Use of the CAFAS to Evaluate Outcome for Youths with Severe Emotional Disturbance Served by Public Mental Health

Hodges, Kay; Xue, Yange; Wotring, Jim

doi:10.1023/b:jcfs.0000022038.62940.a3

Cited by 51 publications

(43 citation statements)

References 19 publications

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“…Total CAFAS mean scores at pretest were in the marked impairment range (over 90) and although still in the moderate range (50-90) at posttest, the mean decreased approximately 30 points. A 20 point decrease in the CAFAS or PECAFAS scores for an individual indicate a measurable improvement in functioning (Hodges et al 2004) and was observed in 15 of the 23 CAFAS or PCAFAS scores (65%).…”

Section: Resultsmentioning

confidence: 99%

A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

Wimmer

Vonk

Bordnick

2009

Child Adolesc Soc Work J

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The purpose of this preliminary investigation was to examine the effectiveness of attachment therapy for adopted children diagnosed with Reactive Attachment Disorder (RAD). Although attachment therapy is widely utilized in the practice community, outcomes of such therapy have not been well documented. In this study a pretest-posttest one-group design was used with a sample of 24 adopted children who received attachment therapy from trained, licensed therapists. Therapy was funded by the Georgia Office of Adoptions under a contract with a non-profit adoptive parent advocacy group which provided training of therapists and direct services to families. RAD was measured with the Randolph Attachment Disorder Questionnaire (RADQ), Third Edition; functional impairment was measured with the Child and Adolescent Functional Assessment Scale (CAFAS). Statistically significant decreases in scores on the RADQ and CAFAS from pretests to posttests indicate improvement for the children who received therapy. In spite of methodological limitations, the current study adds to the limited knowledge about effective treatment for RAD.

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Section: Resultsmentioning

confidence: 99%

A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

Wimmer

Vonk

Bordnick

2009

Child Adolesc Soc Work J

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“…Independent samples t-tests revealed no significant differences between children living with their biological families versus those living in foster care on their most recent CAFAS/ PECFAS total score, t(52.70) = 0.717, ns, or on any of the CAFAS/PECFAS subscale scores, all p [ 0.05. Categorical indicators revealed no significant differences in the number of children who achieved clinically significant change, as defined by a 20-point or greater improvement in CAFAS/PECFAS total score (Hodges et al 2004), v 2 (1) = 0.334, p = 0.53, or on the percentage of children achieving the ''end of services'' target CAFAS/PECAFS total score of 40 or less (Hodges et al 2004), v 2 (1) = 2.051, p = 0.22. A Mann-Whitney test indicated that children living with their biological families had significantly more severe subscales on their most recent CAFAS/PECFAS, U = 2682.00, p = 0.022.…”

Section: Differences In Outcome Between Foster Versus Non-foster Chilmentioning

confidence: 87%

Children’s Psychosocial Rehabilitation: Clinical Outcomes for Youth with Serious Emotional Disturbance Living in Foster Care

Williams

Sherr

2008

Child Adolesc Soc Work J

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Children living in foster care are an especially vulnerable population who often come to the attention of Medicaid mental health providers. These children experience a high incidence of emotional and behavioral disorders and may have specialized treatment needs related to their living arrangement status. This study assessed whether Children's Psychosocial Rehabilitation could effectively treat youth with severe emotional and behavioral disorders who live in foster care. Analysis of data from an open trial of 218 clinically-impaired youth, aged 3-18 years, revealed no reliable differences in treatment outcome between foster versus non-foster children, with a trend toward more favorable outcomes for foster youth. Findings justify further study of the effectiveness of this Medicaid-funded service for the treatment of youth in care.

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“…At entry into Wraparound services, youth were categorized into one of seven CAFAS tiers (in order from most severe to least severe impairment; Hodges, Xue, & Wotring, 2004) …”

Section: Participantsmentioning

confidence: 99%

A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

Thomson¹,

Carlson²,

Voris³

et al. 2017

IJPS

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Research has documented positive outcomes for youth who receive wraparound services; however, the specific mechanism for change has not yet been clarified. Data were collected from a sample of 253 youth with Serious Emotional Disturbance (SED) who completed wraparound services as a part of publically-funded community-based mental health services (58% male; 49% Caucasian; mean age 12.25 years). Results indicated that both environmental and individual protective factors increased significantly and risky behaviors, including self-harm and aggressive behaviors, decreased significantly throughout youths' time in wraparound services. Improvements in protective factors and decreases in risk factors were significant predictors of clinically significant mental health improvement at exit from community-based wraparound services. Study findings highlight the utility and importance of a dual-factor approach to mental health assessment when implementing and evaluating wraparound services.

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Use of the CAFAS to Evaluate Outcome for Youths with Severe Emotional Disturbance Served by Public Mental Health

Cited by 51 publications

References 19 publications

A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

A Preliminary Investigation of the Effectiveness of Attachment Therapy for Adopted Children with Reactive Attachment Disorder

Children’s Psychosocial Rehabilitation: Clinical Outcomes for Youth with Serious Emotional Disturbance Living in Foster Care

A Dual-Factor Approach to Exploring Wraparound Outcomes in Children with Serious Emotional Disturbance within Community-Based Mental Health Settings

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