Long-term effects of a system of care on children and adolescents

Author(s): Noser, K., Summerfelt, W. T.

Journal/Book: J Behav Health Serv Res. 1999; 26: 2455 Teller Rd, Thousand Oaks, CA 91320, USA. Sage Publications Inc. 185-202.

Abstract: This study evaluates an exemplary system of care designed to provide comprehensive mental health services to children and adolescents. It was believed that the system would lead to more improvement in the functioning and symptoms of clients compared to those receiving care as usual. The project employed a randomized experimental five-wave longitudinal design with 350 families. While access to care, type of care, and the amount of care were better in the system of care, there were no differences in clinical outcomes compared to care received outside the system. In addition, children who did not receive arty services, regardless of experimental condition, improved at the same rate as treated children. Similar to the Fort Bragg results, the effects of systems of care are primarily limited to system-level outcomes but do not appear to affect individual outcomes such as functioning and symptomatology.

Note: Article Bickman L, Vanderbilt Univ, Ctr Mental Hlth Policy, Vanderbilt Inst Publ Policy Studies, 1207 18th Ave S, Nashville,TN 37212 USA

Keyword(s): FORT-BRAGG EVALUATION; FAMILY ASSESSMENT DEVICE; MENTAL-HEALTH-SERVICES; ISSUES; MODELS; RELIABILITY

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