Level of Functioning, Clinical Judgment, and Mental Health Service Evaluation

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Abstract
A model is presented which shows how a program of services can be described in terms of its impact on consumers. Two groups of consumers are identified: the actual recipients of services, and the community at large. While program impact on service recipients can be measured using global level of functioning scales, such scales may be susceptible to bias. A study is described in which the results of a clinical judgment task are analyzed using Anderson's stimulus integration model. The methodology can provide feedback for staff development in a program's service planning, delivery, quality assurance, and evaluation procedures.

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