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Measuring System of Care Core Values in a Behavioral Health System of Care

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Abstract

The Comprehensive Services for Children and Their Families or System of Care (SOC) is the largest mental health project ever conducted by the US federal government. These programs are based on a value-driven framework that includes: child/youth centered and family driven practice, community-based practice, and culturally competent practice (Stroul and Friedman in A system of care for children and youth with severe emotional disturbances, Georgetown University Child Development Center, CASSP Technical Assistance Center, Washington, DC, 1986). The aim of this study is to determine the extent of the adoption of SOC values by families, system partners, providers and community organizations in a countywide SOC. Using a retrospective design, data was collected through a system-wide survey and focus groups, which asked respondents to rate the presence of SOC core values prior to and four years following its creation. Results suggest that system partners, provider staff, and families are aware of the changes that have occurred within the system as a result of the SOC.

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Notes

  1. Initially the family and youth survey was posted online. As not all family members have access to e-mail, the BC-SCORES interviewers collected surveys when meeting with families and at BC-SCORES events, such as support groups and a picnic. At the meetings, youth were asked to complete the survey and were told that participation was voluntary.

  2. Focus groups questions were developed by the evaluator for BC-SCORES.

  3. Although youth were invited to participate in the focus groups, none attended.

  4. Families consisted of parents or other family members.

  5. Slightly less than half, 48.1 % of family and youth respondents were African American.

References

  • Brannan, A. M., Baughman, L. N., Reed, E. D., & Katz-Leavy, J. (2002). System-of-care Assessment: Cross-site comparison of findings. Children’s Services: Social Policy, Research, and Practice, 5(1), 37–56.

    Article  Google Scholar 

  • Brashears, F., Santiago, R. L., Sgro, G. M., & Gilford, J. W. (2005). Constancy and change in cultural competence in systems of care. In C. Newman, C. J. Liberton, K. Kutash, & R. M. Friedman (Eds.), The 17th annual research conference proceedings. A system of care for children’s mental health: Expanding the research base (pp. 327–330). Tampa, FL: University of South Florida, The Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children’s Mental Health.

  • Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.

    Google Scholar 

  • Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. M. (2004). Assessing fidelity to a community-based treatment for youth: The wraparound fidelity index. Journal of Emotional and Behavioral Disorders, 12(2), 79–89.

    Article  Google Scholar 

  • Bruns, E. J., Costillo, E. J., Angold, A., Tweed, D., Stangel, D., Farmer, E. M., et al. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159.

    Article  Google Scholar 

  • Bruns, E. J., Suter, J. C., Force, M. M., & Burchard, J. D. (2005). Adherence to wraparound principles and association with outcomes. Journal of Child and Family Studies, 14(4), 421–534.

    Article  Google Scholar 

  • Bruns, E. J., & Walker, J. S. (2010). Defining practice: Flexibility, legitimacy, and the nature of systems of care and wraparound. Evaluation and Program Planning, 33, 45–48.

    Article  PubMed  Google Scholar 

  • Burchard, J. D., Bruns, E. J., & Burchard, S. N. (2002). The Wraparound approach. In B. J. Burns & K. Hoagwood (Eds.), Community treatment for youth: Evidenced-based interventions for severe emotional and behavioral disorders (pp. 69–90). New York: Oxford University Press.

    Chapter  Google Scholar 

  • Burns, B. J. (2002). Reasons for hope for children and families: A perspective and overview. In B. Burns & K. Hoagwood (Eds.), Community treatment for youth: Evidence based treatment for severe emotional and behavioral disorders (pp. 3–15). Oxford: Oxford University Press.

    Chapter  Google Scholar 

  • Chenven, M. (2010). Community systems of care for children’s mental health. Child and Adolescent Psychiatric Clinics of North America, 19(1), 163–174.

    Article  PubMed  Google Scholar 

  • Cook, J. R., & Kilmer, R. P. (2004). Evaluating systems of care: Missing links in children’s mental health research. Journal of Community Psychology, 32(6), 655–674.

    Article  Google Scholar 

  • Cross, T., Bartgis, J., & Fox, K. (2010). Rethinking the systems of care definition: An indigenous perspective. Evaluation and Program Planning, 33, 28–31.

