Journal Title
Title of Journal: J Behav Health Serv Res
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Abbravation: The Journal of Behavioral Health Services & Research
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Authors: Vaishali N Patel Anne W Riley
Publish Date: 2007/07/24
Volume: 34, Issue: 4, Pages: 459-474
Abstract
A multiple case study was conducted to examine how staff in child outofhome care programs used data from an Outcomes Management System OMS and other sources to inform decisionmaking Data collection consisted of thirtyseven semistructured interviews with clinicians managers and directors from two treatment foster care programs and two residential treatment centers and individuals involved with developing the OMS and observations of clinical and quality management meetings Case study and grounded theory methodology guided analyses The application of qualitative data analysis software is described Results show that although staff rarely used data from the OMS they did rely on other sources of systematically collected information to inform clinical quality management and program decisions Analyses of how staff used these data suggest that improving the utility of OMS will involve encouraging staff to participate in databased decisionmaking and designing and implementing OMS in a manner that reflects how decisionmaking processes operateWe would like to thank the participants for sharing their thoughts on issues that affect the children they serve and the organizations they work in We would like to acknowledge the assistance of Susan Berkowitz of Westat Corporation in helping develop the semistructured field guides and guiding early stages of the project We would like to thank Sharon Hodges and anonymous reviewers for their comments This research was conducted while the first author was a doctoral student at Johns Hopkins Bloomberg School of Public Health in the Department of Health Policy and Management This work was supported by National Institute of Mental Health F31 MH68097 P50 MH43703 and T32 MH19545 Johns Hopkins University’s Charles D Flagle Award and Ernest Lyman and Helen Ross Stebbins Award and Canadian Institutes of Health Research funded Research on Addictions and Mental Health Policy Services award
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