Predicting Level of Mental Health Care Among Children Served in a Delivery System in a Rural State

Anderson, Rachel; Estle, George

doi:10.1111/j.1748-0361.2001.tb00963.x

Cited by 28 publications

(19 citation statements)

References 17 publications

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“…It is a slightly revised version of the child and adolescent needs and strengths assessment (CANS) (Lyons et al ., ). Research on CANS and SNA indicates that they exhibit face, construct, concurrent and predictive validity and show good interrater and auditor reliability (Anderson and Estle, ; Anderson et al., ; Lyons, ; Lyons et al., ). The reliability of the SNA was also assured in this project via training and a review of client records.…”

Section: Methodsmentioning

confidence: 99%

Youth and parental perspectives on the functional family therapy programme

Celinska

Cheng²,

Virgil³

2015

Journal of Family Therapy

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Assessing clients' satisfaction with family therapy interventions has important practical and theoretical implications. This article presents findings on client satisfaction after participating in functional family therapy (FFT), which addresses youths at risk of delinquency behaviour and communication problems in the family. Qualitative interviews and quantitative research methods are employed to compare programme perceptions with standardized therapeutic outcomes. The data include a parent or guardian interview, a youth interview, a services tracking form and the initial and discharge strengths and needs assessment (SNA). We observed high levels of satisfaction with FFT, yet satisfaction with family therapy and therapists was higher among parents. Parents uniformly indicated satisfaction on six Likert scale items while the youths were satisfied only on one. We found five significant differences between the parents' and youths' responses. The parents reported greater trust in therapists, more engagement in family therapy and more positive perception of changes in family dynamics following the intervention. The two scales, satisfaction with the programme and satisfaction with the therapists, were correlated only for parents. However, both scales were correlated with some items on our outcome variable: the changes in the SNA, for parents and young people. We assessed predictors of satisfaction and found that satisfaction with therapy was inversely related to the number of sessions for youth. For parents, the only common predictor of both satisfaction with the therapist and satisfaction with the programme were the changes on the caregivers' strengths scale. The answers to the open-ended questions indicated that, although both parents and adolescents valued the improvements in communication patterns, the youth seemed to be especially attuned to changes in this area. Researchers should continue assessing satisfaction with family therapy and study the relationship a Assistant Professor, John between satisfaction and the intervention's outcomes. Our findings suggest also the importance of including youth in assessing satisfaction.Practitioner points • Assessing feedback from both, parents and youth, during and after an intervention can assist in providing more effective treatment. • Youth might benefit from a shorter therapy and those who are mandated should be given more voice in an intervention. • The strengths and needs assessment is a clinical tool that is useful in evaluating the intervention's outcomes. • Functional family therapy improves communication skills among family members.

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Section: Methodsmentioning

confidence: 99%

Youth and parental perspectives on the functional family therapy programme

Celinska

Cheng²,

Virgil³

2015

Journal of Family Therapy

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“…In both clinical evaluation and in various studies, level of care placement and degree of mental health service use has been associated with a wide range of variables. In addition to demographic (age, gender, and race/ethnicity) and clinical factors (Alegria et al, 2004), other factors have included the child's psychosocial strengths, history of abuse/traumatization (Anderson & Estle, 2001), degree of family disadvantage and stress (Hazell, Tarren-Sweeney, Vimpani, Keatinge, & Callan, 2002), parental burden and caregiver strain (Brannan, Heflinger, & Foster, 2003), community resource capacity, community cohesion ( Van der Linden, Drukker, Gunther, Feron, & Van Os, 2003), previous service use (Anderson & Estle, 2001), and parental perception, concern, and acceptance of the child's problem (Teagle, 2002).…”

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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“…Moreover, residents of rural areas are less likely to have private health insurance coverage than residents of urban areas (President's Commission, 2003;Saywell et al, 1993). Hence it is to be expected that rural residents who have co-occurring disorders will encounter difficulties in obtaining appropriate treatment for both disorders (Anderson & Estle, 2001).…”

Section: Introductionmentioning

confidence: 99%

Unmet Need For Community-Based Mental Health and Substance Use Treatment Among Rural Adolescents

Anderson

Gittler

2005

Community Ment Health J

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This research assessed the extent of unmet service need for rural youth with mental health (MH) and/or substance use (SU) problems. All adolescents (12-18 years old) living in a three-county region of Iowa and discharged from outpatient MH or SU treatment were included (n = 177). Chart review was used to retrospectively assess service utilization and clinical characteristics at time of admission and discharge. Two-thirds (64%) of adolescents with co-occurring disorders did not receive treatment consistent with widely supported guidelines recommending that individuals with co-occurring disorders receive treatment for both their MH and SU problems. Higher severity of depression, more supports, prior MH service utilization and lower prevalence of prior abuse predicted the receipt of dual services. Finally, adolescents with co-occurring problems who received only MH treatment showed improvement on MH needs at discharge but no improvement on SU needs. Similarly, adolescents with co-occurring problems who received only SU treatment showed improvement on SU needs but not on MH needs. There is considerable unmet treatment need among rural adolescents with co-occurring disorders. Efforts to improve care must focus on adolescent, familial, program, funding and policy factors that act as barriers to unifying philosophies and practices needed to advance appropriate care.

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Predicting Level of Mental Health Care Among Children Served in a Delivery System in a Rural State

Cited by 28 publications

References 17 publications

Youth and parental perspectives on the functional family therapy programme

Youth and parental perspectives on the functional family therapy programme

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

Unmet Need For Community-Based Mental Health and Substance Use Treatment Among Rural Adolescents

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