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Evaluation Findings - SAMHSA Store - Substance Abuse and Mental ...

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In addition, at the request of <strong>SAMHSA</strong>, the<br />

national evaluation developed the<br />

Continuous Quality Improvement (CQI)<br />

Progress Reports, to document program<br />

performance at the community <strong>and</strong> national<br />

levels, <strong>and</strong> to assist communities in<br />

furthering program goals of continuous<br />

quality improvement. The first reports were<br />

produced in 2006. Program performance<br />

addressed in these reports includes (a)<br />

system-level outcomes, (b) child <strong>and</strong> family<br />

outcomes, (c) satisfaction with services, (d)<br />

family <strong>and</strong> youth involvement, <strong>and</strong> (e)<br />

cultural <strong>and</strong> linguistic competence. These<br />

indicators, which capture performance in<br />

areas such as service access, school<br />

performance, suicide attempts, youth arrests,<br />

caregiver employment, satisfaction with<br />

services, <strong>and</strong> provider cultural <strong>and</strong> linguistic<br />

competence, align with <strong>SAMHSA</strong>’s<br />

National Outcome Measures (otherwise<br />

known as NOMs). The indicators assessed<br />

through the CQI process <strong>and</strong> an aggregate<br />

CQI report that uses longitudinal outcomes<br />

data collected as part of the national<br />

evaluation of grant communities initially<br />

funded in 2002–2004 are included in<br />

Appendix C.<br />

About This Report<br />

This report to Congress summarizes<br />

information about the systems of care<br />

developed through the CMHI, including the<br />

following: the characteristics of children,<br />

youth, <strong>and</strong> families served by systems of<br />

care; the outcomes attained for children,<br />

youth, <strong>and</strong> families; their service use <strong>and</strong><br />

service experience; how well communities<br />

have implemented system of care principles;<br />

the cost savings <strong>and</strong> economic benefits; how<br />

well communities have implemented<br />

evidence-based practices, how culturally <strong>and</strong><br />

linguistically competent the services are,<br />

how well systems of care integrate data <strong>and</strong><br />

technology, <strong>and</strong> the sustainability of systems<br />

of care.<br />

The report presents the combined evaluation<br />

findings from the 81 communities initially<br />

funded in FY 1999 through FY 2006. The<br />

findings are from three phases of the<br />

evaluation: communities:<br />

Phase III: Initially funded in FY 1999–FY<br />

2000 (22 sites)<br />

Phase IV: Initially funded in FY 2002–FY<br />

2004 (29 sites)<br />

Phase V: Initially funded in FY 2005–FY<br />

2006 (30 sites)<br />

All findings presented in the report are<br />

based upon all available data for the<br />

combined phases. In some instances, data<br />

were not available from all three phases, <strong>and</strong><br />

instruments sometimes changed from one<br />

phase to another. In each outcome area, the<br />

report indicates whether data were derived<br />

from the entire sample of 81 communities or<br />

from a subgroup of communities; the<br />

instruments used to derive data also are<br />

noted throughout the report. Descriptive data<br />

were collected from 28,423 children<br />

enrolled in these CMHI grant communities.<br />

Longitudinal data were collected from 9,952<br />

caregivers <strong>and</strong> 6,392 youth aged 11 years<br />

<strong>and</strong> older. The longitudinal data were<br />

collected every 6 months for up to 36<br />

months following intake into services.<br />

Sources of data used for the report include<br />

the following:<br />

<br />

Descriptive data (e.g., demographic<br />

information, diagnosis, child <strong>and</strong> family<br />

history, functional characteristics, <strong>and</strong><br />

referral sources) obtained at the time<br />

The Comprehensive Community <strong>Mental</strong> Health Services for Children <strong>and</strong> Their Families Program <strong>Evaluation</strong> <strong>Findings</strong><br />

2006–2008 Annual Report to Congress ● Page 7

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