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Strengths Model for Youth (SM-Y) Case Management: Initial Findings on Youth Outcomes

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Abstract

Case management is a widely utilized service in both youth and adult outpatient community mental health settings. Despite its widespread use, previous findings suggest that youth case management often lacks empirically tested models or frameworks. This article presents the results of a pilot study that involved adapting the Strengths Model, an adult case management model, for the child and adolescent outpatient community mental health population. The newly adapted model, known as the Strengths Model for Youth (SM-Y), was implemented in an urban community mental health center across five different youth case management teams. To assess changes over time in youth receiving SM-Y case management, marginal maximum likelihood multilevel modeling with adaptive Gaussian quadrature methods was applied. The study focused on three domains: socialization, education, and hospitalization. Utilizing the logit link function and Bernoulli conditional distribution due to the binary nature of the outcome data, three individual trajectories were drawn for socialization, education, and hospitalization. Positive findings indicated increases in socialization and educational performance among children and adolescents.

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References

  • Anderson, J. A., Wright, E. R., Smith, J. S., & Kooreman, H. E. (2007). Educational profiles of students at enrollment in a system of care. Remedial and Special Education, 28(1), 9–20.

    Article  Google Scholar 

  • Bickman, L. (2020). Improving mental health services: A 50-year journey from randomized experiments to artificial intelligence and precision mental health. Administration and Policy in Mental Health, 47(5), 795–843. https://doi.org/10.1007/s10488-020-01065-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Bruns, E., Pullmann, M. D., Sather, A., Brinson, R. D., & Ramey, M. (2015). Effectiveness of wraparound vs. case management for children and adolescents: Results of a randomized study. Administration and Policy in Mental Health and Mental Health Services Research, 42(3), 309–322. https://doi.org/10.1007/s10488-014-0571-3

    Article  PubMed  Google Scholar 

  • Danese, A., Moffitt, T. E., Harrington, H., Milne, B. J., Polanczyk, G., Pariante, C. M., Poulton, R., & Caspi, A. (2009). Adverse childhood experiences and adult risk factors for age-related disease: Depression, inflammation, and clustering of metabolic risk markers. Archives of Pediatrics & Adolescent Medicine, 163(12), 1135–1143. https://doi.org/10.1001/archpediatrics.2009.214

    Article  Google Scholar 

  • Giardino, A.P. & De Jesus, O. (2023). Case Management. National Institute of Health. Available from: https://www.ncbi.nlm.nih.gov/books/NBK562214/

  • Greenbaum, P. E., Dedrick, R. E., Friedman, R. M., Kutash, K., Brown, E. C., Lardicrh, S., P., & Pugh, A. M. (1996). National adolescent and child treatment study (NACTS): Outcomes for children with serious emotional and behavioral disturbance. Journal of Emotional and Behavioral Disorders, 4, 130–114.

    Article  Google Scholar 

  • Grube, W., & Mendenhall, A. N. (2016a). Adolescent mental health case management: Consumer perspectives. Families in Society, 97(2), 86–94. https://doi.org/10.1606/1044-3894.2016.97.13

    Article  Google Scholar 

  • Grube, W., & Mendenhall, A. N. (2016b). Adolescent mental health case management: Provider perspectives. Social Work in Mental Health, 14, 583–605. https://doi.org/10.1080/15332985.2015.1089971

    Article  Google Scholar 

  • Hoffman, L. (2015). Longitudinal analysis: Modeling within-person fluctuation and change. Routledge

  • Kersbergen, A. (1996). Case management: A rich history of coordinating care to control costs. Nursing Outlook, 44(4), 169–172. https://doi.org/10.1016/S0029-6554(96)80037-6

    Article  CAS  PubMed  Google Scholar 

  • Lukersmith, S., Millington, M., & Salvador-Carulla, L. (2016). What is case management? A scoping and mapping review. International Journal of Integrated Care, 16(4), 2. https://doi.org/10.5334/ijic.2477

    Article  PubMed  PubMed Central  Google Scholar 

  • Marcenko, M. O., Keller, T. E., & Delaney, M. A. (2001). Children with SED and their families in an urban public mental health center: Characteristics, needs, and expectations. Journal of Child and Family Studies, 10(2), 213–226. https://doi.org/10.1023/A:1016603625640

