Evaluation and Clinical Audit of Problem Gambling Intervention and Public Health Services | Ministry of Health NZ

Background

The Ministry of Health’s (MoH) implementation of an integrated problem gambling public health strategy includes psychosocial intervention services and primary prevention public health services contracted to providers located throughout New Zealand.

Aim

To evaluate the effectiveness of the Brief, Full, Workshop-based, Facilitation and Follow-up intervention services and the Policy Development and Implementation, Safe Gambling Environments, Supportive Communities, Aware Communities, and Effective Screening Environments public health services.

Method

The evaluation employed a mixed-methods approach guided by a logical framework and evaluation criteria agreed with MoH. Content and thematic analysis of over 100 progress reports from 2010 to 2013 for all providers was used to identify outputs, outcomes, best practice and challenges for public health services. An analysis of the Client Information Collection (CLIC) database from 2010 to 2013 determined key trends in intervention services. Views about service effectiveness were obtained through surveys of staff (n=64), clients (n=148) and allied agencies (n=42) of eight providers.

Additional perspectives and clarifications were obtained from three focus group interviews with staff and managers of the eight providers. KPMG was subcontracted to conduct a clinical audit of the intervention services delivered by the eight providers, based on providers’ contracts with MoH, and other guidelines. This included review of documentation, and staff and client interviews. A triangulation process was used to compare and contrast findings from the various evaluation data sources and clinical audit observations. Several factors limited the generalisability of findings…

Source: Komathi Kolandai-Matchett, Jason Landon, Maria Bellringer, Nick Garrett, Stuart Mundy-McPherson, Max Abbott, … Souella Cumming. (2016). Evaluation and Clinical Audit of Problem Gambling Intervention and Public Health Services. New Zealand: Ministry of Health.

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