments; the major problems in designing policy to respond to the specific risks and hazards, as well as some of the major policy alternatives. The analyses address questions of issue salience, levels of program funding, and technical problems. Due to the wide variety of responses at the state and local levels, the primary focus is on federal emergency management program. This book will serve students, officials, and academic researchers by providing an overview of the major emergency management program areas. The addition of graphs, tables, and maps will assist nonspecialists in understanding the nature of the disasters and risks being discussed.

McGuire and Anderson bring the findings of the behavioral biology of group cooperation to bear on the vexatious problem of healthcare reform. One of the few certainties that we have is that the approach of the last 50 years--arguments between advocates of government or private insurance--has led to intractable gridlock. It is thus necessary to ask whether the initial assumptions buried within this controversy might have fatal flaws. In the authors' views, they do. Our modern society would never tolerate funding of any other necessity or convenience by such clumsy methods. In short, McGuire and Anderson contend we must pay for healthcare the way we pay for food, housing, clothing, and transportation.

McGuire and Anderson begin by examining the flaws embedded in each side of the current debate. They offer ten postulates around which any successful system must be devised, and identify the problems from the perspective of patients, professionals, and public and private insurance providers. Finally, they apply the knowledge of the biology of human behavior to the problem of enhancing group cooperation toward a self-correcting system, which avoids the current major pitfalls. A workable system, they contend, will be one that is compatible with human nature; not a perfect system, but better than we have, and more likely to work than competing theoretical constructs.

Effective communication is the key to encouraging healthy behavior. Documenting a revolution in both theory and practice, Johns Hopkins University experts show that communication leads the way to healthy reproductive health and family planning behavior. They explain why communication makes so much difference and how communication programs can be made to work. This book presents a compilation of lessons learned by the Johns Hopkins Center for Communication Programs and its partners over 15 years of developing and implementing family planning communication projects campaigns in Africa, Asia, Latin America, and the Near East. An introductory essay provides an overview of family planning and communication worldwide and outlines the role of theory-based communication programs. The main part of the book presents lessons learned in the field about the process of designing and carrying out family planning communication projects. More than 60 lessons are presented, with descriptions and analysis of projects illustrating each lesson. A final essay explores the current and future challenges confronting family planning educators and other public health communicators.

This data-rich work examines today's most compelling and controversial public health issues, including alcohol and drug abuse, AIDS, abortion, black and infant mortality, drug-affected babies, child abuse, teenage pregnancy, and cigarette smoking. Hammerle's theme is that individual behavioral choices often have far-reaching and costly effects. When practiced by large numbers of people, the human and fiscal costs can be monumental, taxing virtually all of our social systems as well as our financial resources. Hammerle enumerates these costs and, employing economic analytical tools, recommends public policies that will reduce the incidence of such behavior or otherwise reduce its social cost. Some recommendations are outside the mainstream, but all are well substantiated and soundly argued.

This volume will be of great interest to academics, practitioners, and policy-makers in the fields of public health, health care administration, public policy, child protection, and family planning. The work will also interest economists and sociologists in the field of social welfare, as well as lay persons who are concerned about these timely public health issues.

Medicaid is the primary means for providing medical care to the nation's indigent and disabled populations. Almost 13 percent of all Americans received some form of medical coverage, such as physician services or long-term care, through Medicaid in the early 1990s. The costs continue to rise dramatically, and state governments have become alarmed by the growing share of their budgets that Medicaid consumes.

Daniels and his contributors present the efforts of 16 states to reform their Medicaid programs through a system of managed care--programs that seek to control or manage the use by patients of physicians and other heath care services. They present an overview of the inconsistency and paradox of American health care, pointing to the ways each state's unique political and economic variables give rise to individually stylized approaches to the delivery of Medicaid services. The most comprehensive look at state efforts in Medicaid reform, the book will be an invaluable resource for scholars and researchers in the fields of public and health administration, for practitioners, and for policymakers.

This book examines the relationship between development economics, social protection and democratization in the specific context of Sub-Saharan Africa. Moving existing theories of transformation into a new terrain, it sheds light on the exclusive origins of dictatorship and democracy. The book explains how development, social protection and democracy-enhancing policies have been produced by existing institutional frameworks and contingent responses to emergency events, and that these have themselves been shaped by the actions of actors and by their embeddedness in the surrounding political, economic, cultural and social environment. The book also draws attention to the most relevant institutional and social mechanisms, with associated elite strategies and power politics relations in the creation of politically-induced conflicts. In doing so, it highlights the important role of welfare institutions in the reduction and reproduction of vertical and horizontal inequalities as well as their repercussion in the emergence of social conflicts.

OSHA (29 CFR 1910.119) has recognized AIChE/DIERS two-phase flow publications as examples of "good engineering practice" for process safety management of highly hazardous materials. The prediction of when two-phase flow venting will occur, and the applicability of various sizing methods for two-phase vapor-liquid flashing flow, is of particular interest when designing emergency relief systems to handle runaway reactions. This comprehensive sourcebook brings together a wealth of information on methods that can be used to safely size emergency relief systems for two-phase vapor-liquid flow for flashing or frozen, viscous or nonviscous fluids. Design methodologies are illustrated by selected sample problems. Written by industrial experts in the safety field, this book will be invaluable to those charged with operating, designing, or managing today's and tomorrow's chemical process industry facilities.

