The Journal of Behavioral Health Services & Research

, Volume 27, Issue 3, pp 257–270

Client typology based on functioning across domains using the CAFAS: Implications for service planning


    • Applied Research UnitEastern Michigan University
  • Jim Wotring
    • Department of Community HealthMental Health Services to Children and Families

DOI: 10.1007/BF02291738

Cite this article as:
Hodges, K. & Wotring, J. The Journal of Behavioral Health Services & Research (2000) 27: 257. doi:10.1007/BF02291738


Cluster analysis was used to develop a five-group typology based on the eight subscales of the Child and Adolescent Functional Assessment Scale (CAFAS) using data on 4,758 youths referred to Community Mental Health Service Providers in Michigan. The groups are described in terms of clinical diagnoses, overall impairment in functioning, past and current use of services from other agencies (i.e., juvenile justice, social services), and caregiver resourcefulness. From most to least impaired, the clusters were the following: Substance Users/Externalizers, Comorbid/Self-Harmful, Delinquents, Marked/School Problems, and Adjustment Problems with Impairment/Secondary Prevention. The results are being used to help identify the most impaired youths with serious emotional disturbance (SED) youths, develop specific programs and services for the different types of youths being served, determine staff training needs, and foster clinical practice in which the youth's progress is continually monitored.

Copyright information

© Association of Behavioral Healthcare Management 2000