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Journal of Child and Family Studies

, Volume 1, Issue 3, pp 263–286 | Cite as

Integrating systems of care in california for youth with severe emotional disturbance II: Initial group home expenditure and utilization findings from the California AB377 Evaluation Project

  • Abram Rosenblatt
  • C. Clifford Attkisson
  • Alberto J. Fernandez
Regular Papers

Abstract

The California AB377 Evaluation Project was established to study the replication of an innovative system of care in three California counties for youth suffering from severe emotional disturbance. Development of the innovative system of care was pioneered in Ventura County, California, and the replications were legislatively enabled through Assembly Bill 377 (AB377). This paper reports evaluative findings about a central goal of the innovative care system: the reduction of use of highly restrictive out-of-home placements though creation and maintenance of coordinated and effective community-based services. Group home facilities are the focus of the evaluation work because these facilities consume the largest proportion of all public expenditures for youth in residential placements in California. More than 10 years of aggregate county and state level monthly expenditure and utilization data are presented. The results indicate that the demonstration counties have generated lower per capita inflation adjusted rates of expenditures and per capita group home placements than California as a whole. The evaluation results provide evidence that an integrated system of care can reduce group home placements. However, the nature, quality and effectiveness of any and/or all alternative services provided remains a topic for further investigation.

Key words

mental health services research evaluation research children mental health economics 

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Copyright information

© Human Sciences Press, Inc. 1992

Authors and Affiliations

  • Abram Rosenblatt
    • 3
  • C. Clifford Attkisson
    • 1
  • Alberto J. Fernandez
    • 2
  1. 1.Department of PsychiatryThe University of CaliforniaSan Francisco
  2. 2.The University of CaliforniaSan Francisco
  3. 3.Department of PsychiatryThe University of California, San FranciscoSan Francisco

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