Katherine E. Watkins

Kimberly A. Hepner

Carol P. Roth

Coreen Farris

Elizabeth M. Sloss

Grant R. Martsolf

Harold Alan Pincus

Caroline Epley

Daniel Mandel

Susan D. Hosek

Carrie M. Farmer

To inform improvements to the quality of care delivered by the military health system for posttraumatic stress disorder and major depressive disorder, researchers developed a framework and identified, developed, and described a candidate set of measures for monitoring, assessing, and improving the quality of care. This document describes their research approach and the measure sets that they identified.

Candidate Quality Measures for Posttraumatic Stress Disorder and Major Depressive Disorder

Measuring the Quality of Care for Psychological Health Conditions in the Military Health System

M. Audrey Burnam

Edward N. Okeke

Claude Messan Setodji

In 2004, California voters passed the Mental Health Services Act, which was intended to transform California's community mental health system from a crisis-driven system to one that included a focus on prevention and wellness. The vision was that prevention and early intervention (PEI) services comprised the first step in a continuum of services designed to identify early symptoms and prevent mental illness from becoming severe and disabling. Twenty percent of the act's funding was dedicated to PEI services. The act identified seven negative outcomes that PEI programs were intended to reduce: suicide, mental health-related incarcerations, school failure, unemployment, prolonged suffering, homelessness, and removal of children from the home. The Mental Health Services Oversight and Accountability Commission (MHSOAC) coordinated with the California Mental Health Services Authority (CalMHSA), an independent administrative and fiscal intergovernmental agency, to seek development of a statewide framework for evaluating and monitoring the short- and long-term impact of PEI funding on the population. CalMHSA selected the RAND Corporation to develop a framework for the statewide evaluation. This report describes the approach, the data sources, and the frameworks developed: an overall approach framework and outcome-specific frameworks.

Evaluating the Impact of Prevention and Early Intervention Activities on the Mental Health of California's Population

Katherine E. Watkins

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