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

Practice-Based Evidence: Practice-based evidence is evidence derived from community
consensus to support the effectiveness of treatments which are unique to a culture and supportive
of cultural traditions (Isaacs, Huang, Hernandez, & Echo-Hawk, 2005).
Poverty Level: Based on Department of Health and Human Services poverty guidelines, which
are available for the 50 States; the National Poverty Levels (based on a family of four) are as
follows (U.S. Department of Health and Human Services, 1999, 2000, 2001, 2002, 2003, 2004,
2005, 2006, 2007, 2008):
Year
Poverty Guideline for a
Family of Four
2008 $21,200
2007 $20,650
2006 $20,000
2005 $19,350
2004 $18,850
2003 $18,400
2002 $18,100
2001 $17,650
2000 $17,050
1999 $16,700
Reliable Change Index: Because numeric change may vary in magnitude and implications for
actual behavioral change are often difficult to interpret, we provide a quantitative indicator of
clinical change for clinical outcome measures. The reliable change index (RCI; Jacobson et al.,
1999) is used to assess whether individual behavioral and emotional change over time was
clinically significant. This statistic compares a child’s scores at two different points in time,
adjusting for the reliability of the measure, and indicates whether a change in scores shows
clinically significant improvement, stability, or deterioration. Improvement and deterioration are
defined as a difference in outcome scores, adjusted for measurement error of the outcome, which
exceeds the 95 percent confidence bounds around a change score of zero. In other words, a
difference of that magnitude would not be expected simply due to the unreliability of the measure.
Serious Emotional Disturbance: Defined by the CMHI grant program as
having an emotional, socio-emotional, behavioral or mental disorder diagnosable under the
DSM-IV or its ICD-9-CM equivalents, the Diagnostic Classification of Mental Health and
Developmental Disorders of Infancy and Early Childhood-Revised (DC: 0-3R), or the
Diagnostic Interview Schedule for Children (DISC) for children at least 4 years old.
unable to function in the family, school or community, or in a combination of these settings,
or the level of functioning is such that the child or youth requires multiagency intervention
involving two or more community service agencies providing services in the areas of mental
health, education, child welfare, juvenile justice, substance abuse, or primary health care. The
identified disability must have been present for at least 1 year or, on the basis of diagnosis,
severity, or multiagency intervention, and is expected to last longer than 1 year.
The Comprehensive Community Mental Health Services for Children and Their Families Program Evaluation Findings
2006–2008 Annual Report to Congress ● Appendix A ● Page 2