    Article  PubMed  Google Scholar 

  • Davis, T. S. (2007). Mapping patterns of perceptions: A community-based approach to cultural competence assessment. Research on Social Work Practice, 17, 358–379.

    Article  Google Scholar 

  • Duchnowski, A., & Kutash, K. (2007). Family-driven care. Tampa, FL: University of South Florida.

  • Farmer, E. M. Z., Dorsey, S., & Mustillo, S. A. (2004). Intensive home and community interventions. Child and Adolescent Psychiatric Clinics of North America, 13, 857–884.

    Article  PubMed  Google Scholar 

  • Heflinger, C. A., & Christens, B. (2006). Rural behavioral health services for children and adolescents: An ecological and community psychology analysis. Journal of Community Psychology, 34(4), 379–400.

    Article  Google Scholar 

  • Hernandez, M., Gomez, A., Lodi, L., Greenbaum, P. E., Armstrong, K. H., & Gonzalez, P. (2001). Use of the system-of-care practice review in the national evaluation: Evaluating the fidelity of practice to system-of-care principles. Journal of Emotional and Behavioral Disorders, 9(1), 43–52.

    Article  Google Scholar 

  • Hoagwood, K. E. (2005). Family-based services in children’s mental health: A research review and synthesis. Journal of Child Psychology and Psychiatry, 46(7), 690–713.

    Article  PubMed  Google Scholar 

  • Hogan, M. F. (2003). New Freedom Commission Report: The President’s New Commission Report: Recommendations to transform mental health care in American. Psychiatric Services, 54(11), 1467.

    Article  PubMed  Google Scholar 

  • Mistry, J., Jacobs, F., & Jacobs, L. (2009). Cultural relevance as program-to-community alignment. Journal of Community Psychology, 37(4), 487–504.

    Article  Google Scholar 

  • Osher, T. W., & Osher, D. M. (2002). The paradigm shift to true collaboration with families. Journal of Child and Family Studies, 11(1), 47–60.

    Article  Google Scholar 

  • Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., et al. (2006). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41(6), 731–738.

    Article  Google Scholar 

  • Pullmann, M. D., VanHooser, S., Hoffman, C., & Heflinger, C. A. (2010). Barriers to and supports of family participation in a rural system of care for children with serious emotional problems. Community Mental Health Journal, 46, 211–220.

    Article  PubMed Central  PubMed  Google Scholar 

  • Pumariega, A. J., Rogers, K., & Rothe, E. (2005). Culturally competent systems of care for children’s mental health: Advances and challenges. Community Mental Health Journal, 41(5), 539–555.

    Article  PubMed  Google Scholar 

  • Stanhope, V., Solomon, P., Pernell-Arnold, A., Sands, R. G., & Bourjolly, J. N. (2005). Evaluating cultural competence among behavioral health professionals. Psychiatric Rehabilitation Journal, 28(3), 225–233.

    Article  PubMed  Google Scholar 

  • Stroul, B. A., & Blau, G. M. (2010). Defining the system of care concept and philosophy: To update or not to update? Evaluation and Program Planning, 33, 59–62.

    Article  PubMed  Google Scholar 

  • Stroul, B. A., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances (Revised ed.). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.

    Google Scholar 

  • Vinson, N. B., Brannan, A. M., Baughman, L. B., Wilce, M., & Gawron, T. (2001). The system of care model: Implementation in 27 sites. Journal of Emotional and Behavioral Disorders, 9, 30–41.

    Article  Google Scholar 

  • Winters, N. C., & Pumariega, A. (2006). Practice parameter on child and adolescent mental health care in community systems of care. Journal of American Academy of Child and Adolescent Psychiatry, 46(2), 284–299.

    Google Scholar 

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Acknowledgments

This study was supported in part by funding from the U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services Grant # 5U79SM057057 and the County of Beaver.

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Correspondence to Holly P. Wald.

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Wald, H.P., Zubritsky, C.D. & Jaquette, N. Measuring System of Care Core Values in a Behavioral Health System of Care. Community Ment Health J 50, 275–280 (2014). https://doi.org/10.1007/s10597-013-9639-x

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  • DOI: https://doi.org/10.1007/s10597-013-9639-x

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