Factor Structure of the Mental Health Statistics Improvement Program (MHSIP) Family and Youth Satisfaction Surveys
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ndence to Alan B. Shafer, PhD, Decision Support, Mental Health and Substance Abuse Services Division, Texas Department of State Health Services, 909 West 45th St( Mail Code 2866, Austin, TX 78751, USA. Phone: +1-512-2065809; Fax: +1-512-2065833; Email: [email protected]( Email: [email protected]. Judith M. Temple, MSW, Texas Legislative Budget Board, Austin, TX, USA. Phone: +1-512-4630943; Fax: +1-5124752902; Email: [email protected]
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Journal of Behavioral Health Services & Research, 2013. 306–316. c 2013 National Council for Community Behavioral Healthcare. DOI 10.1007/s11414-013-9332-4
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The Journal of Behavioral Health Services & Research
40:3
July 2013
is conducted, most of it is locally reported and much of it is based on locally developed measures. There are a number of common methodological issues such as a failure to examine the psychometric characteristics of satisfaction surveys (reliability for example) and poor response rates to surveys. Assessing consumer satisfaction and perception of care has been an ongoing project sponsored by the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration.4 The Substance Abuse and Mental Health Services Administration funds part of states public mental health system. A condition of the funding is meeting performance criteria in a variety of domains specified in the National Outcome Measures (NOMS). This is an effort to accurately assess public mental health services at the national and state levels. A number of the NOMS reflect consumer experiences such as perceptions of care, access to services, and social connectedness. Several of these domains are measured, in conjunction with other indicators, by satisfaction surveys of adults, youth, and the family of youth receiving services. A task force was set out in 1993 to build on earlier work and to develop a report card for mental health services so that consumers could compare providers and services, and to establish national performance benchmarks.4–6 The task force consisted of local, state, and federal mental health agency representatives, mental health consumers, family members, advocates, and the National Association of State Mental Health Program Directors to assess the issues involved in assessing consumer satisfaction and perceptions of care. First, the task force defined the critical issues and areas. Second, through literature reviews, consumer focus groups, and workgroups, they identified concerns with specific domains and prioritized them. Rather than limiting the consumer survey to a global measure of satisfaction, the task force identified specific elements of mental health services essential to consumer satisfaction: access to services, the quality and appropriateness of services, and the outcomes of services. Through pilot testing in several states, and then regular use in many states, several versions of an Adult Consumer Satisfaction Survey containing 21, 28, or 40 items have been developed that assess these domains. Following
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