Evidence-based mental health promotion resource - health.vic.gov.au

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Evidence-based mental health promotion resource99• Process evaluation involves examining the implementation of the program. Whatelements worked? What elements were less successful? Who attended the program?Who was affected by the program (that is, what was the program reach? Who wasnot reached by the program?). Process evaluations are conducted early to midwaythrough program implementation.• Impact evaluation involves examining the intermediate outcomes you wish toachieve, which steers you to consider whether, and to what extent, the program orintervention has had an impact on people’s health. It assists in examining whetherthe set objectives and sub-objectives have been achieved. Impact evaluation forintermediate outcomes is conducted at the end of the program or a program stage.In a mental health promotion, one or two years may be a relatively short period forintermediate outcomes.• Outcome evaluation (that is, whether the program goal was achieved) is about longterm benefits (see the VicHealth Framework for the Promotion of Mental Healthand Wellbeing). It directs your partnership and your organisation to measure thelong term changes related to program goals. Local level programs are not expectedto invest in outcome evaluations, which are more likely to be commissioned for acluster of similar programs or for a statewide funded program.As discussed, it is important to begin planning evaluation, dissemination andsustainability strategies early in the program management cycle and not at the endof implementation, because evaluation works best when planned and then put intoaction over the life of the project. Program management of effective mental healthpromotion thus involves managing the total set of actions. Your schema will beimproved if it has congruence with the VicHealth Framework for the Promotion ofMental Health and Wellbeing to identify the levels, action areas, population groupsand intermediate outcomes.Figure 5 illustrates program planning steps alongside the steps in the Department ofHuman Services Common Planning Framework. Added to this is a worked example ofintermediate and long term outcomes, modelled on the VicHealth Framework for thePromotion of Mental Health and Wellbeing. Such a scheme can be easily adapted toillustrate the logic between a program’s steps and desired outcomes.
100 Evidence-based mental health promotion resourceFigure 5: Program planning schema1. Planning stage(could be sixmonths)2. Implementationstage (could be 18months or muchlonger)Rationale and vision settingPriority setting and problem definitionPartnership developmentGeneration of plan, including interventionsand evaluation planProgram implementationEvaluation and disseminationImplementation of a mix ofhealth promotion interventions and capacitybuilding strategies to achieve the programgoal and objectives3. Impact evaluation(for intermediateoutcomes, see3(b); for long termbenefits, see 3(c))3(a). Processevaluation (ofactivities/projectswithin the overallprogram)3(b). Intermediate outcomes (impact evaluation), including:IndividualOrganisationalCommunitySocietalProjects andprograms thatincrease:• involvement ingroup activities• access tosupportiverelationships• self-esteem andself-efficacy• access toeducation andemployment• self-determinationand control• mental healthliteracyOrganisationsthat are:• inclusive• responsive safe,supportive andsustainable• working inpartnershipsacross sectors• implementingevidence-basedapproaches totheir workPositive workingenvironmentsimprove the mentalhealth and wellbeingof staff.Environments thatare safe, supportive,sustainable andinclusiveEnhancedcommunity cohesionEnhanced civicengagementIncreased awarenessand recognition ofmental health andwellbeing issuesIntegrated, sustainedand supportive policyand programsStrong lesilativeplatformResource allocationGovernmentstructures3(c). Long term benefits (outcome evaluation), including:Individual levelOrganisational levelCommunity levelSocietalIncreased sense ofbelongingImproved physicalhealthLess stress, anxietyand depressionLess substancemisuseIntegrated,intersectoralresources andactivitiesCommunity valuingof diversity andactive disowning ofdiscriminationLess violenceand crimeImprovedproductivityReduced social andhealth inequalitiesImproved qualityof life and lifeexpectancyEnhanced skill levels
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Evidence-based mental health promotion resource - health.vic.gov.au

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