+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Managing what you measure: creating outcome-driven systems of care for youth with serious emotional disturbances



Managing what you measure: creating outcome-driven systems of care for youth with serious emotional disturbances



Journal of Behavioral Health Services and Research 25(2): 177-193



This article presents the California System of Care Model for youth with severe emotional disturbances as an illustration of how ongoing assessment of the costs and outcomes of service delivery can be an integral part of a service delivery model. The core of this model, developed initially in Ventura County, California, is a five-step planning process that guides care system development and implementation. The implications of each stage of the planning process for evaluation and feedback at the child, family, and system levels are highlighted. A set of principles for selecting outcome measures deriving from the planning process are also presented that, in conjunction with the planning model, serve as guidelines for establishing outcome measures within care systems. The resulting specific plan for measuring system- and client-level outcomes deriving from this process, along with challenges to the implementation of the outcome management plan, is described.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 046619339

Download citation: RISBibTeXText

PMID: 9595881

DOI: 10.1007/bf02287479


Related references

Assessing the effectiveness of care for youth with severe emotional disturbances: is there agreement between popular outcome measures?. Journal of Behavioral Health Services and Research 29(3): 259-273, 2002

A collaborative system of care for youth with severe emotional disturbances: an evaluation of client characteristics and services. Journal of Mental Health Administration 21(2): 170-184, 1994

The model standards project: creating inclusive systems for LGBT youth in out-of-home care. Child Welfare 85(2): 133-149, 2006

Behavioral and Emotional Strengths among Youth in Systems-of-Care and the Effect of Race/Ethnicity. Journal of Emotional and Behavioral Disorders 18(4): 236-246, 2010

Developmental science, systems of care, and prevention of emotional and behavioral problems in youth. American Journal of Orthopsychiatry 71(2): 171-181, 2001

Creating a provincial family council to engage youth and families in child & youth mental health systems. Journal of the Canadian Academy of Child and Adolescent Psychiatry 19(3): 169-175, 2010

Longitudinal transition outcomes of youth with emotional disturbances. Psychiatric Rehabilitation Journal 35(3): 199-208, 2012

An empirical typology of youth with severe emotional disturbances. American Journal of Orthopsychiatry 72(2): 250-261, 2002

Determinants of service placements for youth with serious emotional and behavioral disturbances. Community Mental Health Journal 37(1): 53-65, 2001

The Youth Health Care measure-satisfaction, utilization, and needs (YHC-SUN)-development of a self-report version of the Child Health Care (CHC-SUN) proxy-measure. Bmc Health Services Research 16: 189, 2016

The impact of emotional disturbances on the arrest trajectories of youth as they transition into young adulthood. Journal of Youth and Adolescence 42(8): 1286-1298, 2013

Youth and youth coordinators' perspectives on youth involvement in systems of care. Journal of Behavioral Health Services and Research 34(4): 382-394, 2007

Residential and community treatment services utilized by a sample of youth with severe emotional disturbances. American Journal of Community Psychology 20(6): 799-809, 1992

Evaluation of state efforts to improve systems of care for children and adolescents with severe emotional disturbances: the CASSP (Child and Adolescent Service System Program) initial cohort study. Journal of Mental Health Administration 19(2): 131-142, 1992

The youth role in creating a healthy future for the earth: an examination of the link between collective action for the environment and the emotional health of children. Environmental Health Perspectives 103(Suppl. 6): 63-66, 1995