Finding the Balance in Evolving Service Sectors for Youth with Co-Occurring Disorders: Measurement and Policy Implications

Anderson, Rachel

doi:10.1080/08865710802115759

Cited by 6 publications

(3 citation statements)

References 38 publications

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“…For example, Anderson et al (2003) obtained an inter-rater reliability of .85 from conducting retrospective case reviews, and an inter-rater reliability of .81 from a prospective case review of CANS assessments completed by caseworkers at the time of client admission. More recently, Anderson (2008) reported an inter-rater reliability of .80 from a vignette-based training conducted by a certified CANS trainer with three trainees. This reported reliability is generally consistent with the Praed Foundation's (2016) claim that the average reliability of the CANS is .75 with vignettes, .84 with case records, and .90 with live cases.…”

Section: Evidence-based Practice (Primary Variables Of Interest)mentioning

confidence: 99%

The Relationship Between Treatment Prescription and Standardized Assessment for Youth With Identified Trauma, Behavior Problems, or Substance Use

Verbist

Winters

Antle

et al. 2022

Journal of Emotional and Behavioral Disorders

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The use of standardized assessment in evidence-based practice (EBP) is critical in identifying empirically supported interventions (ESIs); however, the subject has received minimal attention in the literature. In a sample of child welfare involved youth, this study sought to determine whether there was a relationship between dimensions of trauma exposure, emotional/behavioral problems, and substance use problems as identified in the Child and Adolescent Needs and Strengths (CANS) assessment conducted by behavioral health providers, and the type of prescribed ESI. Bivariate analysis of variance (ANOVA), chi-square tests, and multivariate binary logistic regression results suggest clinicians use assessment information to varying degrees when prescribing an ESI. Close to 90% of the sample was prescribed an ESI intended to address emotional or behavior concerns. Approximately, one-fourth of the sample was prescribed a trauma-focused ESI, while substance use-focused ESIs were the least frequently prescribed. As the intensity of assessed trauma-related problems increased, so too did the odds of receiving an ESI intended to address trauma. To a lesser degree, as assessed emotional/behavior problems or substance use issues increased, the probability of being prescribed a related ESI also increased. Implications for practitioners, administrators, policymakers, educators, researchers, and other behavioral health stakeholders are discussed.

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Section: Evidence-based Practice (Primary Variables Of Interest)mentioning

confidence: 99%

The Relationship Between Treatment Prescription and Standardized Assessment for Youth With Identified Trauma, Behavior Problems, or Substance Use

Verbist

Winters

Antle

et al. 2022

Journal of Emotional and Behavioral Disorders

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show abstract

“…Anderson et al (2003) obtained an inter-rater reliability of 0.85 between researchers conducting a retrospective case reviews and of 0.81 between researchers' case review assessments and those completed prospectively by caseworkers at the time of client admission. Anderson (2008) reported an inter-rater reliability of .80 between a certified CANS trainer and three trained data collectors. These reported findings are generally consistent with the Praed Foundation's (2016) report that the average reliability of the CANS is 0.75 with vignettes, 0.84 with case records, and 0.90 with live cases.…”

Section: Impact Of Federal Policymentioning

confidence: 99%

Prevalence and Predictors of Prescription of Family-Focused Treatment in Child Welfare

Winters

Verbist

Antle

et al. 2022

Developmental Child Welfare

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Engaging families in the behavioral health assessment process for child welfare-involved youth is a best practice standard in obtaining vital information about the context affecting their safety, permanency, and wellbeing. As family functioning plays a role in successful reunification for youth out-of-home care (OOHC), family engagement may also increase the likelihood of buy-in, clinical treatment participation and outcomes. The purpose of this study is to explore the relationship between standardized assessment domains of child and family needs and the prescription of family-focused treatment. Results suggest that there were overall low rates of prescription of family-focused treatment. There were significant differences in the prescription of family-focused treatment based on youth identified trauma, behavioral, emotional and family needs. Despite the impact of family functioning on placement, the low rate of prescribed family-focused treatment may reflect barriers such as communication and collaboration between providers, distance between family and placement, or a siloed approach to treating children in OOHC separate from their families. Approaches to address these barriers are discussed.

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“…Anderson, Lyons, Giles, Price, and Estle (2003) obtained an inter-rater reliability of 0.85 between researchers conducting a retrospective case reviews and of 0.81 between researchers' case review assessments and those completed prospectively by caseworkers at the time of client admission. More recently, Anderson (2008) reported an inter-rater reliability of .80 between a certified CANS trainer and three trained data collectors.…”

Section: Child and Adolescent Needs And Strengths Assessmentmentioning

confidence: 99%

Predictors of empirically-supported interventions following structured functional assessment.

Verbist¹

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attention. Project SAFESPACE has recently initiated screening and assessment for all children entering out of home care in Kentucky with the goal of providing assessment-driven, evidence-based treatment. The Child and Adolescent Needs and Strengths (CANS) assessment-the instrument adopted in this service system-is designed to link the assessment process with the selection of appropriate interventions. Informed by naturalistic decision making, this dissertation sought to investigate the relationship between responses on the CANS assessment and the empirically supported interventions subsequently prescribed by the assessing clinician. Using secondary data maintained in the statewide automated child welfare information system, a number of descriptive analyses were conducted in order to better understand this redesigned service system including the frequency of specific treatment prescriptions at the case, clinician, and agency levels as well as population-level CANS findings. Building upon these initial inquiries, four multilevel logistic models were developed to examine the relationship between assessment-derived predictors and the v prescribed treatment modality along four dimensions: trauma exposure, emotional/behavioral problems, family functioning, and substance use. Descriptive findings reveal an out of home care population with prevalent traumarelated symptoms and extensive emotional/behavioral needs. Considerable variation was observed in the treatment prescription patterns of assessing clinicians. Likewise, there is variation in the degree to which assessment findings align with prescribed treatment modalities. Findings suggest that assessment-derived information may be an important consideration in the prescription of a trauma-focused treatment and a minor, but still possibly salient, factor in treatment decision making related to emotional/behavioral needs and substance use. There appears to be no meaningful relationship between assessment responses and recommendations for family-focused treatment. As interpreted through the lens of naturalistic decision making, the results suggest that while assessment responses may one source of information utilized by clinicians in the field when making treatment decisions, there is likely a differential degree of influence depending on the specific dimension of treatment. Findings provide a foundation for future research into the situation-action matching decision rules employed

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Finding the Balance in Evolving Service Sectors for Youth with Co-Occurring Disorders: Measurement and Policy Implications

Cited by 6 publications

References 38 publications

The Relationship Between Treatment Prescription and Standardized Assessment for Youth With Identified Trauma, Behavior Problems, or Substance Use

The Relationship Between Treatment Prescription and Standardized Assessment for Youth With Identified Trauma, Behavior Problems, or Substance Use

Prevalence and Predictors of Prescription of Family-Focused Treatment in Child Welfare

Predictors of empirically-supported interventions following structured functional assessment.

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