270159 Evaluation Tool and Methodology for Cross-Cultural Prevention and Early Intervention Behavioral Health Programs

Tuesday, October 30, 2012 : 10:50 AM - 11:10 AM

Tracy Hazelton, MPH , Behavioral Health Care Services Department, Alameda County, Oakland, CA
Angelo Ercia, MPH , Community Health for Asian Americans, Oakland, CA
Margaret Walkover, MPH , Director, Wellness Recovery & Resiliency / Quality Improvement Division, Alameda County Behavioral Health Care Services, Oakland, CA
Alameda County Behavioral Health Care Services (ACBHCS) has developed a methodology that demonstrates validity when evaluating prevention programs serving multiple cultures. This presentation will describe the methodology, share the evaluation tool and explain the benefits of participatory methods in outcome measure development. California's Mental Health Services Act (MHSA) (2004) allocates 20% of county funding to Prevention and Early Intervention (PEI) services. ACBHCS uses a portion of its MHSA/PEI funds to contract with eight culturally-responsive prevention programs that provide mental health services to underserved and unserved ethnic minorities (Native American, Asian and Pacific Islander, Latino, Afghan, South Asian, and refugee communities).

From the outset, BHCS administration and the leadership of these prevention programs were committed to developing a cross-cultural evaluation methodology using a participatory approach. The evaluation team used a series of participatory decision-making methods to engage the providers in two tasks. First, identify a logic model describing: common program design elements; and short-term, intermediate and long-term outcomes across the eight projects. Second, develop an evaluation tool that accurately measures the impact of culturally responsive PEI services across the following domains: connecting individuals and families with their culture; forming and strengthening identity; changing individual knowledge and perception of mental health services; building community and wellness; and improving access to services and resources.

By documenting how these services impact individuals and families we hope to show the integral role of prevention services in the continuum from prevention/early intervention through treatment and recovery.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe an innovative evaluation design method for behavioral health prevention and early intervention programs that: generates outcome domains and operational definitions that have cross-cultural validity; and uses a participatory approach and engages provider cooperation in the evaluation process and in the use of results. Identify an easy to understand logic-model for cross-cultural behavioral health prevention and early intervention programs.

Keywords: Outcome Measures, Ethnic Minorities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently the Director of all mental health and alcohol and drug prevention programs for Alameda County Behavioral Health Care Services. I have been working with and overseeing prevention programs for the County for over seven years. I am very much interested in developing sound evaluation strategies that provide accurate information, but that don't present a large burden for the community provider.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.