Terry Krupa

Special Issue

Creating inclusive workplaces: employing people with psychiatric disabilities in evaluation and research in community mental health

Authors:
Pages:
71-88

People with psychiatric disabilities face barriers to employment both in the larger community and within the mental health system itself. Strategies used to affirmatively employ people with psychiatric disabilities as research personnel in an evaluation of community mental health services are described in this article. Our goal was to address two critical issues in the provision and evaluation of mental health services: the importance of meaningful work and productivity in the lives of people with psychiatric disabilities, and obtaining valid and reliable data regarding the effectiveness of community mental health services. A three-phase methodology for developing affirmative employment opportunities is presented, consisting of three components: affirmative planning, affirmative support, and affirmative rigour and method. The methodology is intended as a guide to assist evaluators and researchers in fulfilling the vision of the Canadian Human Rights Act and the Employment Equity Act.

The use of the Mulh Community Ability Scale as a program evaluation tool

Authors:
Pages:
135-157

The Mulh Community Ability Scale (MCAS) is a standardized measure of functioning of people with mental illness living in the community. This study assessed feasibility and utility of the MCAS for routine outcome monitoring of clients enrolled in intensive community support programs. Burden related to training and administration was assessed and scale properties were evaluated, using data collected from a multisite community mental health evaluation initiative. Minimum effort was required to achieve good inter-rater reliability and administer the measure. The validity of the MCAS for measuring change in community functioning in new program clients was supported. However, MCAS ratings for ongoing clients were stable. Future studies can assess the relevance of the MCAS for measuring improvement in this client group.