Levels of system of care implementation: a national study.

The results of a survey to measure the implementation of the systems of care (SOC) approach in a nationally representative sample of counties are presented. The results from 910 informants within 225 counties reveal a moderate level of implementation of SOC factors, with the level of poverty and pop...

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Published in:Journal of Behavioral Health Services & Research Vol. 38; no. 3; pp. 342 - 358
Main Authors: Kutash K, Greenbaum PE, Wang W, Boothroyd RA, Friedman RM, Kutash, Krista, Greenbaum, Paul E, Wang, Wei, Boothroyd, Roger A, Friedman, Robert M
Format: research Journal Article
Published: Springer Nature Jul2011
Online Access:View this record in EBSCOhost
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          Kutash K
          Greenbaum PE
          Wang W
          Boothroyd RA
          Friedman RM
          Kutash, Krista
          Greenbaum, Paul E
          Wang, Wei
          Boothroyd, Roger A
          Friedman, Robert M
        affil: Department of Child and Family Studies, MHC 2335, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA
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          Child Health Services Administration
          Community Mental Health Services Administration
          Health and Welfare Planning Administration
          Adult
          Child
          Family
          Female
          Geographic Factors
          Attitude to Health
          Health and Welfare Planning Statistics and Numerical Data
          Health Policy
          Male
          Middle Age
          Poverty
          Questionnaires
          Residence Characteristics
          United States
          Adult: 19-44 years
          Child: 6-12 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: The results of a survey to measure the implementation of the systems of care (SOC) approach in a nationally representative sample of counties are presented. The results from 910 informants within 225 counties reveal a moderate level of implementation of SOC factors, with the level of poverty and population size influencing implementation. Furthermore, mental health informants generally tended to rate the implementation of systems of care greater than administrators associated with the school system, other family serving agency personnel or family members. Family members and school personnel tended to rate the implementation lowest, while staff from the other child serving agencies tended to rate the implementation closer to mental health administrators. A quarter of the counties (26%) surveyed rated themselves as having adequate levels of implementation on 11 or more of the 14 factors, while 75% rated themselves as having adequate levels of implementation on six or more of the 14 factors measured. Implications for federal policies regarding systems of care implementation are discussed.
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    language: English
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