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A Triangulated Evaluation of a System-Of-Care Program for Children with Serious Emotional Disturbances.

A Triangulated Evaluation of a System-Of-Care Program for Children with Serious Emotional Disturbances.


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About the Book

The demand for a system-of-care for children with serious emotional disturbances (SED) has led to more than $104 million in federal funding per year to develop such a system. However, the current delivery of care lacks definitive evaluation and has minimized the involvement of families in the assessment process. The purpose of this mixed-methods study was to evaluate the effectiveness of a system-of-care program and to incorporate families and stakeholders in the evaluation process. This study triangulated data from guided interviews with families' and stakeholders with secondary data obtained from matched admission and discharge assessments on the Child and Adolescent Functioning Scale (CAFAS) of 300 participants in the Children's Intensive Services Program (CIS) in Washington County, Rhode Island. A t-test analysis supported the hypothesis of statistically significant improvement in seven of eight domains on the CAFAS at discharge and information from families and the focus group corroborated the effectiveness of CIS. Families and stakeholders reported that the CIS program was more effective than previous treatment services and they identified their relationships with treatment providers, services delivered in the home, and the coordination of services with the schools as the most important aspects of the CIS program. The stakeholders recommended continued staff training for consistent quality of care, increased communication, and better coordination between providers. From a social change perspective the findings in this study are intended to facilitate family and community advocacy for the continued support and expansion of child-centered and family-focused research and services for children with SED.


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Product Details
  • ISBN-13: 9781243429001
  • Publisher: Proquest, Umi Dissertation Publishing
  • Publisher Imprint: Proquest, Umi Dissertation Publishing
  • Height: 254 mm
  • Weight: 290 gr
  • ISBN-10: 1243429003
  • Publisher Date: 02 Sep 2011
  • Binding: Paperback
  • Spine Width: 9 mm
  • Width: 203 mm


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A Triangulated Evaluation of a System-Of-Care Program for Children with Serious Emotional Disturbances.
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