Inhalt: | In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks Cover; Title Page; Copyright; Preface; Contents; Summary; Acknowledgments; Abbreviations; I. Background; II. Goals and Approach; III. Methods; Interviewing Key Stakeholders; Developing Frameworks; Identifying Databases; IV. Evaluation Frameworks; Overall Approach Framework; Figure 4.1 An Approach to Understanding the Impact of Statewide Prevention and Early Intervention Funding; Outcome-Specific Frameworks; Figure 4.2 Suicide-Prevention Framework; Figure 4.3 Reduced-Suffering Framework; V. Data Sources and Measures Specifications; VI. Analytic Approaches to Evaluating the Impact of PEI Time-Trend Analysis of Observational Data (Before-and-After Design)Difference-in-Differences Design; Table 6.1 An Illustration of the Difference-in-Differences Design: Suicide Rates (%); Synthetic Control Method; Using Descriptive Statistics for Inference; VII. Conclusions; Usefulness of the Evaluation Framework; Applying the Framework to the Broader Evaluation of the Mental Health Services Act; Data Development; Other Important Evaluation Issues; Next Steps; A. Framework Logic Models; B. Database Descriptions; C. Measures Descriptions; D. Technical Approach In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks |
