The Fort Bragg Continuum of care Demonstration Project: The population served was unique and the outcomes are questionable

Mordock, John B.

doi:10.1007/bf02353353

Cited by 12 publications

(6 citation statements)

References 50 publications

(3 reference statements)

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“…Researchers should continue to evaluate the treatment effectiveness of the SOC model. Previous research has disputed the effectiveness of SOC services (Bickman et al, 1995;Bickman, Noser, & Summerfelt, 1999;Evans & Banks, 1996;Mordock, 1997;Saxe & Cross, 1997). Given the expense of providing SOC services, the body of knowledge needs to continue to grow to determine the most efficient and effective manner to serve youth in crises.…”

Section: Implications For Practice and Future Researchmentioning

confidence: 98%

An Ecological Approach to Evaluating a System of Care Program: Dollars Making Sense

Green

Twill

Nackerud

et al. 2014

Journal of Evidence-Based Social Work

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System of care (SOC) models in North America were developed in response to the needs of children with a severe emotional disturbance. Such children experience problems across life spheres including issues at home that put them at risk of abuse and neglect, difficulties at school including special education classification and dropping-out, and involvement with the juvenile courts. SOC evaluations and research suggests that an overreliance of evaluative research efforts on standardized scales and preconceived measurable outcomes have resulted in a loss of other important data. This study's confirmatory and holistic approach to evaluation illuminates important information concerning commonly ignored variables when using traditional evaluation models. The evaluative research study described focuses on three often overlooked behavioral variables in one SOC initiative, KidsNet Georgia, of Rockdale County, GA. These variables are: (a) using cohort analysis over time; (b) costing out services utilized; and (c) focusing on behavioral indicators and chance over time. The evaluative strategy, data collection, data, and cost analysis are discussed along with implications for practice with severe emotional disturbance youth and their families.

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Section: Implications For Practice and Future Researchmentioning

confidence: 98%

An Ecological Approach to Evaluating a System of Care Program: Dollars Making Sense

Green

Twill

Nackerud

et al. 2014

Journal of Evidence-Based Social Work

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“…Findings suggested that systems of care had little effect on important clinical and functional outcomes [123], clinicians used alternatives to hospitalization where these alternatives existed [122], and hospitalization was still utilized for the most severe cases, even in a fully developed system of care [122]. The Fort Bragg experiment was not without its critics, some of whom delivered rather strident criticism [125][126][127].…”

Section: Systems Of Carementioning

confidence: 99%

The Premature Demise of Public Child and Adolescent Inpatient Psychiatric Beds

Geller

Biebel

2006

Psychiatr Q

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Psychiatric disorders are the leading reason for hospitalization among 5-19 year olds. Current data, however, suggest there are fewer than necessary available services for children and adolescents requiring intensive, inpatient psychiatric care. Children and adolescents with behavioral health problems, the majority of whom do not receive appropriate treatment, have increased risk of school failure, family disruption, out-of-home placements, poor employment opportunities, and poverty in adulthood. This paper will examine the challenges inherent in serving children and adolescents with serious emotional disturbances, avenues of financing for treatment and services, and various loci of intervention for high-risk children, including inpatient settings and systems of care. The goals of this paper are to illustrate the complexities of working with children and adolescents most in need of intensive psychiatric services, to explore how inpatient services "fit" into existing treatment approaches, and to discuss the efficacy of downsizing or closing inpatient psychiatric units for this population.

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“…This issue received substantial attention in the debate that followed publication of the study results. Mordock (1997), for example, highlighted that project staff found it easier to recruit participants for the evaluation sample at the demonstration site than at the comparison sites. That author also was troubled by baseline differences between the two groups in characteristics such as parental education.…”

Section: Prior Researchmentioning

confidence: 99%

Old Wine in New Skins: The Sensitivity of Established Findings to New Methods

2009

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Findings from an evaluation of a model system for delivering mental health services to youth were reassessed to determine the robustness of key findings to the use of methodologies unavailable to the original analysts. These analyses address a key concern about earlier findings-that the quasi-experimental design involved the comparison of two noncomparable groups. The authors employed propensity score methodology to reconsider between-group baseline differences in observed characteristics of participating families. The authors also considered the possible effect of unobserved between-group differences. The data support previous studies that show few differences in outcomes, but the findings are sensitive to unobserved heterogeneity.

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The Fort Bragg Continuum of care Demonstration Project: The population served was unique and the outcomes are questionable

Cited by 12 publications

References 50 publications

An Ecological Approach to Evaluating a System of Care Program: Dollars Making Sense

An Ecological Approach to Evaluating a System of Care Program: Dollars Making Sense

The Premature Demise of Public Child and Adolescent Inpatient Psychiatric Beds

Old Wine in New Skins: The Sensitivity of Established Findings to New Methods

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