EVAL-U-TREAT: A Direct Service, Quality Assurance and Outcome-Oriented Case Reporting Procedure

摘要

Goal attainment scaling was employed in the development and field testing of a goal - oriented service plan and recording procedure in this 9 - month demonstration project. The purpose of the project was to obtain operational data on the goal - oriented direct service contracting and recording procedure known as EVAL - U - TREAT. A central question was whether goal attainment scaling could be incorporated into the direct service counseling process in an efficient manner without sacrificing the capacity to generate systematically case - specific records that would satisfy service process and outcome auditing standards. The EVAL - U - TREAT model was originally developed as an inpatient clinical outcome evaluation procedure by the Lutheran Social Services of Wisconsin and Upper Michigan in late 1972 and was later applied to the agency's individual and family counseling services. A semiexperimental design was used to gauge client response to the EVAL - U - TREAT procedure. The results obtained in the course of the project suggested that the procedure called for in the model was applicable to the direct practice counseling situation. Analysis of case records for both goal plan clients and nongoal plan clients showed that records of goal plan clients were in much closer compliance with Federal and State case recording guidelines. Goal plan clients obtained a mean goal attainment score of 58.3, and a score of 50 indicated that clients, on the average, accomplished their goals at the expected outcome level. A list of references and supporting data on the findings of the project are included.