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Historical Trends in Quality Assurance for Mental Health Services

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Handbook of Quality Assurance in Mental Health

Abstract

Concerns about the quality of health services are as old as the healing professions. The modern concept of quality assurance, however, evolved in the twentieth century, chiefly in the United States,1 and has had lasting effects on the mental-healthcare delivery system. For example, the demands for accountability that quality assurance entails have stimulated a greater concern with the reliability and validity of mental health diagnoses and of measures of outcome. Similarly, the concept of peer review has stimulated reconsideration of the therapist- client (doctor-patient) relationship and the limits of confidentiality. Further, the difficulties inherent in instituting effective peer review have been cited as a partial justification for the current trends toward decreasing the insurance coverage of mental health services. And finally, quality assurance legislation has played a significant role in the developing conflict between mental health provider groups.

This project has been funded, at least in part, with federal funds from the U.S. Department of Health and Human Services under Grant No. 016B80. The contents of this publication do not necessarily reflect the views or policies of the U.S. Department of Health and Human Services nor does mention of trade names, commercial products, or organizations imply endorsements by the U.S. government.

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References

  • Advisory Panel on Psychotherapy. (1980). The implications of cost effectiveness of medical technology: Back-round paper 3—The efficacy and cost effectiveness of psychotherapy. Washington, DC: Office of Technology Assessment.

    Google Scholar 

  • Affeldt, J.E., Roberts, J.S., & Walczak, R.M. (1983). Quality assurance—Its origin, status, and future direction—A JCAH perspective. Evaluation and Health Professions, 7, 45–255.

    Google Scholar 

  • Albee, G. W., & Kessler, M. (1977). Evaluating individual deliverers: Private practice and professional standards review organizations. Professional Psychology, 8, 502–515.

    Article  Google Scholar 

  • Allen, M.G. (1979). Peer review of group therapy: Washington, D.C., 1972-1977. American Journal of Psychiatry, 136, 444-447.

    Google Scholar 

  • Altman, H., Evansen, R.C., Sletten, A., et al.(1972). Patterns of psychotropic drug prescribing in four mid-western state hospitals. Current Therapeutic Research, 14, 667–672.

    PubMed  Google Scholar 

  • American Psychiatric Association Commission on Psychotherapies (1982). Psychiatnc research— Methodological and efficacy issues, Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychological Association. (1986, January). A summary of state laws regulating psychological practice through licensure or certification. Washington, DC: Author.

    Google Scholar 

  • Anderson, O.W., & Shields, M.C. (1982) Quality measurement and control in physician decision making: State of the art. Health Services Research, 17, 125–155.

    PubMed  Google Scholar 

  • Baker, F. (1983) Data sources for the health care quality evaluation. Evaluation and the Health Profession, 6, 263–281.

    Article  Google Scholar 

  • Baker, R., & Tversky, R.K. (1977). Classification and coding of psychosocial problems in family medicine, Journal of Family Practice, 4, 88–89.

    Google Scholar 

  • Beck, A.T., Ward, C.H., Mendelson, M., Moek, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  PubMed  Google Scholar 

  • Bent, R.J. (1982) Multidimensional model for control of private information. Professional Psychology, 13, 27–33.

    Article  Google Scholar 

  • Berg, J.K., & Kelly, J.T. (1980). Psychosocial health care and quality assurance activities. Journal of Family Practice, 11, 641–643.

    PubMed  Google Scholar 

  • Brook, R.H., Kamberg, C.J., & Lohr, K.N. (1982). Quality assessment in mental health. Professional Psychology, 13, 34–39.

    Article  Google Scholar 

  • Brown, C., Jr., & Uhl, H. (1970). Mandatory continuing education, sense or nonsense? Journal of American Medical Association, 213, 1660–1668.

    Article  Google Scholar 

  • Chodoff, P. (1978). Psychiatry and the fiscal third party. American Journal of Psychiatry, 135, 114–1147.

    Google Scholar 

  • Ciarlo, J.A. (1982). Accountability revisited—The arrival of client outcome evaluation. Evaluation and Program Planning, 5, 31–36.

    Article  PubMed  Google Scholar 

  • Claiborn, W.L., & Stricker, G. (1979). Professional standards review organizations, peer review, and CHAMPUS. Professional Psychology, 10, 631–639.

    Article  Google Scholar 

  • Clayton, T. (1976). Peer review: A progress report. Hospital and Community Psychiatry, 27, 660–663.

    Google Scholar 

  • Cohen, L.H., & Pizzirusso, D. (1982). Peer review of psychodynamic psychotherapy: Experimental studies of the American Psychological Association/CHAMPUS program. Evaluation and the Health Professions, 5, 415–439.

