Date of Conferral

2021

Degree

Doctor of Public Administration (D.P.A)

School

Public Policy and Administration

Advisor

Raj K. Singh

Abstract

The purpose of this qualitative study was to provide a method for evaluating counseling services delivered to patients during treatment. The evaluation of the study required the use of methods that are repeatable and effective that would allow a clinic to continue using them over time to grow a database of valuable information about counseling and patient outcomes. The new database would allow the clinic to change counseling methods and approaches of delivery to promote organizational change. The evidence-based practice (EBP) for counseling therapy would encourage the connection between public administration and public policy in the health care system. Public administration using EBP can help advance the lack of knowledge of how human services manage outcomes for health care and will impact service allocation, ethical distribution, and use of services, as well as social/political power. I examined various performance and process factors including duration, type of problem to be solved, type of service, and which outcome indicators will be tracked, as provided by the clinic. Access was given to unique and extensive data sets to best identify counseling healthcare outcomes contained in individual data from 40 randomized files of 540 total client files, in both hard copy and electronic format. The outcomes were characterized and sorted into four outcome indicators based on services: case management, psychotherapy, peer support, and community-based rehabilitation. The feasibility of assessing and comparing performance by providers will allow the organization to incrementally improve services and recognize shortfalls in its counseling services.

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