2000 Annual Report to Congress on the Evaluation
of the Comprehensive Community Mental Health
Services for Children and Their Families Program

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Executive Summary

Data Highlights

I. Introduction and Program Background

Introduction

The Comprehensive Community Mental Health Services for Children and Their Families Program

The National Evaluation of Systems of Care

Evaluation Design and Evaluation Components

Current Status of the Evaluation

About This Report

II. System-of-Care Implementation

Chapter Summary

Introduction

Assessment Framework and Methods

System-of-Care Assessment Framework

Data Collection Instruments and Procedures

Scoring and Analysis

Results From Winter and Spring 2000 Site Visits

Community Context for System-of-Care Development

Preliminary Findings

Synthesis

III. Children and Families: Descriptive and Outcomes Data

Chapter Summary

Introduction

Evaluation Overview

Descriptive Study

Longitudinal Child and Family Outcomes Study

Methodological Considerations

Data Presented in This Chapter

Description of Children and Families Served

Baseline Descriptive Information

Demographic Characteristics

Characteristics of Children with Serious Emotional Disturbance

Child Social Functioning at Intake

Functional and Behavioral Assessment

Family Outcomes

Longitudinal Outcomes in Grant Communities Funded in 1993–94

Outcomes Changes to Months, 1 Year, and 2 Years

Longitudinal Outcomes in Grant Communities Funded in 1997–98:

Preliminary Findings

Service Utilization

Behavioral and Functional Outcomes

Functional Outcomes

Family Outcomes

Satisfaction

Synthesis

IV. Longitudinal Comparison and Evidence-based Practices in Systems of Care Studies

Chapter Summary

Design of the Longitudinal Comparison Study

Community Selection

Child and Family Selection

Comparison Study Components and Methods

Phase I Longitudinal Comparison Study

Current Data Collection Progress

Preliminary Findings

Describing Children and Families Enrolled in the Study

Preliminary Phase I Outcomes: Behavioral and Functional Changes to 6 Months

Phase II Longitudinal Comparison Study

Current Data Collection Progress

Preliminary Findings

Synthesis

V. Services and Costs Study

Chapter Summary

Introduction

Previous Research on Child Mental Health Service Use

Essential Components of Agency Management Information Systems

Inclusion of All Services

Services Grouped into Meaningful Categories

Services Linked to Individual Children and Families

Costs of Specific Services

Complete and Accurate Data

Other Considerations in Agency MIS’s

Services and Costs Data in Grant Communities Funded in 1993–94

Summary of Selected Phase I Findings

Services and Costs Data in Grant Communities Funded in 1997–98 and 1999

Survey of MIS Capacity of Grant Communities Funded in 1997–1998

Needs Assessment of Grant Communities Funded in 1999

The Multi-Tiered Approach: The Future of Services and Costs Analyses in the National Evaluation

Synthesis

VI. Graduating Grant Communities

Chapter Summary

Introduction

Individual Community Profiles

Napa County, California

Sonoma County, California

Santa Barbara County, California

Wai‘ anae Coast, Hawai‘i

Lyons, Riverside, and Proviso Townships, Illinois

Southeastern Kansas

Navajo Nation

Mott Haven, New York

Bismarck, North Dakota

Minot, North Dakota

Lane County, Oregon

South Philadelphia, Pennsylvania

Alexandria, Virginia

Comparable Features of the Graduating Grant Communities

Strengths

Challenges and Lessons Learned

Synthesis

VII. American Indian and Alaskan Native Grant Communities

Chapter Summary

Mental Health Services in Tribal Communities: An Historical Perspective

Mental Health Challenges Among American Indian and Alaskan Native Children

The Challenges of Reservation Life

The Power of Family and Community Cohesion

A Cultural Approach to Mental Health Treatment and Services

Tribal Community Funded in 1994

Tribal Communities Funded in 1997

Indian Township, Maine

United Tribes of North Dakota

Tribal Communities Funded in 1998

Wind River Indian Reservation, Wyoming

Sault Ste. Marie, Michigan

Tribal Communities Funded in 1999–2000

Bethel, Alaska

Pine Ridge Reservation, South Dakota

Humboldt and Del Norte Counties, California

Synthesis

VIII. Activities and Accomplishments of the Grant Program

Chapter Summary

Supporting the Grant Communities

Council for Coordination and Collaboration

Technical Assistance Partnership for Child and Family Mental Health

Technical Assistance for American Indian Grant Communities

The Social Marketing Campaign: Caring for Every Child’s Mental Health Campaign

Strengthening Family Involvement

Technical Assistance on Family Involvement

Intertribal Voices of Children and Families

The Evaluation Skills for Families Initiative

Promoting Systems of Care for the Broader Community

Communities Can! Leadership Academy

The Policy Academy on Developing Systems of Care for Children with Mental Health Needs and Their Families

Workshop on Evaluation for States and Communities

The Federal Interagency Coordinating Council

System-of-Care Training Institutes

The Federal National Partnership

Facilitating Knowledge Development

Government Performance and Results Act

Services Evaluation Work Group

Logic Model Development

Cross-Agency Research Collaboration

Linkage with the Juvenile Justice System

Outreach and Dissemination of Information

Promising Practices Series

Research and Training Centers

System-of-Care Evaluation Brief

Data Trends

Toolkit for Policy Briefings for Elected Officials

Key Presentations

Key Publications

IX. References

Appendix

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2000 Annual Report to Congress on the Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program

Table of Contents

2000 Annual Report to Congress on the Evaluation
of the Comprehensive Community Mental Health
Services for Children and Their Families Program