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

Figure 2: Timeline of System of Care Funding and Phases of the National Evaluation
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2008 2010 2011 2012
2013
4 Grantees Funded in 1993 and 18 in 1994
Evaluation Phase I
9 Grantees Funded in 1997
Evaluation Phase II
14 Grantees Funded in 1998
Evaluation Phase II
22 Grantees Funded in 1999 and 2000
Evaluation Phase III
18 Cooperative Agreements Funded in 2002
Evaluation Phase IV
7 Cooperative Agreements Funded in 2003 and 4 in 2004
Evaluation Phase IV
25 Cooperative Agreements Funded in 2005 and 5 in 2006
Evaluation Phase V
System of care communities are diverse with
respect to their catchment areas. Some
systems of care are located in high-risk postal
ZIP code neighborhoods and others are
statewide initiatives. The 81 sites addressed
in this report include about 9 percent
neighborhood-based initiatives, 41 percent
single county-wide initiatives, 27 percent
multi-county initiatives, 5 percent statewide
initiatives, and 12 percent tribal initiatives.
About 41 percent of the communities are
largely urban, 32 percent are largely rural,
and about 27 percent are an
urban/suburban/rural mix.
Studies of the National
Evaluation
The national evaluation consists of core and
special studies. The descriptive core study
provides demographic information on the
children, youth, and families served by
funded systems of care, whereas the
longitudinal core study provides an
assessment of changes over time in clinical
and other outcomes of children, youth, and
families. For these two studies, data are
collected from youth and caregivers who
agree to participate in the evaluation starting
at intake into the program, and occurs at 6-
month intervals over a number of years (from
intake to 36 months). This longitudinal
approach enables the national evaluation to
examine clinical and functional outcomes for
children and youth, and family and caregiver
outcomes, across time.
Other core studies examine the development
and implementation of mental health services
infrastructure and service delivery systems
based upon the system of care philosophy
and principles, and the long-term
sustainability of such systems. Still others
examine the services provided to children,
youth, and families and the costs of those
services, and the service experience of
families.
Studies on special topics include, but are not
limited to, examinations of cultural
competence in the structure and provision of
services, the use of evidence-based practices
and treatments, and the role of primary care
health providers in the mental health care
system. Within the context of these studies,
the national evaluation has addressed
emerging needs of the program related to
evidence-based practice, the development of
practice-based evidence, provider practices,
collaboration between pediatricians and
mental health providers in systems of care,
and comparisons between children and youth
The Comprehensive Community Mental Health Services for Children and Their Families Program Evaluation Findings
2006–2008 Annual Report to Congress ● Page 5