    Article  PubMed  Google Scholar 

  • Cohen, L.H., & Stricker, G. (1983). Mental health quality assurance: Development of the American Psychological Association/CHAMPUS program. Evaluation and the Health Professions, 6, 327–338.

    Article  PubMed  Google Scholar 

  • Committee on Nomenclature and Statistics. (1980). Diagnostic and statistical manual of mental disorders, (3rd ed.) Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Cooper, M.L. (1979). Private health insurance benefits for alchoholism, drug abuse, and mental illness.Washington, DC: Intergovernmental Health Policy Project, George Washington University.

    Google Scholar 

  • Crosby, K.G. (1982). Accreditation and associated quality assurance efforts. Professional Psychology, 13, 132–140.

    Article  Google Scholar 

  • Demlo, L.K. (1983). Assessing quality of health care—An overview. Evaluation and the Health Professions, 6, 161–196.

    Article  PubMed  Google Scholar 

  • Diamond, H., Tislow, R., Snyder, T., Jr., & Rickeis, K. (1976). Peer review of prescribing patterns in a CMHC. American Journal Psychiatry, 133, 697–699.

    Google Scholar 

  • DiMascio, A., Weissman, M.M., Prusoff, B.A., et al.(1979). Differential symptom reduction by drugs and psychotherapy in acute depression. Archives of General Psychiatry, 36, 1450–1456.

    Article  PubMed  Google Scholar 

  • Donabedian, A. (1969) A guide to medical care administration, medical care appraisal. New York: American Public Health Association.

    Google Scholar 

  • Donabedian, A. (1978). Needed research in the assessment and monitoring of the quality of medical care, (Research Report Series). Hyattsville, MD: U.S. Department of Health, Education, and Welfare, National Center for Health Services Research.

    Google Scholar 

  • Donabedian, A. (1980). Explorations in quality assessment and monitoring: The definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press.

    Google Scholar 

  • Donaldson, M.J., & Keith, K.J. (1983). Planning for program effectiveness in quality assurance. Evaluation and the Health Professions, 6, 233–244.

    Article  PubMed  Google Scholar 

  • Dorken, H., & Morrison, D. (1976). JCAH standards for accreditation of psychiatric facilities—Implications for the practice of clinical psychology. American Psychologist, 31, 774–784.

    Article  PubMed  Google Scholar 

  • Dorsey, R. (1974). PSROs: Salvation or suicide for psychiatry? Psychiatric Opinion, 11, 6–12.

    Google Scholar 

  • Dorsey, R., Ayd, F.J., Cale, J., Klein, D., Simpson, G., Turin, J., & DiMascio, A. (1979). Psychopharmacological screening criteria development project. Journal of American Medical Association, 241, 1021–1031.

    Article  Google Scholar 

  • Eastaugh, S.R. (1980). Limitations on quality assurance effectiveness—Improving psychiatric inpatient drug prescribing habits of physicians. Journal of Medical Systems, 4, 27–43.

    Article  PubMed  Google Scholar 

  • Edelstein, M.G. (1976). Psychiatric peer review: A working model. Hospital and Community Psychiatry, 27, 656–659.

    Google Scholar 

  • Ellenberger, H.F. (1974). Psychiatry from ancient to modern times. In A. Arieti (Ed.), American handbook of psychiatry (2nd Ed.): Vol. 1. The foundation of psychiatry. New York: Basic Books.

    Google Scholar 

  • Fleisher, D.S., Brown, C.R., Jr., Zeleznik, C., Escovitz, G.H., & Omdal, C. (1976). The mandate project: Institutionalizing a system of patient care quality assurance. Pediatrics, 57, 775–782.

    PubMed  Google Scholar 

  • Flexner, A. (1910). Medical education in the United States and Canada. New York: Carnegie Foundation.

    Google Scholar 

  • Fowler, D.R. (1977). Current practice in psychiatric utilization review. International Journal of Mental Health, 5, 49–57.

    Google Scholar 

  • Garfield, S.L., & Bergin, A.E. (Eds.). (1978). Handbook of psychotherapy and behavior change: An empirical analysis (2nd ed.). New York: Wiley.

    Google Scholar 

  • Getzen, T.E. (1983). Market and evaluation roles in quality assurance. Evaluation and the Health Professions, 6, 299–310.

    Article  PubMed  Google Scholar 

  • Goldberg, D., Kay, C., & Thompson, L. (1976). Psychiatric morbidity in general practice and the community. Psychological Medicine, 6, 565–567.

