Community Characteristics and Implementation Factors Associated with Effective Systems of Care

  • Laurel M. Lunn
  • Craig Anne Heflinger
  • Wei Wang
  • Paul E. Greenbaum
  • Krista Kutash
  • Roger A. Boothroyd
  • Robert M. Friedman
Article

Abstract

How are characteristics of communities associated with the implementation of the principles of systems of care (SOC)? This study uses multilevel modeling with a stratified random sample (N = 225) of US counties to explore community-level predictors of the implementation factors of the System of Care Implementation Survey. A model composed of community-level social indicators fits well with 5 of 14 factors identified as relevant for effective SOCs. As hypothesized, community disadvantage was negatively and residential stability positively associated with the implementation of SOC principles. Designation as a mental health professional shortage area was positively related to some implementation scores, as was the percentage of minority residents, while rurality was not significantly associated with any of the factors. Given the limitations of the study, the results should be interpreted with caution, but suggest that further research is merited to clarify these relationships that could inform efforts directed at promoting SOCs.

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Copyright information

© National Council for Community Behavioral Healthcare 2011

Authors and Affiliations

  • Laurel M. Lunn
    • 1
  • Craig Anne Heflinger
    • 1
  • Wei Wang
    • 2
  • Paul E. Greenbaum
    • 3
  • Krista Kutash
    • 4
  • Roger A. Boothroyd
    • 5
  • Robert M. Friedman
    • 6
  1. 1.Department of Human and Organizational Development, Peabody CollegeVanderbilt UniversityNashvilleUSA
  2. 2.Department of Epidemiology and Biostatistics, College of Public HealthUniversity of South FloridaTampaUSA
  3. 3.Department of Child and Family Studies, MHC 2434, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampaUSA
  4. 4.Department of Child and Family Studies, MHC 2335, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampaUSA
  5. 5.Department of Mental Health Law and Policy, MHC 2719 Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampaUSA
  6. 6.Department of Child and Family Studies, MCH 2312a, Louis de la Parte Florida Mental Health InstituteUniversity of South FloridaTampaUSA

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