Evaluating Systems of Care

Evaluating Systems of Care
Author: E. Wayne Holden
Publisher: Psychology Press
Total Pages: 77
Release: 2014-07-10
Genre: Political Science
ISBN: 1135587183

This issue consists of five articles profiling different aspects of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program. Over the last eight years, this program provided grants to develop community-based systems of care for children with serious emotional disturbance and their families. A comprehensive, multilevel evaluation has been conducted that has provided information to local grantee communities and the federal government on the implementation and effectiveness of systems of care. Touching on a range of questions that the evaluation is designed to address, the articles in this special issue provide more general information on the system-of-care approach to addressing children's mental health problems.

An Evaluation of Children's Services in Community Mental Health Centers

An Evaluation of Children's Services in Community Mental Health Centers
Author: Lewis A. Fabrick
Publisher:
Total Pages: 318
Release: 1984
Genre: Child mental health services
ISBN:

This study investigated clinical variables in relation to the effectiveness of children's services in community mental health centers in north central Florida. These variables included parental involvement in treatment, referral source, diagnostic classification, type of treatment, and duration of treatment. Information was obtained from 277 closed medical record charts. The charts were sampled at random from a total of 1352 cases seen during the period 1980-1983. Using a cross-tabulation procedure, measures of the variables studied were examined according to treatment outcomes. Cases were classified as successful or unsuccessful according to therapist ratings of progress on specific treatment goals. Analysis of data suggested that treatment success was positively related to duration of treatment (p

The System of Care Handbook

The System of Care Handbook
Author: Beth A. Stroul
Publisher: Brookes Publishing Company
Total Pages: 780
Release: 2008
Genre: Child mental health services
ISBN:

Address the urgent need for individualized, coordinated mental health care with this book--the only one-stop reference for establishing, evaluating, and improving services and systems of care for children and adolescents with mental health challenges and their families. The new cornerstone of the highly respected Systems of Care for Children's Mental Health series, this comprehensive volume helps administrators, program developers, and clinicians from mental health and partner child-serving systems skillfully navigate every key issue they may encounter on the road to effective service delivery. Weaving all the latest research and best practices into a single accessible handbook, more than 60 expert contributors give readers the in-depth, practical knowledge they need to develop comprehensive, community-based, coordinated systems of care for youth with mental health challenges and their families avoid duplication and fragmentation of services across mental health and other child-serving systems develop individualized care plans for children with complex needs and implement the "wraparound" approach to service delivery incorporate evidence-based practices into systems of care use smart financing strategies that make the most of multiple funding streams ensure the full participation of families and youth in service planning and delivery improve services and care coordination across a variety of systems--schools, child welfare, juvenile justice work effectively with youth and families from diverse backgrounds and communities conduct accurate program evaluation and continuous quality improvement use the best professional development strategies to ensure a skilled and dedicated workforce Throughout the book, extended case studies of children, youth, families, and successful programs take readers beyond the abstract and reveal in vivid detail how high-quality services can transform the lives of children and youth--from early childhood to their transition to adulthood--as well as their families and caregivers. A must-own compendium of knowledge for anyone involved in shaping the future of mental health services, this book is the new blueprint for systems of care that truly respond to the needs of children, youth and families. Learn more about the Systems of Care for Children's Mental Health series.

Outcomes for Children and Youth with Emotional and Behavioral Disorders and Their Families

Outcomes for Children and Youth with Emotional and Behavioral Disorders and Their Families
Author: Michael H. Epstein
Publisher: Pro-Ed
Total Pages: 672
Release: 2005
Genre: Medical
ISBN:

Presents some of the current best practices in services for children and their families, as well as in the research and evaluation of these services. It is intended that these models serve as a foundation for the establishment of standards of practice and standards of research and evaluation that will ultimately improve outcomes for children and their families. -- Provided by publisher

Comprehensive Community Mental Health Services for Children and Their Families Program, Evaluation Findings

Comprehensive Community Mental Health Services for Children and Their Families Program, Evaluation Findings
Author: Substance Abuse and Mental Health Services Administration (DHHS/PHS)
Publisher:
Total Pages: 119
Release: 2010
Genre:
ISBN:

This report to Congress provides critical information about the Comprehensive Community Mental Health Services for Children and their Families Program (CMHI), including the characteristics of children, youth, and families as they enter the CMHI; the outcomes attained for children and youth, and their caregivers and families after entry into the CMHI; their CMHI service use and service experience; how well communities have implemented system of care principles, particularly interagency collaboration; the sustainability of systems of care; and caregiver and youth satisfaction with services. Data from the national evaluation demonstrate that funded systems of care: (1) Reach and provide services to many children and youth typically underserved by the mental health system; (2) Improve outcomes for children and youth; (3) Enhance family outcomes; (4) Expand the availability of effective supports and services; (5) Implement and maintain fidelity to the principles of family-driven, youth-guided, individualized services; (6) Save money by reducing the amount spent on residential treatment and juvenile justice services; and (7) Incorporate processes and resources that have a positive impact on sustainability. The national evaluation and this report to Congress have addressed the authorizing legislation's mandate to assess the effectiveness of the systems of care with regard to outcomes for children, youth, and families served by the CMHI. The report examined the use of hospitalization and other institutional settings, described the role and importance of interagency collaboration, and summarized parental assessments of the effectiveness of systems of care. Further, this report provided a description of how communities are carrying out the goal of the cooperative agreements by providing the types of services outlined in the legislation using an individualized, culturally and linguistically competent, and collaborative approach. Appended are: (1) Glossary of Terms; (2) SAMHSA's 8 Strategic Initiatives; (3) System of Care Communities of the Comprehensive Community Mental Health Services for Children and Their Families Program, 1993-2009; (4) Performance Measurement; (5) Description of Study Components; (6) Measures; (7) Data Analysis Techniques Used in This Report; and (8) Descriptive and Outcome Data Tables. (Contains 14 figures, 14 tables, and 27 endnotes.).

