Research on Community-Based Mental Health Services for Children and Adolescents, Volume 14 (Research in Community and Mental Health)

cover.jpg......Page 1
List of contributors......Page 2
Introduction: Children, Adolescents, and Mental Health Services Research: An Overview of Emerging Perspective......Page 5
Research on Mental Services for Children and Adolescents......Page 8
References......Page 12
Background......Page 14
Methods......Page 16
Mass Media......Page 17
Religious Organizations......Page 18
Child Care......Page 19
Community Services: Home Visiting Programs......Page 20
Adult Medical Services: Primary Care......Page 21
Adult Medical Services: OB/GYN......Page 22
Child Health Settings......Page 24
Conclusions......Page 25
References......Page 26
School-Based Mental Health Services for Children and Adolescents......Page 33
History of Public Education and its Mandates......Page 34
Students Identified as having an Emotional Disturbance (ED)......Page 37
School-Based Health Centers: A Recent Trend......Page 41
Schools as Sites for Mental Health Prevention and Iintervention......Page 43
Summary......Page 47
References......Page 48
Introduction......Page 52
Effect of Age Categories......Page 54
Data......Page 55
Population Policy Coding Scheme......Page 56
Children with Serious Emotional Disturbance (p. 29425)......Page 59
Adults with Serious Mental Illness. (p. 29425)......Page 62
Ages Served......Page 63
Diagnostic Comparability......Page 64
Functional Comparability......Page 65
Methodological Limitations......Page 66
Consequences of Age-Based Discrepancies......Page 67
Remedies......Page 68
Conclusions......Page 69
Acknowledgment......Page 70
References......Page 71
The Search for Coordinated, Continuous Community-Based Care: How the Parallel Efforts of the Medical Home and Systems of Care can Inform Each Other......Page 74
A Brief History of Children’s Mental Health Treatment in the United States......Page 76
Evolution of Systems of Care......Page 77
Results from Systems of Care Research......Page 78
Evolution of the Medical Home......Page 81
Results from Medical Home Research......Page 83
Implications of Systems of Care Research for Future Medical Home Research......Page 85
References......Page 87
Evaluating Service System Coordination from the Providers’ Perspective......Page 92
Interorganizational Network Approach......Page 93
‘‘Bounding’’ the Network and Choosing Survey Respondents......Page 95
Questionnaires......Page 96
Data Collection Procedure......Page 97
Data Analysis and Results Assessing Effectiveness of Network......Page 98
Density......Page 103
Agency Centrality......Page 105
Cluster Membership and the Coordination Index......Page 108
Discussion and Implications......Page 109
Notes......Page 111
References......Page 112
Measuring Children’s Systems of Care using Anonymous Data Sets: Caseload Overlap, Service System Integration, and Number of Programs per Person......Page 114
Caseload Overlap between Individual Treatment Programs or Service Sectors......Page 115
Caseload Segregation/Integration within a Complex System of Care......Page 119
The Number of Individuals Served by Only One Program......Page 121
The Number of Individuals Served by Specified Numbers of Programs......Page 123
Discussion......Page 127
Appendix: The Administrators’ Misconception......Page 129
Mathematical Considerations......Page 130
Implications......Page 131
References......Page 132
Introduction......Page 134
What are Home and Community-Based Mental Health Services?......Page 136
Evidence of the Effectiveness of Home and Community-Based Mental Health Services......Page 140
Therapeutic Foster Care......Page 142
Therapeutic Group Homes......Page 146
Multi-Systemic Therapy......Page 147
Crisis Services......Page 150
Family Education and Support......Page 152
Mentoring......Page 153
Respite Services......Page 154
Intensive Case Management......Page 155
Wraparound......Page 157
Lack of Clarity of Terms......Page 158
Should We Continue Current Policies?......Page 160
An Example of a Bad Investment......Page 161
Balancing Values......Page 162
Client-Focused Research......Page 163
Feedback......Page 164
Contextualized Feedback Intervention and Training (CFIT)......Page 165
References......Page 166
System of Care......Page 174
Challenge I: Systems of Care Serve Children and Adolescents Most in Need......Page 177
Challenge II: Securing Cooperation and Collaboration of Multiple Child Serving Systems......Page 178
Challenge III: Financing Systems of Care......Page 179
Challenge IV: Shortages of Mental Health Services and Staff......Page 180
Challenge V: Inpatient Care as Part of a System of Care......Page 182
Empirical Investigations of System of Care......Page 185
Empirical Investigations of Other Interventions for Children and Adolescents with SED......Page 186
Implications......Page 188
References......Page 189
Exchanging Glances? Systems, Practice, and Evidence in Children’s Mental Health Services......Page 195
Systems of Care......Page 196
The Systems Level: Structure, Organization, and Financing......Page 197
The Clinical Level: Caseworker Behaviors, Skills, and Tools......Page 198
Empirically Supported Treatments......Page 199
Strength and Integrity......Page 201
Evaluation and the Ecology of Systems of Care......Page 202
Summary......Page 205
Empirically Supported Treatments......Page 206
Systems of Care......Page 208
Three Key Components of Health Services Research: Effectiveness, Efficiency, and Equity......Page 209
Equity, Efficiency, and Effectiveness and Levels of the Service System......Page 211
Effectiveness: The Question of Measurement......Page 213
Refining Service Delivery......Page 215
Convincing Stakeholders of the Value of Systems of Care and Empirically Supported Treatments......Page 216
The Value of Outcome Information: Reasonableness, Validity, and Relevance......Page 217
Levels of the Care System and Outcome Research Goals......Page 218
The Purposes of Outcomes Research Revisited......Page 220
Summary......Page 221
Linking Interventions, Evidence, and Audiences......Page 222
A Simplified Model......Page 223
References......Page 225