    Article  PubMed  Google Scholar 

  • Goldblatt, P.B., Bauer, L.P., Garrison, V., Heinsz, J.E., & Malcolm-Laves, M. (1973). A chart-review checklist for utilization review in a community mental health center. Hospital and Community Psychiatry, 24, 753–756.

    PubMed  Google Scholar 

  • Greenblatt, M. (1975). PSRO and peer review: Problems and opportunities. Hospital and Community Psychiatry, 26, 354–358.

    PubMed  Google Scholar 

  • Gullick, E.L., & King, L.J. (1979). Appropriateness of drugs prescribed by primary care physicians for depressed outpatients. Journal of Affective Disorders, 1, 55–58.

    Article  PubMed  Google Scholar 

  • Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278–296.

    Article  PubMed  Google Scholar 

  • Hankin, J.R. (1980). Management of emotionally disturbed patients in primary care settings: A review of the north american literature. In Mental health services in primary care settings(Mental Health Services Reports, U.S. Department of HHS, Series DN No. 2., DHHS Publication No. ADM 80-995). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Hankin, J., & Oktay, J.S. (1979). Mental disorder and primary medical care and analytical review of the literature.(National Institute of Mental Health, Series D, No. 5., DHEW Publication No. ADM 78-661). Washington, DC: U.S. Governmental Printing Office.

    Google Scholar 

  • Hartmann, K., Allison, J., & Hartig, P. (1979). Measuring prescribing practices in a state hospital. Hospital and Community Psychiatry, 30, 467–469.

    PubMed  Google Scholar 

  • Hasday, J.D., & Karch, F.E. (1981). Benzodiazepine prescibing practices in a family medicine center. Journal of the American Medical Association, 246, 1321–1325.

    Article  PubMed  Google Scholar 

  • Health care financing administration professional standards review organizations—1978 program evaluation.(1979). Washington, DC: Office of Policy Planning and Research, Department of Health, Education, and Welfare.

    Google Scholar 

  • Health Insurance Institute. (1979). Source book of health insurance data, 1978-1979. Washington, DC: Author.

    Google Scholar 

  • Henisz, J., Goldblatt, P.B., Flynn, H.R., & Garrison, V. (1974). A comparison of three approaches to patient care appraisal based on chart review. American Journal of Psychiatry, 131, 1142–1144.

    PubMed  Google Scholar 

  • Hoeper, E.W., Nycz, G.R., Cleary, P.D., et al.(1979). Estimated prevalence of RDC mental disorder in primary medical care. International Journal of Mental Health, 8, 6–15.

    Google Scholar 

  • Johnson, D.A.W. (1973). Treatment of depression in general practice. British Medical Journal, 2, 18–20.

    Article  PubMed  Google Scholar 

  • Johnson, D.A.W. (1974). A study of the use of antidepressant medication in general practice. British Journal of Psychiatry, 125, 186–192.

    Article  PubMed  Google Scholar 

  • Kahn, T.J., & Berger, S.S. (1980). Quality assurance for alcohol, drug abuse, and mental health services: An annotated bibligraphy of recent literature. Washington, DC: Department of Health, Education, and Welfare.

    Google Scholar 

  • Kelman, H.C., & Parioff, M.B. (1957). Interrelations among three criteria of improvement in group therapy: Comfort, effectiveness and self-awareness. Journal of Abnormal and Social Psychology, 54, 281–288.

    Article  Google Scholar 

  • Kierman, G.L., & Schecter, G. (1982). Drugs and psychotherapy. In E.S. Paykel (Ed.), Handbook of affective disorders. New York: Guilford Press.

    Google Scholar 

  • Lang, N.M., & Clinton, J.F. (1983). Assessment and assurance of the quality of nursing care⁊ selected overview. Evaluation and the Health Professions, 6, 211–231.

    Article  PubMed  Google Scholar 

  • Langsley, D.G. (1980). Quality assurance in psychiatric treatment. National Association of Private Psychiatric Hospitals Journal 11, 13–17.

    Google Scholar 

  • Linn, M.W., & Linn, B.S. (1975). Narrowing the gap between medical and mental health evaluation. Medical Care, 13, 607–614.

    Article  PubMed  Google Scholar 

  • Liptzin, B., Regier, D.A., & Goldberg, I.D. (1980). Utilization of health and mental health services in a large insured population. American Journal of Psychiatry, 137, 553–558.

    PubMed  Google Scholar 

  • Longabaugh, R., Fowler, D.R., Hostetler, M., McMahon, C., & Sullivan, C. (1978). Use of the problem-oriented record in a proposed evaluation study of social isolation. Quality Review Bulletin, 4, 4–7.

