1997 issue 3


Volume 6, issue 3


Main directions and methods of evaluation studies in the world community psychiatry

Elżbieta Słupczyńska-Kossobudzka1, Ludmiła Boguszewska1
1. Zakładu Organizacji Ochrony Zdrowia IPiN w Warszawie
Postępy Psychiatrii i Neurologii, 1997, 6, 381-392
Keywords: community psychiatry, evaluative studies, meta-analysis


On the grounds of articles published in the years 1993-1995 in eight most renowned English-language journals, an attempt was made to establish the main directions and methods of evaluation studies carried out in this field all over the world. The number of such publications has been systematically growing every year. In research reports outcome studies predominate, while there are relatively few papers devoted to the process of care. In the majority of publications the target of intervention are, above all, patients, in rather few studies – their families, and only occasionally – the staff, services or population. The most frequently investigated form of community intervention turned out to be sheltered housing, while very few studies dealt with either self-help or psychiatric services provision in primary care. In 40% of studies very correct methodological paradigms were used. More strict methodological criteria are observed in research on psychosocial methods than in that concerning community interventions. The object of evaluation are most often patients, and the usually used evaluative measures include psychopathology, consumption of services, and performance of social roles. "Subjective" measures are used only occasionally. A relatively frequent area of evaluation consists in health economics and family interventions. There are many tools available for measurement purposes. The majority of them differ from each other as regards operationalization of theoretical constructs. It is only the scales for the assessment of psychopathology that are quite commonly used.

Address for correspondence:
Dr Elżbieta Slupczyńska-Kossobudzka,
Zakład Organizacji Ochrony Zdrowia IPiN,
Al. Sobieskiego 1/9,
02-957 Warszawa