Predicting service utilization with the child and adolescent functional assessment scale in a sample of youths with serious emotional disturbance served by center for mental health services-funded demonstrations

Hodges, Kay; Doucette-Gates, Ann; Kim, Cheong-Seok

doi:10.1007/bf02287803

Cited by 62 publications

(35 citation statements)

References 14 publications

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“…In recent years, these measures have been used widely to assign levels of care, especially within public mental health systems for children. Studies using the CAFAS demonstrated correlation between extent of child mental health services use and degree of functional impairment (Hodges, Doucette-Gates, & Kim, 2000).…”

Section: In Live System Of Care Clinical Settings the Calocus/casii mentioning

confidence: 99%

A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity

et al. 2006

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The Child and Adolescent Level of Care System/Child and Adolescent ServiceIntensity Instrument (CALOCUS/ CASII) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demonstrates excellent reliability when rating vignettes. Using children and adolescents

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Section: In Live System Of Care Clinical Settings the Calocus/casii mentioning

confidence: 99%

A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity

et al. 2006

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“…The ROLES is a widely used measure that has begun to show promise as a psychometrically sound measure with adequate levels of reliability (Hawkins et al 1992). Youth were grouped into one of four departure categories (Independent living, Family settings, Intermediate or Residential) using modified categories described by Hodges et al (2000). Independent living included youth who lived on their own or with a roommate or enrolled in the military.…”

Section: Departure Statusmentioning

confidence: 99%

Youth Departing from Residential Care: A Gender Comparison

et al. 2008

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Although females represent almost half of all youth involved in residential care in the US, very little is known about this population. In order to examine differences in characteristics of male (n = 308) and female (n = 180) youth departing from residential care, data were collected on 488 youth from a large residential treatment facility in the Midwest. Gender differences were assessed on 16 variables measured at the time of departure across family, education, behavior, and departure domains. Overall, male and female youth departing from residential care were very similar for measures collected at the time of departure. Only three variables (GPA at departure, number of school referrals during the previous 8 weeks, and planned departure) were found to be significantly different between males and females. Implications for future research and the provision of aftercare services are discussed.

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“…First, it is often not the symptoms, but the disruption or interference that creates hardships for youth and results in identification and treatment seeking (Bird et al 1990). Improvement in functioning may be related to client views of treatment success (Zimmerman et al 2006) and clinician views of client needs (Striley et al 2003;Hodges et al 2000). Functioning also provides a context for the interpretation of the clinical significance of symptom reduction or lack thereof (Chorpita 2001;Hoagwood et al 1996;Kazdin and Kendall 1998;Sechrest et al 1996).…”

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confidence: 97%

Improvement in Symptoms Versus Functioning: How Do Our Best Treatments Measure Up?

Becker

Chorpita²,

Daleiden

2011

Adm Policy Ment Health

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We examined the effects of redefining standards of evidence for treatments targeting childhood mental health problems by expanding outcomes beyond symptom reduction to include functioning. Over 750 treatment protocols from 435 randomized controlled trials were rated based on empirical evidence. Nearly two-thirds (63.9%) demonstrated at least a minimum level of evidence for reducing symptoms; however, only 18.8% of treatments demonstrated evidence for reducing functional impairment. Of those treatments with empirical support for symptom reduction, the majority did not demonstrate empirical support for improvement in functioning because measures of functioning were not included in the studies in which these treatments were tested. However, even when measures of functioning were included, it was much more difficult for treatments to achieve improvement. Among treatments that achieved improvement in functioning, the most notable were Collaborative Problem Solving for disruptive behavior and Cognitive Behavioral Therapy plus Medication for traumatic stress because they demonstrated no support for symptom reduction but good support for improvement in functioning. Results are discussed within the context of evaluating the standards of evidence for treatments and the opportunity to move towards a multidimensional framework whose utility has the potential to exceed the sum of its parts.

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Predicting service utilization with the child and adolescent functional assessment scale in a sample of youths with serious emotional disturbance served by center for mental health services-funded demonstrations

Cited by 62 publications

References 14 publications

A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity

A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity

Youth Departing from Residential Care: A Gender Comparison

Improvement in Symptoms Versus Functioning: How Do Our Best Treatments Measure Up?

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