TITLE:
A Mixed Methods Evaluation of the Application of the REFLECT Framework to Psychological Services
AUTHORS:
Christopher Lomas
KEYWORDS:
REFLECT Framework, Clinical Audit, EAP, Psychological Services, Financial Efficiency, Risk Management, Staff Well-Being, Safeguarding Protocols
JOURNAL NAME:
Open Journal of Applied Sciences,
Vol.14 No.11,
November
29,
2024
ABSTRACT: The REFLECT Psychological Services Audit Framework was developed to address critical gaps in the evaluation of mental health services, primarily within Employee Assistance Programmes (EAPs) and psychological services. This study aims to assess the framework’s impact on clinical outcomes, financial oversight, staff well-being, and risk management. A mixed-methods approach was employed, combining quantitative data—including paired t-tests, regression analysis, and Chi-square tests—with qualitative insights from semi-structured interviews and focus groups. Quantitative data were collected across 10 EAPs, evaluating 100 clients using the PHQ-9 and GAD-7 scales for depression and anxiety, respectively, and 50 staff members using the Maslach Burnout Inventory (MBI). Financial data included budget allocation efficiency and cost-effectiveness metrics. Risk management was assessed through safeguarding incidents and incident reporting time. Results revealed significant improvements across all key domains: client mental health outcomes (PHQ-9 and GAD-7 scores significantly reduced, p [1] offers a comprehensive, evidence-based tool for improving service quality, financial efficiency, and clinician support in psychological services.