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Related Experiment Videos

Doing the difficult and dangerous: the community program practice scale.

William A Hargreaves1, Jeanette M Jerrell, Suzanne Fares Lawless

  • 1Department of Psychiatry, University of California, San Francisco, CA 94941-4046, USA. billharg@comcast.net

Administration and Policy in Mental Health
|October 13, 2006
PubMed
Summary
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The Clinician and Patient Perspective Survey (CPPS) effectively measures mental health program practices and climate. Psychometric analyses confirm its reliability for distinguishing program types in research and clinical trials.

Area of Science:

  • Mental Health Services Research
  • Psychometrics
  • Program Evaluation

Background:

  • Nonresidential mental health programs require reliable measurement tools for evaluating practices and climate.
  • Existing tools may not adequately capture the nuances of program delivery and environment.

Purpose of the Study:

  • To psychometrically analyze the Clinician and Patient Perspective Survey (CPPS) for measuring practices and climate in nonresidential mental health programs.
  • To assess the CPPS's utility in distinguishing between different types of mental health programs.

Main Methods:

  • Psychometric analyses including confirmatory factor analysis and partial credit analysis were performed on data from 1,533 respondents across 165 programs.
  • Multiple discriminant analysis and K-means cluster analysis were used to evaluate the CPPS's ability to differentiate programs.

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Main Results:

  • The CPPS identified eight practice and five climate subscales, all demonstrating adequate psychometric properties.
  • Program practices were stronger predictors of program type (R² = .37–.52) than program climate (R² = .09–.23).
  • The CPPS effectively distinguished between program differences using multivariate analyses.

Conclusions:

  • The CPPS is a psychometrically sound and economical instrument for assessing program practices and climate.
  • The CPPS is a valuable tool for clinical trials comparing service programs and for program evaluation.