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Administrative tools for operationalizing a continuum of care for children and youth with severe emotional disturbance

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Abstract

Critical administrative functions in operationalizing a system of care approach to service delivery include: defining and selecting clients to be served, planning and developing responsive services, and ensuring that services are provided in the most therapeutic and least restrictive family and community-based environments. This article presents an overview of several administrative strategies and mechanisms developed by the Continuum of Care for Emotionally Disturbed Children in South Carolina to carry out these functions. Administrative tools are described, as well as the assumptions underlying their development. Evaluation methods, which include analyzing existing client data, surveying parents, and conducting research within a public/academic partnership, are also briefly described.

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References

  1. Knitzer J: Children’s mental health policy: Challenging the future.Journal of Emotional and Behavioral Disorders 1993; 1(1):8–16.

    Google Scholar 

  2. Knitzer J:Unclaimed Children: The Failure of Public Responsibility to Children and Adolescents in Need of Mental Health Services. Washington, DC: Children’s Defense Fund, 1982.

    Google Scholar 

  3. Stroul BA:Child and Adolescent Service System Program (CASSP) System Change Strategies, a Workbook for States. Washington, DC: CASSP Technical Assistance Center, 1985.

    Google Scholar 

  4. Stroul BA, Friedman RM:A System of Care for Severely Emotionally Disturbed Children and Youth. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1986.

    Google Scholar 

  5. Pires SA:Sizing Components of Care. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1990.

    Google Scholar 

  6. Boyd LA:Integrating Systems of Care for Children and Families: An Overview of Values, Methods, and Characteristics of Developing Models, with Examples and Recommendations. Tampa: Florida Mental Health Institute, University of South Florida, 1992.

    Google Scholar 

  7. Burchard JD, Clarke RT: The role of individualized care in a service delivery system for children and adolescents with severely maladjusted behavior.Journal of Mental Health Administration 1990; 17(1):48–60.

    PubMed  CAS  Google Scholar 

  8. Jordan DD, Hernandez M: The Ventura planning model: A proposal for mental health reform.Journal of Mental Health Administration 1990; 17(1):26–47.

    PubMed  CAS  Google Scholar 

  9. Nelson CM, Pearson CA:Integrating Services for Children and Youth with Emotional and Behavioral Disorders. Reston, VA: Council for Exceptional Children, 1991.

    Google Scholar 

  10. Stroul BA, Goldman SK, Lourie IS, et al.:Profiles of Local Systems of Care for Children and Adolescents with Severe Emotional Disturbances. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1992.

    Google Scholar 

  11. Isaacs M, Goldman SK:Profiles of Residential and Day Treatment Programs for Seriously Emotionally Disturbed Youth. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1985.

    Google Scholar 

  12. Stroul BA:Series on Community-Based Services for Children and Adolescents Who Are Severely Emotionally Disturbed, Vol. 1:Home-Based Services. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1988.

    Google Scholar 

  13. Goldman SK:Series on Community-Based Services for Children and Adolescents Who Are Severely Emotionally Disturbed, Vol. 2:Crisis Services. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1988.

    Google Scholar 

  14. Stroul BA:Series on Community-Based Services for Children and Adolescents Who Are Severely Emotionally Disturbed, Vol. 3: Therapeutic Foster Care. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1989.

    Google Scholar 

  15. Magrab PR, Young T, Waddell A:A Community Workbook for Developing Collaborative Services for Seriously Emotionally Disturbed Children. Washington, DC: Georgetown University Child Development Center, 1985.

    Google Scholar 

  16. Glisson C, James L: The interorganizational coordination of services to children in state custody.Administration in Social Work 1992; 16(3/4):65–80.

    PubMed  CAS  Google Scholar 

  17. Soler M: Interagency services in juvenile justice systems. In: Schwartz IM (Ed.):Juvenile Justice and Public Policy. New York: Lexington Books, 1992, pp. 134–150.

    Google Scholar 

  18. Segal EA, McCreight MJ: Collaborative community-based services for multi-need youth: A clustering approach. In: Kutash K, Liberton CJ, Algarin A, et al. (Eds.):Fifth Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: Florida Mental Health Institute, University of South Florida, 1993, pp. 153–157.

    Google Scholar 

  19. Bickman L, Heflinger CA, Pion G: The evaluation of an innovative mental health system for children: Initial plans. In: Algarin A, Friedman RM (Eds.):Third Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: Florida Mental Health Institute, University of South Florida, 1991, pp. 51–63.

    Google Scholar 

  20. Armstrong MI, Huz S, Evans ME: What works for whom: The design and evaluation of children’s mental health services.Social Work Research & Abstracts 1992; 28(1):35–41.

