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Toward Evaluation in Public Services: Getting Past the Barriers.

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Barriers to evaluating public mental health programs are common. This study examines common "reasons not to" evaluate, facilitating future program evaluation research.

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Area of Science:

  • Public Health
  • Program Evaluation
  • Mental Health Services Research

Background:

  • Evaluating public programs, particularly in mental health, faces significant obstacles.
  • Commonly cited barriers include regulatory concerns (HIPAA, IRB), perceived expertise, and resource limitations.

Purpose of the Study:

  • To identify and analyze the frequently encountered "reasons not to" conduct program evaluations.
  • To explore the underlying values that support these barriers.
  • To propose strategies for overcoming these impediments to evaluation research.

Main Methods:

  • Qualitative analysis of stated reasons for not conducting evaluations.
  • Examination of the values and assumptions underpinning these reasons.
  • Development of potential counter-arguments and facilitators for evaluation.

Main Results:

  • Categorization of common barriers into distinct themes (e.g., regulatory, knowledge-based, resource-based).
  • Identification of the implicit values (e.g., efficiency, certainty) that justify these barriers.
  • Outline of potential strategies to address each category of barrier.

Conclusions:

  • Understanding the "reasons not to" is crucial for advancing program evaluation.
  • Addressing these barriers requires acknowledging underlying values and developing tailored responses.
  • Facilitating evaluation research can improve the effectiveness of public mental health initiatives.