Abstract
This article discusses how the Child and Adolescent Functional Assessment Scale (CAFAS) can be used as an outcome measure in clinical settings. Outcome data from two clinical samples are provided: a small community mental health center located in Michigan and a large referred sample from the Fort Bragg Evaluation Project. Outcome indicators for assessing change over time included overall level of dysfunction, percentage of respondents with severe impairment, mean total score, mean scores for individual CAFAS subscales, and change in total score at the client level. Implications of the findings were discussed from several perspectives: improving services to individual clients, developing databases at the local level that can be used for the agency's continuing self-scrutiny, and pooling databases across sites that can be used to study broader issues within a managed care environment.
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Hodges K:Child and Adolescent Functional Assessment Scale. Ypsilanti: Eastern Michigan University, Department of Psychology, 1989, 1994, 1997.
Behar LB, Stelle L: Criteria for accessing child mental health and substance abuse services in North Carolina. In: Liberton CJ, Kutash K, Friedman RM (Eds.):Proceedings of the Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base. Tampa, FL: Research & Training Center for Children's Mental Health, 1997, pp. 262–264.
Irvin E, Hersch P: Proposed eligibility criteria and procedures for enrollment in Department of Mental Health continuing care. In: Liberton CJ, Kutash K, Friedman RM (Eds.):Proceedings of the Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base. Tampa, FL: Research & Training Center for Children's Mental Health, 1997, pp. 264–267.
Lemoine RL, Speier T, Ellzey S, et al.: Using the Child and Adolescent Functional Assessment Scale (CAFAS) to establish level-of-need for Medicaid managed care services. In: Liberton CJ, Kutash K, Friedman RM (Eds.):Proceedings of the Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base. Tampa, FL: Research & Training Center for Children's Mental Health, 1997, pp. 267–270.
Hodges K, Rosenblatt A, Irvin E, et al.:Developing an Empirical Base for Managed Care in Public Mental Health Systems. Symposium presented at the 10th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 1997.
Lambert WE, Guthrie PR: Clinical outcomes of a children's mental health managed care demonstration.Journal of Mental Health Administration 1996; 23(1):51–68.
Doucette-Gates A, Liao Q, Sondheimer A, et al.:CMHS Evaluation: Model Changing—Metaphors and Meaning. Symposium presented at the 10th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 1997.
Hodges K, Latessa M, Pernice F, et al.:Practical Issues in Using the CAFAS for Clinical and Administrative Outcome. Symposium presented at the 10th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 1997.
Hodges K:CAFAS Manual for Training Coordinators, Clinical Administrators and Data Managers. Ypsilanti: Eastern Michigan University, Department of Psychology, 1997.
Hodges K: Child and Adolescent Functional Assessment Scale. In: Maruish ME (Ed.):The Use of Psychological Testing for Treatment Planning and Outcome Assessment, in press. Liberton C, Kutash K, Friedman R: The 10th Annual Research Conference Proceedings, A System of Care for Children's Mental Health: Expanding the Research Base, 1998.
Hodges K: Psychometric Study of a Telephone Interview for the CAFAS Using an Expanded Version of the Scale. Paper presented at the 8th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 1995.
Pernice F, Gust J, Hodges K:A Structured Interview for Collecting Objective Outcome Data in Clinical Settings. Symposium presented at the 10th Annual Research Conference: A System of Care for Children's Mental Health: Expanding the Research Base, Tampa, FL, February 1997.
Hodges K, Wong MM: Psychometric characteristics of a multidimensional measure to assess impairment: The Child and Adolescent Functional Assessment Scale.Journal of Child and Family Studies 1996; 5:445–467.
Hodges K, Wong MM: Use of the Child and Adolescent Functional Assessment Scale to predict service utilization and cost.Journal of Mental Health Administration 1996; 23(1):92–106.
Lipsey MW, Wilson DB: The efficacy of psychological, educational, and behavioral treatment.American Psychologist 1993; 48:1181–1199.
Breda CS: Methodological issues in evaluating mental health outcomes of a children's mental health managed care demonstration.Journal of Mental Health Administration 1996; 23(1):40–50.
Foster EM, Summerfelt WT, Saunders RC: The costs of mental health services under the Fort Bragg demonstration.Journal of Mental Health Administration 1996; 23(1):92–106.
Friedman RM: The Fort Bragg Study: What can we conclude?Journal of Child & Family Studies 1996; 5:161–168.
Speer DC, Newman FL: Mental health services outcome evaluation.Clinical Psychology Science and Practice 1996; 3:105–129.
Hernandez M, Hodges S, Macbeth G, et al.:Michigan Outcome Identification Project. Tampa: University of South Florida, Florida Mental Health Institute, Department of Child and Family Studies, 1996.
Hodges K:Measures for Assessing Impairment in Children and Adolescents. Paper prepared for the U.S. Center for Mental Health Services. Rockville, MD: Department of Health and Human Services, Substance Abuse, and Mental Health Services Administration, 1994.
Hodges K, Gust J: Measures of impairment for children and adolescents.Journal of Mental Health Administration 1995; 22:403–413.
Hodges K:The Child and Adolescent Functional Assessment Scale Self Training Manual. Ypsilanti: Eastern Michigan University, Department of Psychology, 1994.
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Hodges, K., Wong, M.M. & Latessa, M. Use of the child and adolescent functional assessment scale (CAFAS) as an outcome measure in clinical settings. The Journal of Behavioral Health Services & Research 25, 325–336 (1998). https://doi.org/10.1007/BF02287471
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DOI: https://doi.org/10.1007/BF02287471