Conference Handouts

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Presented at the 17th Annual Research Conference

Exploring How Systems of Care Influence a Community’s Children’s Social Services

Download Handouts: 648kb pdf

Session Number: 27 Room: Salon I

Presenting: Jeffrey Anderson

All Authors for this paper: Jeffrey Anderson; Eric Wright

Presentation Type: part of symposium

Synopsis: Semi-structured interviews were used in this study to capture system-level stakeholders’ perspectives about how implementing a system of care influenced the existing children’s social services systems in a large Midwestern community. Qualitative analyses uncovered several themes including community level changes, challenges to implementation, and feelings of ambivalence related to program impact. Results were generally positive, with many respondents reporting that, associated with the establishment of the care system, core system of care principles were beginning to emerge within the community. Additionally, challenges to implementing the system of care that were revealed included some underlying resistance to these system level changes.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

Service Utilization, Costs, and Success in the Dawn Project

Download Handouts: 648kb pdf

Session Number: 27 Room: Salon I

Presenting: Eric Wright

All Authors for this paper: Eric Wright; Harold Kooreman; Jeffrey Anderson

Presentation Type: part of symposium

Synopsis: This paper examines the relationship between service utilization and costs and the probability of successfully completing the Dawn Project systems of care. A distinguishing feature of this system of care is the use of managed care to blend public funds while also placing authority to purchase needed services at the child and family team level. Many critics often argue that managed care can result in less comprehensiveness and inferior clinical outcomes. However, findings from this study suggest that clinical outcomes are not compromised as a result of the managed care process.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

Predicting Success in a System of Care

Download Handouts: 648kb pdf

Session Number: 27 Room: Salon I

Presenting: Harold Kooreman

All Authors for this paper: Harold Kooreman; Eric Wright; Jeffrey Anderson

Presentation Type: part of symposium

Synopsis: Using discharge disposition data, this session presents findings from a study that examined predictors of successful completion of the Dawn Project systems of care in Indianapolis, Indiana. Results suggest that being younger at enrollment increases the likelihood of successfully completing clinical goals established by child and family teams. Additionally, youth referred from the educational and juvenile justice systems are less likely to have achieved desired clinical goals at discharge. Overall, results suggest the need to examine both individual-level variability among the youth served as well as the structure of the services provided within the care system.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM

The Link Between Process and Outcomes: The Dawn Project Experience

Download Handouts: 648kb pdf

Session Number: 27 Room: Salon I

Presenting: Eric Wright; Knute Rotto

All Authors for this paper: Eric Wright; Knute Rotto

Presentation Type: brief symposium

Synopsis: Systems of care are expected to produce positive outcomes for the children and families that participate. However, few studies have examined the link between program processes and outcomes in a system of care. This symposium presents three studies that, as a whole, empirically link the processes of an established care system called the Dawn Project to child and family and system-level outcomes. Results from the first study suggest that both child and family factors and the structure of the service system are related to successful completion of child and family team treatment goals. Findings from the second study indicate that having a system of care influences children social services, leading to the emergence of core system of care principles within the community. The third study supports an association between service utilization and costs and the probability of successful completion within the framework of a managed care environment, suggesting that clinical outcomes are not necessarily compromised by the constraints of a managed care environment.

Date: Monday, March 1, 2004

Session Time: 4:45 PM - 5:45 PM