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publications ASSESSING AND ASSURING QUALITY IN COMMUNITY MENTAL HEALTH CENTERS
Stanley H. Werlin, Arthur B. Little, Inc. This 50-page publication consists of a single chapter extracted from a ùWorking Manual of Simple Program Evaluation Techniques for Community Mental Health Centers," a recently published NIMH publication by Hagedorn, Beck, Neubert, and Werlin. (See the Spring 1977 issue of Administration in Mental Health for a description of the complete publication). Since CMHCs must now plan and develop effective quality assurance programs to comply with a specific mandate in the CMHC Amendments of 1975 as weil as the guidelines for Professional Standards Review Organizations (PSRO), the chapter on quality assessment and assurance appeared to warrant publication in toto as a separate document. To date, most efforts toward assessing quality of mental health services are an outgrowth of the experience of the medical field and, consequently, have been oriented toward inpatient settings. Recently, however, some useful and simple ways to assess the quality of outpatient services in mental health settings have been developed. Where these are germane to CMHCs, they are also included in the publication. Conceptual issues, for example, the value of explicit criteria, confidentiality, reliance on client records, cost control, and education versus punishment, are touched on very briefly in the introduction. The remainder of the chapter is devoted to the techniques for admission certification for inpatient services, continued stay review, evaluating clinical care, profile analysis, retrospective chart audit, and outpatient review. A 30-item bibliography is included. Available from Dr. O. B. Towery, Division of Mental Health Service Prograrns, National Institute of Mental Health, 5600 Fishers Lane, Rockville, Md. 20857. 75
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Administration in Mental Health
SERVICES TO THE MENTALLY DISABLED OF SELECTED CATCHMENT AREAS IN EASTERN NEW YORK STATE AND NEW YORK CITY. SERVICES TO THE MENTALLY DISABLED OF WARREN-WASHINGTON CMHC CATCHMENT AREA Abbott S. Weinstein, Ann T. Hanley, Eugene A. Scott, and Robert L. Strode, New York State Department of Mental Hygiene NIMH Mental Health Statistics Analytical and Special Study Reports, Series B, Nos. 9 and 11. These two reports, along with a third devoted to the Metropolitan Hospital Community Mental Health Center catehment area (Series B, No. 10), are based on the project, "Changes in Patterns of Use of State Mental Hospitals and Other Health Services," conducted by the New York Stare Department of Mental Hygiene. The study was designed to present the first elements of an informational model that reflects the system of services to the mentally disabled of given geographie areas including, as far as possible, all of the agencies and facilities providing services to residents of the areas. This model is intended to provide an approach toward assessing the degree to which services are or are not provided to identifiable "high-risk" groups and other segments of the general population, info
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