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The Program Environment Scale: assessing client perceptions of community-based programs for the severely mentally

M R Burt1, A E Duke, W A Hargreaves

  • 1Urban Institute, Washington, DC 20037, USA. mburt@ui.urban.org

American Journal of Community Psychology
|March 23, 1999
PubMed
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The Program Environment Scale (PES) assesses client perceptions of community mental health programs, measuring quality of life and program functioning. This validated tool helps researchers and practitioners understand and improve client experiences.

Area of Science:

  • Psychometric assessment
  • Community mental health
  • Quality of life research

Background:

  • Limited tools exist to assess client perceptions of community-based programs for severe mental illness.
  • Client perspectives are crucial for understanding program functioning and its impact on quality of life.

Purpose of the Study:

  • To develop and validate the Program Environment Scale (PES) for assessing client perceptions of community-based mental health programs.
  • To measure how program functioning influences clients' quality of life.

Main Methods:

  • The Program Environment Scale (PES) was developed and tested with clients in various community-based mental health programs across the U.S.
  • Psychometric criteria including internal consistency and discriminant validity were used to evaluate 24 subscales.

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  • Client characteristics did not influence subscale scores, indicating robust validity.

    • Main Results:

    • Twenty-four subscales demonstrated psychometric validity, covering program atmosphere, client empowerment, and service components.
    • The PES successfully differentiated between program models (e.g., Clubhouses, day treatment).
    • The final 97-item scale takes approximately 25 minutes to complete and is not influenced by client demographics.

    Conclusions:

    • The Program Environment Scale (PES) is a psychometrically sound instrument for measuring client perceptions of community-based mental health programs.
    • The PES can inform research on therapeutic outcomes and guide practitioners in enhancing client program experiences.
    • It provides valuable insights for aligning staff and client views on program effectiveness.