Integrating systems of care in California for youth with severe emotional disturbance III: Answers that lead to questions about out-of-home placements and the AB377 evaluation project

Abstract

This paper is the third in a series of reports on preliminary empirical findings from replications of an integrated

Integrating Mental Health Services into Primary HIV Care for Women: The Whole Life Project

“…[27][28][29] Services coordination and integration also result in improved client outcomes in numerous domains, including medical adherence, fewer out-of-home placements and hospitalizations, and heightened satisfaction with services. [28][29][30][31][32][33][34] Systems and services: the need for a dual perspective Although the terms services integration and systems integration are often used interchangeably, they have important differences. Further, achieving integrated services requires systems-level changes, and these must often proceed simultaneously with services intervention efforts.…”

Enhancing school performance of youth with severe emotional disorder: Initial results from system of care research in three California counties.

“…We have presented data demonstrating that the youths served in the three systems of care are mostly male, have low GAP scores, and predominantly receive clinical diagnoses of affective disorders and disruptive behavior disorders (Rosenblatt & Attkisson, 1992). Furthermore, the systems of care have demonstrated an impressive capacity to control placements and expenditures in specifically targeted restrictive levels of care (Rosenblatt, Attkisson, & Fernandez, 1992; Rosenblatt & Attkisson, 1993). These data will be supplemented by forthcoming results on juvenile justice recidivism and a more extensive analysis of the school performance data.…”

“…The three counties were selected by merit on the basis of competitive bids to the California Department of Mental Health. The results presented in this report are from the ongoing evaluation of these replications (Rosenblatt & Attkisson, 1992; Rosenblatt, Attkisson, & Fernandez, 1992; Rosenblatt & Attkisson, 1993; Attkisson, Dresser, & Rosenblatt, 1993). This evaluation, known as “The California AB 377 Evaluation Project,” is financed by the California Department of Mental Health under contract with the University of California, San Francisco.…”

In home, in school, and out of trouble

“…Rather, focused ongoing evaluation efforts are seen as integral components of an effective system of care. This philosophy has extended to the three Ventura model replication sites, all of which collect ongoing evaluation data (see , 1993Rosenblatt et al, 1992, for descriptions and preliminary results).. This blending of evaluation and accountability with innovative care systems calls for serious thought about what kinds of data are most important for administrative and programmatic purposes.…”