    Article  Google Scholar 

  • Mendenhall, A. N., & Grube, W. (2017). Developing a new approach to case management in youth mental health: Strengths model for youth case management. Child and Adolescent Social Work Journal, 34(4), 369–379. https://doi.org/10.1007/s10560-016-0467-z

    Article  Google Scholar 

  • Mendenhall, A. N., Grube, W., & Jung, E. (2019). Implementing strengths model for youth in community mental health: Impact on case managers’ professional quality of life. Children and Youth Services Review, 102, 1–6. https://doi.org/10.1016/j.childyouth.2019.04.020

    Article  Google Scholar 

  • Mendenhall, A. N., Grube, W., & Schuetz, N. (2020). Strengths model for youth: Moving toward a client-centered strengths-based model of case management in community mental health. Rooted in Strengths: Celebrating the Strengths Perspective in Social Work Lawrence, KS: University of Kansas Libraries. Available at: http://hdl.handle.net/1808/30264

  • Olson, J. R., Benjamin, P. H., Azman, A. A., Kellogg, M. A., Pullmann, M. D., Suter, J. C., & Bruns, E. J. (2021). Systematic review and meta-analysis: Effectiveness of wraparound care coordination for children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 60(11), 1353–1366. https://doi.org/10.1016/j.jaac.2021.02.022

    Article  PubMed  Google Scholar 

  • Overhage, L., Hailu, R., Busch, A. B., Mehotra, A., Michelson, K. A., & Huskamp, H. A. (2023). Trends in acute care use for mental health conditions among youth during the COVID-19 pandemic. JAMA Psychiatry. https://doi.org/10.1001/jamapsychiatry.2023.2195

    Article  PubMed  Google Scholar 

  • Rapp, C., & Goscha, R. (2004). Principles of effective case management mental health services. Psychiatric Rehabilitation, 27(4), 319–333.

    Article  Google Scholar 

  • Rapp, C. A., & Goscha, R. J. (2012). The strengths model: A recovery-oriented approach to mental health services (3rd ed.). Oxford University Press.

  • Ravitz, P., Berkhout, S., Lawson, A., Kay, T., & Meikle, S. (2019). Integrating Evidence-Supported Psychotherapy Principles in Mental Health Case Management: A Capacity-Building Pilot The Canadian Journal of Psychiatry 64(12) 855-862 10.1177/0706743719877031

  • Schuetz, N., Mendenhall, A. N., & Grube, W. (2019). Strengths model for youth case management: Professionals’ perceptions of model impact on clients. Social Work in Mental Health, 17(4), 426–448. https://doi.org/10.1080/15332985.2018.1563024

    Article  Google Scholar 

  • Schuetz, N., Mendenhall, A. N., & Grube, W. (2021). Strengths model for youth case management: Impact on provider and agency. Child and Adolescent Social Work Journal, 38, 43–55. https://doi.org/10.1007/s10560-020-00668-2

    Article  Google Scholar 

  • Stata Corp (2017) Stata Statistical Software: Release 15. College Station, TX: StataCorp LLC.

  • Sullivan, W. P., Kondrat, D. C., & Floyd, D. (2015). The pleasures and pain of mental health case management. Social Work in Mental Health, 13, 349–364. https://doi.org/10.1080/15332985.2014.955942

    Article  Google Scholar 

  • Wagner, M. (1995). Outcomes for youths with serious emotional disturbance in secondary school and early adulthood. Critical Issues for Children and Youth, 5(2), 90–112.

    CAS  Google Scholar 

Download references

Funding

This study is part of project funded by the Kansas Department of Aging and Disability Services; project number KAN0073128.

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All authors contributed to the study analysis, reporting, and design. Material preparation, data collection and analysis were performed by Dr. Whitney Grube, Dr. Amy Mendenhall, and Dr. EuiJin Jung. The first draft of the manuscript was written by study all authors. All authors read and approved the final manuscript.

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Correspondence to Whitney Grube.

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Authors have no conflicts of interest to report.

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All study procedures were approved by the authors’ institutional review board.

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Mendenhall, A., Grube, W. & Jung, E. Strengths Model for Youth (SM-Y) Case Management: Initial Findings on Youth Outcomes. Community Ment Health J (2024). https://doi.org/10.1007/s10597-024-01265-8

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