What is a “System of Care?”
Key Principles/Values
of a System of Care
Characteristics of Children
with Serious Emotional Disturbances
Slide 4
Systems of Care
as
Changing, Evolving Entities
Slide 6
Program designers “never
expect to arrive at a steady state of programming because they’re constantly
tinkering as participants, conditions, learnings, and context change. They
don’t aspire to arrive at a model subject to summative evaluation and generalization.
Rather, they aspire to continuous progress, ongoing adaptation, and rapid
responsiveness…”
“Collectively, the results
of the evaluations of systems of care suggest that they are effective in
achieving important system improvements, such as reducing use of residential
placements, and out-of-state placements, and in achieving improvements in functional
behavior…
…There are also indications
that parents are more satisfied in systems of care than in more traditional
service delivery systems…
…The effect of systems of
care on cost is not yet clear, however. Nor has it yet been demonstrated that
services delivered within a system of care will result in better clinical
outcomes …There is clearly a need for more attention to be paid to the relationship
between changes at the system level and changes at the practice level .”
Important National
Evaluation
Comprehensive Community Mental Health Services Program for
Children and
Their Families
Theory of Change
Case Study Findings
Policy/System
“We should recognize the
importance of research and evaluation “that trace backward from the
experiences, behavior, perceptions, and status of service recipients”
“…the problem-solving
ability of complex systems depends not on hierarchical control but on
maximizing discretion at the point where the problem is most immediate.”
Applicability of Evidence
Based Interventions to Systems of Care
Specialty
Mental Health System
Conclusions
Conclusions
Systems of Care and
Evidence Based Interventions
Credits: