Title page for ETD etd-08012012-040258
|Type of Document
||Katz, Robert A.
||Evaluating a mental health needs assessment technique on a sample of the elderly population of the New River Valley
||Master of Science
|Winett, Richard A.
|Harrison, David W.
|Neff, Debra F.
|Date of Defense
The purpose of this study was to evaluate the
effectiveness of the Quality of Life~Contribution Model
(QOLC) developed by Murrell and Norris (19S3) as a mental
health needs assessment technique for the rural elderly. In
this field survey method, measures of mental health areas
and program targets within each mental health area are
compared and prioritized according to their relative
contributions to a subjective index of quality-of-life
An in—home survey of 60 older adults was conducted.
Needs were defined in terms of problems, services, and
community support and were measured across the following
mental health areas: 1) Depression; 2) Organic Brain
Syndrome; 3) Alcohol and Drug Abuse; 4) Anxiety; 5)
Caregiver Problems; 6) Schizophrenia; and 7) Health Habits.
The utility of the QOLC model was evaluated via the
descriptive conclusions generated by multiple regression
analysis of the sample survey data, with QOL as the
dependent variable and the different need measures and
mental health areas as the independent variables. A cost
analysis was also completed comparing the net total cost of
the QOLC with the hypothesized net total cost of a more
traditional mental health needs assessment (consisting of a
key informant plus a service use statistics component).
The results suggest that although the QOLC mental
health needs assessment costs more than simpler needs
assessment techniques, it can yield important information
that can prevent wasteful spending on increased direct
mental health services and can also be used to determine the
criteria that should be used to segment the target
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