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Evaluation of challenges of the psychiatric disorder identification program in urban health centers: A study based on the CIPP model
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Shabnam Mokhayeri11    , Maryam Mohseny2 , Mohammadreza Ghaffarzadeh Razaghi3 , Alireza Abadi4 , Hadi Asefi3 |
1- Clinical Resident, Department of Community and Family Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Associate Professor, Department of Community and Family Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Department of Mental and Community Health and Addiction, Deputy Health Officer, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Professor, Department of Community and Family Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran |
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Abstract: (470 Views) |
Background and Aim: This study aimed to evaluate the screening and identification program for psychiatric disorders among the population covered by urban comprehensive health centers.
Materials and Methods: In this mixed-methods study, existing indicators of the psychiatric disorder screening and identification program were compared with national benchmarks in the population covered by comprehensive health centers under Shahid Beheshti University (covering Tehran, Shemiranat, Qarchak, Pakdasht, Varamin, Pishva, Pardis, Damavand, and Firoozkouh). Data were collected through semi-structured group interviews with 25 purposively selected participants. Analysis followed the CIPP (Context, Input, Process, Product) evaluation model across three domains (Context, Input, Process), with data validity verified using Lincoln and Guba’s criteria.
Results: In the quantitative section, only the process domain indicators had a clear difference with the national indicators. The indicators in the input domain were entirely desirable, and those in the output domain were largely desirable. In the qualitative section, the main challenges in the domains were household factors and determinants of service receipt in the context domain, human resources in the input domain, and personnel training in the process domain, respectively. The qualitative findings well explained the challenges observed in the process and output domains in the quantitative results.
Conclusion: Results suggest that it is better to direct the screening and identification program for psychiatric disorders, in addition to expanding service coverage, towards improving the quality of services and population satisfaction. Moreover, to achieve more desirable results in the psychiatric screening program, it is of great importance to resolve the implementation problems mentioned.
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| Keywords: Psychiatric disorders, Mental health, Health programs, CIPP evaluation model. |
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Full-Text [PDF 915 kb]
(11 Downloads)
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Type of Study: Original Research |
Subject:
Family and Social Medicine
Received: 2025/09/23 | Accepted: 2026/06/3 | Published: 2026/08/20
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