Reinterpreting the Fort Bragg Evaluation findings: the message does not change.
Vanderbilt Institute for Public Policy Studies, Vanderbilt University, Nashville, TN 37212, USA.The Journal of Mental Health Administration 02/1996; 23(1):137-45.
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ABSTRACT: This article examines research on systems of care, which are acknowledged as the current dominant paradigm in the delivery of children's mental health services. The authors conclude that systems of care produce important system-level changes. Early results suggest that these systems changes do not impact clinical outcomes, however. One plausible explanation for this finding is that system interventions are too far removed from the actual delivered services, thereby limiting their potential impact. Moreover, numerous assumptions underlying the purported effectiveness of systems of care remain unvalidated. The authors propose that the primary direction to improving children's mental health services should be through effectiveness research, in contrast to continued large-scale investments in systems research and development. Recommendations are made for addressing methodological problems that researchers will confront and for developing policies encouraging future research on the effectiveness of children's mental health services.Applied and Preventive Psychology 12/1997; DOI:10.1016/S0962-1849(05)80062-9 · 2.27 Impact Factor
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ABSTRACT: This study examined how one of the oldest and most widely distributed child welfare practice journals addressed children's mental health issues over a 25-year period. The content of 478 articles was coded. Logistic regression findings indicate that mental health issues were discussed less frequently over the first half of the period examined, and then more frequently over the last decade. Residential treatment was discussed less frequently over time, but other community-based alternatives to residential treatment were rarely discussed at any point, so that overall the content related to treatment of mental health issues decreased as discussion of residential treatment decreased. These findings suggest that although the child welfare literature has recently focused more on children's mental health, dissemination of specific concepts from the mental health to the child welfare literature does not naturally occur over time. Efforts targeted at dissemination of effective community-based mental health interventions for foster children may be needed to support this process.Children and Youth Services Review 04/2009; 31(4):445-450. DOI:10.1016/j.childyouth.2008.09.013 · 1.27 Impact Factor
Research in community and mental health 12/2006; 14:201-237. DOI:10.1016/S0192-0812(06)14010-6
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