2003
DOI: 10.1177/106342660301100104
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Building Upon the Theory of Change for Systems of Care

Abstract: The concept of systems of care for children with serious emotional disturbance and their families is described in this article as an explicit organizational philosophy that emphasizes services that are family focused, individualized, provided in the least restrictive environment, coordinated among multiple agencies, and culturally competent. This conceptualization is contrasted with the view of systems of care as discrete interventions causally related to improving child-level outcomes. Systems of care are pre… Show more

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Cited by 51 publications
(33 citation statements)
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“…Implementation research is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of services. Implementation science relies on co-ordination, communication, and consistency across multiple levels and stakeholders within the system to secure change and innovation that is deeply and properly embedded (Hernandez and Hodges 2003;Paine et al 1984).…”
Section: Implementation Sciencementioning
confidence: 98%
“…Implementation research is the scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice, and, hence, to improve the quality and effectiveness of services. Implementation science relies on co-ordination, communication, and consistency across multiple levels and stakeholders within the system to secure change and innovation that is deeply and properly embedded (Hernandez and Hodges 2003;Paine et al 1984).…”
Section: Implementation Sciencementioning
confidence: 98%
“…The expectation is that systems of care can meet the unique population needs of communities by adapting the application of its values and principles to the complex and constantly changing conditions that characterize local service delivery environments (Hernandez & Hodges, 2003a). The challenge of developing such a system of care includes the complexity inherent in their development within an interagency environment.…”
Section: Resultsmentioning
confidence: 99%
“…Friedman and Hernandez 13 noted that developing systems of care is neither a specific nor a simple intervention, and that it could be seen as a general statement of policy indicating a desire to establish a complex system targeted at a specific population of children and families based on a widely agreed upon set of principles and values. Hernandez and Hodges 14 added that systems of care are better considered a cluster of organizational change strategies that are based on a set of values and principles intended to shape policies, regulations, funding mechanisms, services, and supports. These varying definitions and interpretations emphasize the complexity of the construct, as well as an emerging and developmental understanding related to the meaning of systems of care.…”
Section: Introductionmentioning
confidence: 99%