Assessment of Performance Measures for Public Health, Substance Abuse, and Mental Health (1997) / Chapter Skim
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APPENDIX D: ANALYSIS OF COMMENTS ON DRAFT REPORT
APPENDIX D: ANALYSIS OF COMMENTS ON DRAFT REPORT
Pages 137-145
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From page 137... ...
The panel benefited greatly from the thoughtful and constructive comments on the draft report and wishes to thank each of the people who took the time to prepare comments. As can be seen from the list, the majority of the respondents were from state health agencies, representing mental health, alcohol and substance abuse, emergency medical services, family services, and preventive health.
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From page 138... ...
The comments convinced the panel that additional measures for children and youth were needed in a number of health areas covered in the report, as this group is at high-risk in virtually all states. As explained in the report, however, other populations of special interest to state health agencies can vary greatly across states; therefore, states should be encouraged to specify their own subpopulations of interest and focus their PPG efforts accordingly.
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From page 139... ...
The report includes additional measures of outcome and risk reduction measures in several of the health areas examined by the panel, e.g., mental health, substance abuse, and STDs, HIV, and tuberculosis. The panel did not include some other well developed outcome measures either because they fell outside the scope of the panel' s activities (such as dental health)
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From page 140... ...
A number of reviewers expressed concern that particular outcome measures suggested that their agency would be held accountable for health outcomes that are affected by multiple factors, many of which are outside their immediate programmatic control. In particular, a number of substance abuse and mental health agencies expressed disagreement over the panel's use of population-based measures to monitor their performance: We are very concerned that the majority of proposed substance abuse indicators involve population-based data.
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From page 141... ...
Although the panel recognizes that the traditional perspective of most administrators of substance abuse and mental health agencies is to ensure adequate and appropriate treatment for their clients- in contrast to the traditional public health perspective, which assumes responsibility for an entire at-risk population the panel concludes that some population-based measures are appropriate for performance agreements. The panel recognizes, however, that in many of the health areas covered in this report, such measures cannot be affected, in the short run, solely by the actions taken by a given state agency.
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From page 142... ...
Alabama Department of Mental Health and Mental Retardation Alaska Department of Health and Social Services American Social Health Association American Public Health Association Anishnabek Community and Family Services Arizona Department of Economic Security Arizona Department of Health Services, Division of Behavioral Health Services Arkansas Department of Health Association of State and Territorial Chronic Disease Program Directors Association of State and Territorial Dental Directors Association of State and Territorial Disability Prevention Programs Association of State and Territorial Health Officials Association of Trauma Surgeons
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From page 143... ...
Maryland Department of Health and Mental Hygiene, Alcohol and Drug Abuse Administration Massachusetts Department of Public Health and Mental Health Massachusetts Department of Public Health, Executive Office of Health and Human Services Michigan Department of Community Health Michigan Community Public Health Agency Minnesota Department of Health Minnesota Department of Human Services Mississippi Department of Health
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From page 144... ...
State Block Grant Coordinators State EMS Directors Association State of South Carolina State Rape Prevention Program Directors Substance Abuse and Mental Health Services Administration Tennessee Department of Health Texas Department of Health Texas Department of Mental Health and Mental Retardation United South and Eastern Tribes, Inc. University of Alabama at Birmingham, School of Medicine State of Utah Utah Department of Health
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From page 145... ...
APPENDIX D 145 Vermont Office of Alcohol and Drug Abuse Programs Virginia Department of Health Virginia Department of Mental Health, Mental Retardation and Substance Abuse Services Virginia Mental Health Planning Council Washington Department of Social and Health Services Wisconsin Department of Health and Family Services Wisconsin Department of Health and Social Services.
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