This article discusses the practice evaluation model in the context of quality assurance reviews
in managed care. Managed care demands the three essential elements of practice evaluation;
namely, specified client problems and treatment goals, suitable measurements, and analysis of
change. The article delineates and demonstrates two case-recording procedures that facilitate
quality assurance reviews of clinical social work practice.
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References
1.
Bloom, M., & Fischer, J. (1982). Evaluating practice: Guidelines for the accountable professional. Englewood Cliffs, NJ: Prentice-Hall.
2.
Blythe, B.J., & Tripodi, T. (1989). Measurement in direct practice.Newbury Park, CA: Sage.
3.
Borenstein, D.B. (1990). Managed care: A means of rationing psychiatric treatmentHospital and Community Psychiatry , 41, 1095-1098.
4.
Briar, S. (1978, October). Toward the integration of research and practice. Paper presented at the National Conference on the Future of Social Work Practice, San Antonio, Texas .
5.
Corcoran, K. (1985). Clinical practice with non-behavioral methods: Strategies for evaluationClinical Social Work Journal , 3, 78-86.
6.
Corcoran, K. (1993). Practice evaluation: Problems and promises of single-system designs in clinical practiceJournal of Social Service Research, 18(1/2), 147-159.
7.
Corcoran, K., & Gingerich, W.J. (1992). Practice evaluation: Setting goals, measuring and assessing change In K. Corcoran (Ed.), Structuring change: Effective clinical practice for common client problems (pp. 28-47). Chicago: Lyceum.
8.
Craig, T.J., Lolaski, V., DiStefano, O., Alexander, M.J., Kadyzewski, P., Crawford, J., & Richardson, M.A. (1982). Automating the treatment planning process: How? Why? For whom? In B. I. Blum (Ed.), Proceedings of the Sixth Annual Symposium on Computer Applications in Medical Care (pp. 425-428). Silver Spring, MD: IEEE Computer Society.
9.
Dorwart, R.A. (1990). Managed mental health care: Myths and realities in the 1990sHospital and Community Psychiatry , 41, 1087-1091.
10.
Edinburgh, G., & Cottler, J. (1990). Implications of managed care for social work in psychiatric hospitalsHospital and Community Psychiatry,41, 1063-1064.
11.
Field, M.J., & Gray, B.H. (1989). Should we regulate "utilization management"?Health Affairs,8, 103-112.
12.
Fischer, J., & Corcoran, K. (1994a). Measures for clinical practice: A sourcebook: Vol. 1. Couples, families and childrenNew York: Free Press.
13.
Fischer, J., & Corcoran, K. (1994b). Measures for clinical practice: A sourcebook: Vol. 2. Adults. New York:Free Press.
14.
Gabel, J., Jajich-Toth, C., de Lissovoy, G., et al. (1988). The changing world of group health insuranceHealth Affairs, 7, 48-65.
15.
Giles, T.R. (1991). Managed mental health care and effective psychotherapy: A step in the right direction?Journal of Behavior Therapy and Experimental Psychiatry, 22 , 83-86.
16.
Gingerich, W.J. (1979). Procedure for evaluating clinical practiceHealth and Social Work, 4(2), 104-130.
17.
Gingerich, W.J. (1984). Generalizing single-case evaluation from classroom to practiceJournal of Education for Social Work,20(1), 74-82.
18.
Gingerich, W.J. (1988). Computer-assisted case management: State-of-the-art review, feasibility assessment, preliminary design. Unpublished manuscript, University of Michigan, School of Social Work,Ann Arbor.
19.
Gingerich, W.J. (1990). Rethinking single-case evaluation In L. Videka-Sherman & W. J. Reid (Eds.), Advances in clinical social work research (pp. 11-24). Silver Spring, MD: National Association of Social Workers.
20.
Gingerich, W.J., Schirtzinger, J., & Hoffman, D.L. (1991). My assistant: Design and development of a computer-assisted case management system.Paper presented at Human Service Information Technology Application, (HUSITA-2), New Brunswick, NJ.
21.
Howard, G.S. (1980). Response-shift bias: A problem in evaluating interventions with pre-post self reportsEvaluation Review , 4, 93-106.
22.
Hughes v. Blue Cross of Northern California, 199 Cal. App. 3d. 958 (1988).
23.
Ivanoff, A., Blythe, B.J., & Briar, S. (1987). The empirical clinical practice debate. Social Casework, 65, 290-298.
24.
Jackson, J.A. (1987). Clinical social work and peer review: A professional leap aheadSocial Work, 32, 213-220.
Kiresuk, T.J., & Sherman, R. (1968). Goal attainment scaling: A general method for evaluating comprehensive mental health programsCommunity Mental Health Journal, 4 , 443-453.
27.
Levy, R.L. (1981). On the nature of the clinical-research gap: The problems with some solutionsBehavioral Assessment , 3, 235-242.
28.
Mutschler, E. (1984). Evaluating practice: A study of research utilization by practitionersSocial Work, 29, 332-337.
29.
Nelsen, J.C. (1981) Issues in single-subject research for non-behavioristsSocial Work Research and Abstracts, 17, 31-37.
Richey, C.A., Blythe, B.J., & Berlin, S.B. (1987). Do social workers evaluate their practice?Social Work Research and Abstracts, 23(2), 14-20.
35.
Robinson, E.A.R., Bronson, D.E., & Blythe, B.J. (1988). An analysis of the implementation of single-case evaluation by practitionersSocial Service Review,62, 285-301.
36.
Rodriguez, A.R. (1984). Peer review program set trends in claims processingBusiness and Health, 1, 22.
37.
Rodriguez, A.R., & Maher, J. (1986). Psychiatric case management offers costs, quality controlBusiness and Health, 3, 14-17.
38.
Seltzer, D.A. (1988). Limitations on HMO services and the emerging redefinition of chronic mental illnessHospital and Community Psychiatry , 39, 137-139.
39.
Sharfstein, S.S., Dunn, L., & Kent, J. (1988). The clinical consequences of payment limitations: The experience of a private psychiatric hospitalPsychiatric Hospital,19, 63-66.
40.
Thomas, E.J. (1978). Research and service in single-case experimentation: Conflicts and choicesSocial Work Research and Abstracts , 14, 20-31.
41.
Thomas, E.J. (1984). Designing interventions for the helping professions . Beverly Hills, CA: Sage.
42.
Tischler, G.L. (1990a). Utilization management of mental health services by private third partiesAmerican Journal of Psychiatry , 147, 967-973.
43.
Tischler, G.L. (1990b). Utilization management and the quality of careHospital and Community Psychiatry,41,1099-1102.
44.
Welch, G.J. (1983). Will graduates use single-subject designs to evaluate their casework practice?Journal of Education for Social Work, 19, 42-47.
45.
Wilson v. Blue Cross of Southern California, 222 Cal. App. 3d. 660 (1990).
