Systems of care, featherless bipeds, and the measure of all things

Hodges, Sharon; Ferreira, Kathleen; Israel, Nathaniel; Mazza, Jessica

doi:10.1016/j.evalprogplan.2007.11.002

Cited by 36 publications

(27 citation statements)

References 6 publications

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“…These conventions were used in this analysis, with team members coding data using a priori codes developed from a shared definition of systems of care (Hodges et al 2010) and driven by research questions focused on identifying structures, processes, and relationships that support or impede systems change. Although codes were identified a priori, the team maintained a process flexible enough to allow for modification as new terms, patterns, or themes were identified by the team as it sought to answer the research questions.…”

Section: Includes Voluntary Alliances Of Child-serving Entitiesmentioning

confidence: 99%

“If We're Going to Change Things, It Has to Be Systemic:” Systems Change in Children's Mental Health

Hodges

Ferreira

Israel³

2012

American J of Comm Psychol

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Communities that undertake systems change in accordance with the system of care philosophy commit to creating new systems entities for children and adolescents with serious emotional disturbance. These new entities are values-based, voluntary, and cross-agency alliances that include formal child-serving entities, youth, and families. Describing the scope and intent of one such implementation of systems of care, a mental health administrator commented, "If we're going to change things, it has to be systemic" (B. Baxter, personal communication, December 2, 2005). This paper explores the concept of "systemic" in the context of systems of care. Systems theory is used to understand strategies of purposeful systems change undertaken by stakeholders in established system of care communities. The paper presents a conceptual model of systems change for systems of care that is grounded in data from a national study of system of care implementation (Research and Training Center for Children's Mental Health in Case Studies of system implementation: Holistic approaches to studying community-based systems of care: Study 2, University of South Florida, Louis de la Parte Florida Mental Health Institute, Research and Training Center for Children's Mental Health, Tampa, FL, 2004). The model is based on Soft Systems Methodology, an application of systems theory developed to facilitate practical action around systems change in human systems (Checkland in Systems thinking, systems practice, Wiley, Chichester, 1999). The implications of these findings to real world actions associated with systems change in systems of care are discussed.

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Section: Includes Voluntary Alliances Of Child-serving Entitiesmentioning

confidence: 99%

“If We're Going to Change Things, It Has to Be Systemic:” Systems Change in Children's Mental Health

Hodges

Ferreira

Israel³

2012

American J of Comm Psychol

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“…It is important to note that system of care (Hodges et al 2010;Stroul and Blau 2008;Stroul and Friedman 1986; U.S. Department of Health and Human Services 2007) and system support for wraparound are not necessarily the same thing. A system of care is a ''spectrum of effective, community-based services,'' organized into a coordinated network (Stroul and Blau 2010).…”

Section: Introductionmentioning

confidence: 98%

“…A system of care is a ''spectrum of effective, community-based services,'' organized into a coordinated network (Stroul and Blau 2010). Alternatively, it has been described as a network of structures, processes and relationships (Hodges et al 2010) that provides access to a comprehensive array of needed services and supports. In contrast, system support for wraparound is defined as the specific system level structures, policies and activities that need to be in place for wraparound to succeed.…”

Section: Introductionmentioning

confidence: 99%

The Community Supports for Wraparound Inventory: An Assessment of the Implementation Context for Wraparound

Walker

Sanders²

2010

J Child Fam Stud

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The wraparound process has emerged as perhaps the most frequently implemented comprehensive approach for planning and providing individualized, community-based care for children and adolescents with serious mental health conditions. Providing comprehensive care through the wraparound process necessarily requires a high level of collaboration across organization and agency boundaries. This need for significant inter-agency or ''system-level'' collaboration creates a complex implementation environment for wraparound. It is therefore not surprising that creating and sustaining a hospitable implementation environment has proven to be extremely challenging. For the people who are responsible for managing the inter-organizational collaboration, it is not easy to evaluate the adequacy of local system-level support for wraparound and to see exactly what kinds of supports are lacking or where system-development efforts should focus. Furthermore, as system-development strategies are put into practice, it can be difficult to assess whether or not meaningful progress is occurring. The Community Supports for Wraparound Inventory (CSWI) was developed to respond to the need for an assessment of the extent to which a community has developed system-level capacity to implement wraparound. This article reports on a study that evaluated the reliability and validity of the CSWI for use in communities implementing wraparound. Findings indicate that the CSWI shows promise as a reliable, valid and useful tool.

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“…It has become so widespread that many states currently frame the SOC philosophy as reflecting best practice for their human service systems and have instituted practice recommendations, required documentation, and mandated system structures consistent with SOCs. In fact, SOCs have been described as the central element of the United States' child mental health policy (Hodges et al 2010).…”

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confidence: 99%

Moving Forward with Systems of Care: Needs and New Directions

Kilmer

Cook

2012

American J of Comm Psychol

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The articles in this Special Issue on system change within systems of care (SOCs) provide guidance regarding strategies for modifying SOCs to address the needs of different populations, and ways for changing systems to support more positive child and family outcomes. This paper frames central needs, unanswered questions, and issues that remain for those working to implement SOCs. Specific needs and new directions considered include: (1) rigorous implementation-focused research to identify the necessary and sufficient elements of SOCs and the primary practice approach currently used in SOCs, wraparound; (2) applied research to assess SOCs and document their effectiveness in non-standard or non-traditional settings (i.e., non-mental health settings, including child welfare, juvenile justice, local housing authorities); (3) controlled outcome studies for school-based wraparound initiatives; (4) research to document the effectiveness of the family support efforts that are part of most SOCs; and (5) attention to context, for families, service providers, and collaborative implementation efforts, by researchers and providers alike. Progress in these areas can inform well-targeted system change efforts in the context of SOCs, a critical need given changes in federal funding for these initiatives.

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Systems of care, featherless bipeds, and the measure of all things

Cited by 36 publications

References 6 publications

“If We're Going to Change Things, It Has to Be Systemic:” Systems Change in Children's Mental Health

“If We're Going to Change Things, It Has to Be Systemic:” Systems Change in Children's Mental Health

The Community Supports for Wraparound Inventory: An Assessment of the Implementation Context for Wraparound

Moving Forward with Systems of Care: Needs and New Directions

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