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Evaluating liaison program effectiveness: the use of unobtrusive measurement
International Journal of Psychiatry in Medicine
|January 1, 1977
Summary
This study proposes a developmental framework to evaluate liaison psychiatry programs. Analyzing housestaff assumptions reveals six levels of progress toward holistic patient care.
Area of Science:
- Psychiatry
- Healthcare Management
- Medical Education
Background:
- Liaison psychiatry integrates mental health into general medical settings.
- Effective liaison psychiatry requires non-reactive and developmental assessment tools.
- Understanding nonpsychiatric housestaff's implicit assumptions is crucial for effective patient care.
Purpose of the Study:
- To theorize four categories representing implicit working assumptions of nonpsychiatric housestaff.
- To illustrate how these assumptions evolve through six developmental levels.
- To propose a developmental scheme for evaluating liaison psychiatry program effectiveness.
Main Methods:
- Analysis of overt and latent assumptions in questions posed to liaison psychiatrists during patient care conferences.
- Development of a six-level model of assumption change.
- Utilizing changes in assumptions as criteria for program effectiveness.
Main Results:
- Four categories of implicit working assumptions were theorized for nonpsychiatric housestaff.
- A developmental progression through six levels of assumption complexity was demonstrated.
- Changes in assumptions correlate with progress toward holistic care.
Conclusions:
- The proposed developmental scheme offers a novel method for evaluating liaison psychiatry programs.
- Assessing shifts in housestaff assumptions can indicate program success and guide improvements.
- This framework supports the goal of enhancing holistic patient care through effective liaison psychiatry.