Outcome Assessment in Residential Treatment

Outcome Assessment in Residential Treatment
Author: Steven I Pfeiffer
Publisher: Routledge
Total Pages: 110
Release: 2014-02-04
Genre: Medical
ISBN: 1317837266

As residential treatment centers and psychiatric hospitals are increasingly asked to document their effectiveness, it is essential for mental health care providers to demonstrate the efficacy and cost-effectiveness of the services they provide. Outcome Assessment in Residential Treatment helps health care providers demonstrate that their planned treatment is necessary and active rather than simply custodial. A practitioner’s guide to conducting treatment outcome assessment projects, this innovative book presents readers with historical perspectives, current issues, and practical suggestions for implementing an outcome assessment project. Outcome Assessment in Residential Treatment guides psychiatrists, psychologists, mental health practitioners, and social program administrators in addressing which therapeutic components contribute to the goals and objectives of their programs and which may require modification, radical revision, or even elimination. It helps residential treatment centers and psychiatric treatment facilities document treatment successes and better understand which factors (within the client, family, environment, treatment setting, or combinations therein) predict successful outcome. This objective data empowers readers to influence government and industry, enhance public awareness of the needs of severely disturbed children and youth, and validate the usefulness of intensive psychiatric treatment. Unlike other books on treatment outcome, Outcome Assessment in Residential Treatment tells readers how to determine clinically significant improvement and not simply statistically significant change. It gives practical, detailed, proven advice on how to carry out studies that will benefit residential treatment centers and the psychiatric and mental health fields. Contributors provide tools to validate/demonstrate that psychiatric and mental health treatments are effective. They offer insight into: planning a treatment outcome project recognizing ethical, practical, methodological, logistical, and clinical considerations in implementing a treatment outcome project selecting instruments to assess treatment outcome and measuring success comparing different outcome measures Health care providers must have accurate information about treatment outcomes to demonstrate that specific services are beneficial, cost-effective, and well-received by the client. Outcome Assessment in Residential Treatment helps readers evaluate the impact a treatment program has on a client’s clinical status and psychosocial and educational functioning, making it possible to provide an objective yardstick for the payer’s evaluation of the quality of care provided. Psychiatrists, psychologists, mental health practitioners, and social program administrators will find Outcome Assessment in Residential Treatment an essential guide to evaluating and understanding the relative effects of specific interventions or procedures on the quality and effectiveness of their services. They will use this information to make appropriate changes which guarantee that they best meet their clients’mental health care needs.

Model Programs in Child and Family Mental Health

Model Programs in Child and Family Mental Health
Author: Michael C. Roberts
Publisher: Routledge
Total Pages: 446
Release: 2014-02-04
Genre: Psychology
ISBN: 1317780280

This volume is the product of a combined effort to find programs of service delivery that demonstrably treat the varieties of mental health problems of children and their families. The Section on Clinical Child Psychology (APA, Clinical Psychology Section I) and the Division of Child, Youth, and Family Services (APA, Division 37) established a task force whose mission was to identify, provide recognition for, and disseminate information on such programs. Their findings are presented here. The opening chapter and each section overview chapter provide orientations to the program descriptions and examine characteristics of exemplary interventions. The targeted problems include: child abuse and neglect, school adjustment problems, social problem-solving problems, autism and developmental disabilities, conduct disorders and severe emotional problems, children affected by disasters and trauma, children whose parents are divorced, children of teenage parents, family dysfunction and parent-child relationships, oppositional defiant disorder, and attention deficit disorder. Settings for interventions in the model programs include: schools, mental health centers and family guidance clinics, hospitals and pediatric practices, group homes and sheltered workshops, community centers, family homes, summer camps, and coordinated systems of care. The 18 programs described demonstrate the rationale for their interventions, their targeted populations, the type of staff and personnel, various programmatic interventions, aspects of the problems, implementation of interventions, and how the programs have been evaluated. The needs for improved mental health services remain strong. The supporting organizations and the members of the Task Force intend for the product of this project to be helpful in providing models for meeting those needs.

The Evaluation and Care of Severely Disturbed Children and Their Families

The Evaluation and Care of Severely Disturbed Children and Their Families
Author: L. Hoffman
Publisher: Springer Science & Business Media
Total Pages: 133
Release: 2012-12-06
Genre: Medical
ISBN: 9401162999

This book, which proposes a developmental view of short-term inpatient treatment for severely disturbed children, is much needed in our field. It is particularly relevant, emotionally engaging, and a pleasure to read because the writers who are the actual participants and leaders in the milieu program, discuss their own experiences with a variety of children. The principles of milieu therapy are beautifully described and its application to a diverse ethnic population of sick children is clearly delineated. I congratulate Leon Hoffman and his co-workers for bringing to the field of child psychiatry a timely and helpful work. Irving N. Berlin, M. D. Professor of Psychiatry and Pediatrics Director, Division of Child and Adolescent Psychiatry, and Director, Children's Psychiatric Center, University of New Mexico School of Medicine, Albuquerque, New Mexico PREFACE Children who require hospital or residential treatment need an environment that provides a structure to their daily activities. Much of the literature on milieu treatment is inadequate because of a lack of integration between the various theoretical frames of reference and their practical application. Berlin has stressed the importance of a develop mental frame of reference in the organization of a hospital child psychiatry unit. * The Mount Sinai Medical Center is a large urban institution located on the fringes of a New York City ghetto.