    PubMed  Google Scholar 

  • Luft, L.L., Sampson, L.M., & Newman, D. (1976). Effects of peer review on outpatient psychotherapy: Therapist and patient follow-up survey. American Journal of Psychiatry, 133, 891–895.

    PubMed  Google Scholar 

  • Maguire, L. (1978). Peer review in community mental health. Community Mental Work Journal, 14, 190–198.

    Article  Google Scholar 

  • McGuire, T.G., & Weisbrod, B.A. (Eds.). (1981). Economics and mental health(National Institute of Mental Health, Series EN No. 1., DHHS Publications No. ADM 81-1114). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Michel, K., & Kolakowska, T. (1981). A survey of prescribing psychotropic drugs in two psychiatric hospitals. British Journal of Psychiatry, 138, 217–221.

    Article  PubMed  Google Scholar 

  • Miller, R.R., Black, G.C., Entel, P.Y., & Ogram, G.F. (1974). Psychiatric peer review: The Ohio system. American Journal of Psychiatry, 131, 1367–1370.

    PubMed  Google Scholar 

  • Morrison, S.D. (1977). Retrospective audit: Depressive neurosis. American Journal of Psychiatry, 134, 299–301.

    PubMed  Google Scholar 

  • Murphy, J.J. (1980). Psychiatric instrument development for primary care research: Patient self-report questionnaire(Final Report for Contract No. 80MOI4280I OID). Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • National Institute of Mental Health. (1974). Continuing education in mental health: Project summaries(DHEW Publication No. HSM 73-9126).

    Google Scholar 

  • Palmer, R.H., & Nelson, H.R. (1982). A review of methods for ambulatory medical care evaluations. Medical Care, 20, 758–781.

    Article  PubMed  Google Scholar 

  • Paykel, E.S. (Ed). Handbook of affective disorders. New York: Guilford Press.

    Google Scholar 

  • Phillips, D.G. (1975). The swing toward clinical practice. Social Work, 20, 61–63.

    Google Scholar 

  • Plaut, E.A. (1974). A perspective on confidentiality. American Journal of Psychiatry, 131, 1021–1024.

    PubMed  Google Scholar 

  • Prien, R.F., Balter, M.B., & Caffey, E.M. (1978). Hospital surveys of prescribing practices with psycho-tropic drugs—A critical examination. Archives of General Psychiatry, 34, 1271–1275.

    Article  Google Scholar 

  • Racusin, R., & Krell, H. (1980). Quality assurance in community mental health centers. Administration in Mental Health, 1, 292–303.

    Article  Google Scholar 

  • Raskin, A. (1972). The NIMH collaborative depression studies—A progress report. Psychopharmacology Bulletin, 8, 55–59.

    PubMed  Google Scholar 

  • Reed, L. (1975). Coverage and utilization of care for mental health conditions under health insurance, various studies, 1973-1974. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Reed, L., Myers, E., & Scheidemandel, P. (1972). Health insurance and psychiatric care: Utilization and cost. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Regier, D. A., Goldberg, I. D., & Taube, C. A. (1979a). The de facto U.S. mental health services system. Archives of General Psychiatry, 35, 685–693.

    Article  Google Scholar 

  • Regier, D. A., Kessler, L. G., Burns, B.J. & Goldberg, I. D. (1979b). The need for a psychosocial classification system in primary care settings. International Journal of Health, 8, 16–29.

    Google Scholar 

  • Reynolds, M.M. (1976). Threats to confidentiality. Social Work, 21, 108–113.

    PubMed  Google Scholar 

  • Rodriguez, A. R. (1983). Psychological and psychiatric peer review at CHAMPUS. American Psychologist, 38, 941–947.

    Article  PubMed  Google Scholar 

  • Rounsaville, B. J., Weissman, M. M., & Prusoff, B. A. (1981). Psychotherapy with depressed outpatients: Patient and process variables as predicators of outcome. British Journal of Psychiatry, 138, 67–74.

    Article  PubMed  Google Scholar 

  • Sanazaro, P. J. (1983). Determining physician’s performance—Continuing medical education and other interacting variables. Evaluation and the Health Professions, 6, 197–210.

    Article  PubMed  Google Scholar 

  • Schroeder, N. H., Caffey, E. M., Lorei, T. M. (1977). Antipsychotic drug use: Physician prescribing practices in relation to current recommendations. Diseases of the Nervous System, 38, 114–116.

    PubMed  Google Scholar 

  • Schwed, H. J., Kuvin, S. F., & Baliga, R. K. (1979). Medicaid audit crisis in confidentiality and the patient-psychiatrist relationship. American Journal of Psychiatry, 136, 447–450.