This book sets out to develop a new framework for the analysis and understanding of large natural disasters occurring in developing countries in the last three decades, and their effects on the economy and society. In doing so, it challenges many of the accepted wisdoms of disaster theory upon which policy prescriptions are built. A number of important issues are addressed and analysed within this framework. The reliability of current statistics about disasters is questioned, and the effects of disaster situations on the main economic aggregates are examined. The author also looks at the importance of indirect disaster effects, the motivations of disaster response, and the impact of both capital loss and disaster response on output. He assesses the minimum level of additional investment required to secure a balanced recovery, and the extent to which a society's structure and dynamics determine people's vulnerability to disasters. Finally, the overall effects of disaster situations on economy and society are considered. The author concludes that although disasters are primarily a problem of development, they are not necessarily a problem for development. What we should be looking at are the underlying social and economic processes within developing countries which structure the impact of natural disasters, rather than at disasters as unforeseen events requiring large scale intervention. An important feature of the book is the deconstruction of the notion of disaster. Disasters, the author points out, cannot be analysed in isolation from the particular social and political setting in which they occur.

One of the most urgent issues facing the United States today is how to establish a comprehensive health insurance program at a time when nearly one in seven Americans lack insurance and costs for health care and medical fees are increasing at about 20 percent annually. An interdisciplinary team of experts provides a unique overview of the most important current problems and speaks to the key questions of risk, allocation, and equity. This text is designed for college, university, and professional courses in health and medical policy, public policy, public administration, law and society, bioethics, nursing, science and technology, and hospital administration. This public policy study offers a general framework for assessing health insurance from many vantage points, in terms of health policy impacts, the care of the needy, health insurance implementation, and prevention and risk. Chapters assess various national health insurance proposals, current congressional action and Medicare decisions, the social impacts of health insurance policy, coverage for displaced workers, the uninsured and hospital care in the inner city, charity care and community benefits, insuring high-risk persons, preventive health care screening for older women, and medical malpractice insurance, among other subjects. These analyses with real-life examples provide a solid introduction to all who want to understand health insurance and public policy issues today.

Fighting an Invisible Enemy narrates the founding and growth of the internationally. renowned National Institute for Communicable Diseases (NICD) in South Africa, from its foundations in the early twentieth century as the South African Institute for Medical Research to, later, the National Institute for Virology. It started humbly, as did many of its sister public health institutions around the world, and faced daunting obstacles: financial restrictions, bureaucratic straitjacketing, international isolation during the apartheid era and, in later years, the calumny of governmental AIDS denial. Following the triumph of the eradication of the once dreaded smallpox, the NICD plays a crucial role in the ongoing global effort to eradicate polio. While South Africa carries the misfortune of the largest HIV/AIDS pandemic in the world, the institute's HIV research unit has become a world leader.

More remote from public notice are the laboratories and epidemiologists supporting the constant surveillance of communicable diseases and the alerts they provide for impending outbreaks or pandemics, such as Ebola or the Covid-19 pandemic.

The NICD is a flagship organisation in public health in South Africa and this book, by its first executive director and internationally recognised virologist Dr Barry Schoub, paints a vivid portrait of its accomplishments. Enhanced by a collection of images of its projects and facilities, the bookwill be of interest to public health specialists and activists, as well as a more general audience.

Medicine and Money: A Study of the Role of Beneficence in Health Care Cost Containment is a frank discussion of the moral problems associated with the need to control health care costs. The book provides a base for physicians to address these concerns and examines the events leading to America's current health care crisis, diminishing beneficence. After a brief definition of the problem, Frank H. Marsh and Mark Yarborough continue by describing the threat of cost containment and justifying beneficence-based health care system. Special importance is given to Medicine and Money by the lengthy suggestions on implementing beneficence in the health care system. Marsh and Yarborough address the problem of eroding morality and rising cost concerns of our present health care system. They argue that if the central role of beneficence is abandoned, the medical profession will be unable to properly meet the challenge it faces. Medicine and Money divides its argument into two sections. In the first section, the current crisis in health care is examined and a justification for beneficence is given. The second section describes how beneficence can be implemented in the health care system as a means to control health care costs. Medicine and Money is written for every member of the medical and philosophical communities.

This text examines the impact of a crisis - big or small - and the threat of negative publicity to corporate reputation. Arguing that most companies have no crisis management plans and hope that disaster will never strike, the author of this book theorizes that consumerism, legislation, environmentalism, pressure groups and investigative media all necessitate the development of a crisis communications plan. The book shows how a crisis can be managed effectively or even turned to advantage through publicity giving the company's reputation a long term boost.;Case studies examine the activities of six companies facing crises and the lessons to be learned from their approaches. Checklists are included as a quick reference for the practising PR professional.