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

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Appendix D shows the specific measures used for each component of the national evaluation and lists the complete title of each measure. It shows that, in some cases, different measures were used to assess the specific outcomes for communities initially funded in different time periods. Because of this variation, the relevant measures are specified for each outcome cited in this report. Key Findings From the National Evaluation Who Are the Children, Youth, and Families Participating in Systems of Care All grant communities serve children/youth with severe emotional disturbance and their families. Systems of care differ, however, with regard to the age of children served, the focus of service delivery programs, and the point at which intervention begins. Most systems of care target youth who are involved with multiple public child-serving agencies, especially those who are at-risk for out-of-home placement. Some of the communities include older children/youth who are transitioning out of the children’s mental health or child welfare systems, and others focus on young children aged 0 to 5. Table 4 shows that across all of the cohorts of sites included in this report, the children/youth served by federally funded systems of care are predominantly boys, with an average age of approximately 11.8 years and the largest age group served is between the ages of 6 and 15 (nearly 71 percent). The children, youth, and families served reflect racial and ethnic diversity. Approximately half of the children/youth live in single parent households and are in the custody of their mothers. Many of their households have very limited resources; over half have incomes below the poverty level. Table 4: Baseline Characteristics: Child Demographic and Enrollment Information, Grant Communities Initially Funded in 1999–2006 Gender (n = 28,075) Male 64.2 Female 35.8 Age in Years (n = 27,911) 0–5 Years 9.7 6–11 Years 31.0 12–15 Years 39.9 16–21 Years 19.4 Mean (SD) 11.8 (4.2) The Comprehensive Community Mental Health Services for Children and Their Families Program Evaluation Findings 2006–2008 Annual Report to Congress ● Page 10
Table 4: Baseline Characteristics: Child Demographic and Enrollment Information, Grant Communities Initially Funded in 1999–2006 (continued) Race and Ethnicity (n = 24,483) American Indian or Alaska Native Alone 6.2 Asian Alone 1.0 Black or African American Alone 26.8 Native Hawaiian or Other Pacific Islander 1.3 White Alone 40.7 Of Hispanic Origin 20.3 Multiracial 3.4 Other 0.4 Custody Status (n = 14,559) Biological mother only 45.2 Two biological parents OR one biological and one step or adoptive parent 24.9 Grandparent(s) 4.1 Adoptive parent(s) 5.0 Ward of the State 6.7 Biological father only 4.0 Aunt and/or uncle 4.5 Sibling(s) 0.8 Friend (adult friend) 1.9 Other 2.8 Family Poverty a (n = 10, 871) Below poverty level 55.5 At the poverty level 12.7 Above the poverty level 31.8 a Poverty categories take into account both family income and household size, and are based on the 1999–2008 U.S. HHS poverty guidelines. According to the guidelines, the income thresholds for living in poverty used in the analyses varied from $16,700 in 1999 to $21,200 in 2008 for a family of four. Table 5 shows the clinical diagnoses of children/youth when they entered the systems of care: mood disorders (e.g., depression), ADHD, oppositional defiant disorder, and adjustment disorders are the most common clinical diagnoses. The majority of children/youth served had clinically significant behavioral and emotional symptoms at intake, and their histories indicate considerable reports of severe and multiple problems such as ADHD (34 percent), suicide-related problems (20 percent), and substance use problems (12 percent). In addition, many children/youth experienced risk factors including domestic violence, physical and sexual abuse, running away, and family histories of depression, substance use, and mental illness. Schools and mental health agencies were the most common referral sources for system of care services. The Comprehensive Community Mental Health Services for Children and Their Families Program Evaluation Findings 2006–2008 Annual Report to Congress ● Page 11
Page 1 and 2: Comprehensive Community Mental Heal
Page 3 and 4: U.S. Department of Health and Human
Page 5 and 6: Program Overview The Comprehensive
Page 7 and 8: Figure 1: System of Care Theory-Bas
Page 9 and 10: Figure 2: Timeline of System of Car
Page 11 and 12: In addition, at the request of SAMH
Page 13: Table 2: Core Components of the Nat
Page 17 and 18: Clinical Outcomes Child/Youth’s B
Page 19 and 20: Figure 4: Change in Caregiver Repor
Page 21 and 22: Figure 6: Change in Children’s or
Page 23 and 24: Caregiver Adequacy of Available Tim
Page 25 and 26: months after entering systems of ca
Page 27 and 28: Figure 11: Change in Percentage of
Page 29 and 30: Youth were least satisfied with the
Page 31 and 32: Figure 15: Average Infrastructure R
Page 33 and 34: How Well Are Communities Implementi
Page 35 and 36: Organizational characteristics, suc
Page 37 and 38: To What Extent Do Systems of Care I
Page 39 and 40: Sustainability Strategies (continue
Page 41 and 42: child’s mental health needs are m
Page 43 and 44: References Achenbach, T. M. (1991).
Page 45 and 46: Reynolds, C. R., & Richmond, B. O.
Page 47 and 48: Appendices
Page 49 and 50: Practice-Based Evidence: Practice-b
Page 51 and 52: Appendix B System of Care Communiti
Page 53 and 54: Project Name Catchment Area State Y
Page 55 and 56: Project Name Catchment Area State P
Page 57 and 58: Nak-Nu-Wit Project Name Catchment A
Page 59 and 60: Funded Communities Date Number 1993
Page 61 and 62: Definition of Indicators Child and
Page 63 and 64: 2006-2008 Annual Report to Congress
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Appendix D National Evaluation Comp
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National Evaluation Study Component
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Appendix E Descriptive and Outcomes
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2006-2008 Annual Report to Congress
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Demographic Characteristics, Clinic
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Table E-4: Baseline Child and Famil
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Table E-4: Baseline Child and Famil
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