Community Characteristics and Implementation Factors Associated with Effective Systems of Care

Lunn, Laurel; Heflinger, Craig Anne; Wang, Wei; Greenbaum, Paul E.; Kutash, Krista; Boothroyd, Roger A.; Friedman, Robert M.

doi:10.1007/s11414-011-9244-0

Cited by 12 publications

(7 citation statements)

References 23 publications

(32 reference statements)

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“…Implementation research across education, prevention, and behavioral health fields continues to focus primarily on personal and contextual factors that promote or hinder fidelity to an intervention model (Century, Cassata, Rudnick, & Freeman, 2012;Lunn et al, 2011) and relating measures of (overall) fidelity to outcomes (Pas & Bradshaw, 2012). The customary approach to evaluating intervention fidelity involves aggregating fidelity ratings across core components, resulting in a composite index of fidelity to the intervention as a package (Durlak & Dupre, 2008;Durlak, Weissberg, Dymnicki, Taylor, & Schellinger, 2011).…”

Section: Deriving and Testing Indices Of Fidelity To Intervention Cormentioning

confidence: 99%

Using Indices of Fidelity to Intervention Core Components to Identify Program Active Ingredients

Abry

Hulleman

Rimm‐Kaufman

2014

American Journal of Evaluation

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Measures of intervention fidelity can be used to identify specific intervention components promoting desired change-the active ingredients-yet such applications are rare. In the context of a social-emotional learning intervention, we illustrate how fidelity measures can be used to identify program active ingredients. We applied one customary and two novel approaches to creating indices of fidelity. In the customary approach, we averaged fidelity ratings across all core components. In the novel approaches, we computed fidelity indices for specific components by (a) averaging responses from like-items and (b) deriving factor scores from a multitrait, multimethod factor analysis. We then tested indices in relation to achievement gains (N = 1442).Indices derived using novel approaches explained more outcome variance than indices from the customary approach. Further, novel approaches revealed one component as a potential active ingredient. Discussion highlights strengths and limitations of the indices and implications for identifying program active ingredients.

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Section: Deriving and Testing Indices Of Fidelity To Intervention Cormentioning

confidence: 99%

Using Indices of Fidelity to Intervention Core Components to Identify Program Active Ingredients

Abry

Hulleman

Rimm‐Kaufman

2014

American Journal of Evaluation

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“…This is consistent with the growing body of work suggesting that service providers have difficulty implementing key aspects of wraparound (e.g., Bertram et al 2011;Bruns and Walker 2011a;Cook et al 2007;Epstein et al 2003;Palamaro Munsell et al 2011;Walker et al 2003;Walker and Schutte 2005). These works demonstrate that practices both during and following federal funding often do not match the values and principles disseminated regarding the desirable components and foci of SOCs; many communities struggle to engage in practices that align well with the SOC philosophy and wraparound (see, e.g., CMHS 2003; Cook and Kilmer 2004;Holden et al 2003;Kutash et al 2011;Lunn et al 2011;Pandiani et al 1996). It is particularly noteworthy then that a national survey of state children's mental health directors suggested that poor wraparound implementation was a cause of poor outcomes for children with mental health problems .…”

Section: The Disconnect Between Soc Theory and Practicementioning

confidence: 99%

Systems of Care: New Partnerships for Community Psychology

Cook

Kilmer

2012

American J of Comm Psychol

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For almost two decades, the federal government has supported the development of integrated models of mental health service delivery for children and families, known as systems of care (SOCs), that strive to be child-centered, family-focused, community-based, and culturally competent. These efforts align well with the values and principles (e.g., empowerment, collaboration, strengths emphasis, focus on macro-level social/system change) central to community psychology (CP; Kloos et al. in Community psychology, Cengage Learning, Belmont, 2012). Despite the convergence of many core values, CPs have historically been underrepresented in key roles in SOC initiatives. However, this has changed in recent years, with increasing examples of community psychology skills and principles applied to the development, implementation, and evaluation of SOCs. Because successful and sustainable implementation of SOCs requires community and system-level change, and SOCs are increasingly being urged to adopt a stronger "public health" orientation (Miles et al. in A public health approach to children's mental health: a conceptual framework, Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children's Mental Health, Washington, DC, 2010), there is great potential for CPs to play important roles in SOCs. This paper discusses opportunities and roles for CPs in SOCs in applied research and evaluation, community practice, and training.

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“…The study was important because the findings reported in the remaining three papers in this special section 81,85 provide sponsors and evaluators with a national estimate of the current level of implementation of systems of care principles against which results from future studies can be compared and benchmarks developed. Though the use of benchmarks and comparative standards are not without critics who argue that they result in competition and reduce cooperation, 45 when used appropriately, benchmarks permit us to understand where we are, which is an important and critical step in getting where we want to go.…”

Section: Implications For Behavioral Healthmentioning

confidence: 99%

Development of a Measure to Assess the Implementation of Children’s Systems of Care: The Systems of Care Implementation Survey (SOCIS)

Boothroyd

Greenbaum

Wang

et al. 2011

J Behav Health Serv Res

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The children's system of care framework has been extensively implemented in the U.S. Since its inception in 1993, the Comprehensive Community Mental Health Services for Children and Their Families Program has invested in excess of $1 billion supporting the development of systems of care in 164 grantee sites across the country. Despite these efforts to implement children's systems of care nationally, little is known about the extent to which the principles and values actually have been put into practice outside of the funded grantee sites. This paper describes the development of the Systems of Care Implementation Survey, a measure designed specifically for the first ever study assessing the level of implementation of factors contributing to effective children's systems of care in a nationally representative sample of counties throughout the U.S.

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Community Characteristics and Implementation Factors Associated with Effective Systems of Care

Cited by 12 publications

References 23 publications

Using Indices of Fidelity to Intervention Core Components to Identify Program Active Ingredients

Using Indices of Fidelity to Intervention Core Components to Identify Program Active Ingredients

Systems of Care: New Partnerships for Community Psychology

Development of a Measure to Assess the Implementation of Children’s Systems of Care: The Systems of Care Implementation Survey (SOCIS)

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