    CAS  Google Scholar 

  21. Burchard JD, Schaefer M: Improving accountability in a service delivery system in children’s mental health.Clinical Psychology Review 1992; 12:867–882.

    Article  Google Scholar 

  22. Burchard SN, Burchard JD: One kid at a time: An independent evaluation of 11 cases in the Alaska youth initiative. In: Kutash K, Liberton CJ, Algarin A, et al. (Eds.):Fifth Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: Florida Mental Health Institute, University of South Florida, 1993, pp. 241–245.

    Google Scholar 

  23. Duchnowski AJ, Johnson MK, Hall KS, et al.: The alternatives to residential treatment study: Initial findings.Journal of Emotional and Behavioral Disorders 1993; 1(1):17–26.

    Google Scholar 

  24. Illback RJ:Evaluation of the Kentucky Impact Program for Children and Youth with Severe Emotional Disabilities: Year Two. Kentucky: Cabinet for Human Resources, Division of Mental Health, Children and Youth Services Branch, 1993.

    Google Scholar 

  25. Christian WP, Hannah GT:Effective Management in Human Services. Englewood Cliffs, NJ: Prentice-Hall, 1983.

    Google Scholar 

  26. Goldman SK:Profiles of Local Systems of Care for Children and Adolescents with Severe Emotional Disturbances: Ventura County, California. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1992.

    Google Scholar 

  27. Stroul BA:Profiles of Local Systems of Care for Children and Adolescents with Severe Emotional Disturbances: Stark County, Ohio. Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center, 1992.

    Google Scholar 

  28. VanDenBerg J, Beck S, Pierce, J: The Pennsylvania outcome project for children’s services. In: Kutash K, Liberton CJ, Algarin A, et al. (Eds.):Fifth Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: Florida Mental Health Institute, University of South Florida, 1993, pp. 233–238.

    Google Scholar 

  29. Epstein MH, Nelson CM, Polsgrove L, et al.: A comprehensive community-based approach to serving students with emotional and behavioral disorders.Journal of Emotional and Behavioral Disorders 1993; 1(2):127–133.

    Article  Google Scholar 

  30. Friesen BJ, Koroloff NM: Family centered services: Implications for mental health administration and research.Journal of Mental Health Administration 1990; 17(1):13–25.

    PubMed  CAS  Google Scholar 

  31. Scherkenbach, WW:The Deming Route to Quality and Productivity: Road Maps and Road Blocks. Rockville, MD: Mercury Press/Fairchild Publications, 1986.

    Google Scholar 

  32. Netting FE: Case management: Service or symptom?Social Work 1992; 37(2):160–164.

    Google Scholar 

  33. Duchnowski AJ, Friedman RM: Children’s mental health: Challenges for the nineties.Journal of Mental Health Administration 1990; 17(1):3–12.

    PubMed  CAS  Google Scholar 

  34. Rubin A: Is case management effective for people with serious mental illness? A research review.Health and Social Work 1992; 17(2):138–150.

    CAS  Google Scholar 

  35. Graham K, Birchmore-Timney C: The problem of replicability in program evaluation: The component solution using the example of case management.Evaluation and Program Planning 1989; 12:179–187.

    Article  PubMed  CAS  Google Scholar 

  36. Joyner JI: A method to assess client progress in a case management agency. In: Kutash K, Liberton CJ, Algarin A, et al. (Eds.):Fifth Annual Research Conference Proceedings: A System of Care for Children’s Mental Health: Expanding the Research Base. Tampa: Florida Mental Health Institute, University of South Florida, 1993, pp. 323–334.

    Google Scholar 

  37. Joyner JI, Perry NK, Wadsworth C:Service Development Plan: Outcome of a Strategic Planning Process. Columbia, SC: Office of the Governor, Continuum of Care for Emotionally Disturbed Children Division, 1993.

    Google Scholar 

  38. Rivard JC, Wright G, Bryant ES, et al.: Family Feedback Survey: Fiscal Year 1992–1993. Unpublished report, Office of the Governor (South Carolina), Continuum of Care for Emotionally Disturbed Children, 1993.

  39. Coker AL, Cowan T, Patrick HT, et al.: Preventing Sex Offending in Emotionally Disturbed Adolescents. Unpublished manuscript, Columbia, SC, 1993.

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Rivard, J.C., Perry, N. & Hinkle, K.T. Administrative tools for operationalizing a continuum of care for children and youth with severe emotional disturbance. The Journal of Mental Health Administration 21, 240–252 (1994). https://doi.org/10.1007/BF02521331

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