    Google Scholar 

  • Seidenberg, G., & Johnson, F. S. (1979). A case study in defining developmental costs for quality assurance in mental health center programs in mental health center programs. Evaluation and Program Planning, 2, 143–152.

    Article  PubMed  Google Scholar 

  • Shepherd, M., Cooper, A. G., Brown, A. C., & Kalton, G. (1966). Psychiatric illness in general practice. London: Oxford University Press.

    Google Scholar 

  • Simon, G. (1976). NIMH funds study of mental health utilization and costs. APA Monitor, 7(7), 26, 55.

    Google Scholar 

  • Sinclair, C., & Frankel, M. (1982). The effect of quality assurance activities on the quality of mental health services. Quality Review Bulletin, 8(7), 7–15.

    PubMed  Google Scholar 

  • State comparison of laws regulating social work. (1983). Silver Spring, MD: National Association of Social Workers.

    Google Scholar 

  • Stricker, G. (1980). Peer review of outpatient psychological services. In A. G. Awad, H. B. Durost, & W. O. McCormich (Eds.), Evaluation of quality care in psychiatry. New York: Pergamon Press.

    Google Scholar 

  • Sullivan, F. W. (1976). Peer review and PSRO: An update. American Journal of Psychiatry, 133, 51–55.

    PubMed  Google Scholar 

  • Sullivan, F. W. (1977a). Peer review and PSRO in American psychiatry. Psychiatric Quarterly, 49, 331–337.

    Article  PubMed  Google Scholar 

  • Sullivan, F. W. (1977b). Peer review and professional ethics. American Journal of Psychiatry, 134, 186–188.

    PubMed  Google Scholar 

  • Tischler, G. L., & Riedel, D. C. (1973). A criterion approach to patient care evaluation. American Journal of Psychiatry, 130, 913–916.

    PubMed  Google Scholar 

  • Towery, O. B., Seidenberg, G. R., & Santero, V. (1979). Quality assurance for alcohol, drug abuse, and mental health services: An annotated bibliography. Washington DC: Department of Health, Education, and Welfare.

    Google Scholar 

  • Verbrugge, L. M. (1984). How physicians treat mentally distressed men and women. Social Science and Medicine, 18, 1–9.

    Article  PubMed  Google Scholar 

  • Vieweg, B. W., & Hedlung, S. L. (1982). The General Health Questionnaire (GHQ): A comprehensive review. Journal of Operational Psychiatry, 14, 8–81.

    Google Scholar 

  • Wells, K. B., Goldberg, G., Brook, R. H., & Leake, B. (1986, November). Quality of care for psychotropic drug use in internal medicine group practices. Western Journal of Medicine, 145, 710–714.

    PubMed  Google Scholar 

  • Wells, K. B., Manning, W. G., Jr., Duan, N., Ware, J. E., Jr., & Newhouse, J. P. (1982). Cost sharing and the demand for ambulatory mental health services(R-2960-HHS). Santa Monica, CA: Rand Corporation.

    Google Scholar 

  • Williams, K. N., & Brook, R. H. (1978). Quality measurement and assurance. Health and Medical Care Services Review, 1, 1–5.

    Google Scholar 

  • Williamson, G. W. (1977). A bibliographic guide to information in quality assurance and continuing education. Cambridge MA: Ballinger.

    Google Scholar 

  • Wilson, S. (1982). Peer review in California: Summary findings in 40 cases. Professional Psychology, 13, 517–521.

    Article  Google Scholar 

  • Winstead, D. K., Blackwell, B., Eilens, M. H., & Anderson A. (1976). Psychotropic drug use in five city hospitals. Research of the Nervous System, 37, 504–509.

    Google Scholar 

  • Zano, J. S., & Kilberg, R. R. (1982). The role of the APA in the development of quality assurance in psychological practice. Professional Psychology, 13, 112–118.

    Article  Google Scholar 

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Authors and Affiliations

  1. Rand Corporation, 1700 Main Street, Santa Monica, California, 90406-2138, USA

    Kenneth B. Wells & Robert H. Brook

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  1. Kenneth B. Wells
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  2. Robert H. Brook
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Editors and Affiliations

  1. Institute of Advanced Psychological Studies, Adelphi University, Garden City, New York

    George Stricker

  2. Preferred Health Care, Ltd., Wilton, Connecticut, USA

    Alex R. Rodriguez

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Wells, K.B., Brook, R.H. (1988). Historical Trends in Quality Assurance for Mental Health Services. In: Stricker, G., Rodriguez, A.R. (eds) Handbook of Quality Assurance in Mental Health. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-5236-5_2

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