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Relationships Between Youth and Caregiver Strengths and Mental Health Outcomes in Community Based Public Mental Health Services

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Abstract

To examine relationships between youth and caregiver strengths and behavioral health outcomes for youth in community service settings. Strengths and behavioral health needs of youth (N = 793) receiving Home and Community Based Services Waiver from 2002–2008 were characterized using the child and adolescent needs and strengths mental health assessment. Comparisons of assessment scores at admission and program completion were conducted using Chi-square, repeated measures ANOVA and Cohen’s d effect size. Associations between strengths at admission and having behavioral health needs met were examined using multivariable logistic regression. Youth had high levels of needs on mental health, risk and functioning dimensions at admission. All needs improved significantly over the course of the service episode. Youth and caregiver strengths at admission were associated with significant improvements in youth behavioral needs areas at discharge. The findings support the importance of assessing and incorporating youth and caregiver strengths in planning and delivering public mental health services.

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References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. (text rev.).

    Google Scholar 

  • Anderson, R., Lyons, J., Giles, D., Price, J., & Estle, G. (2003). Reliability of the child and adolescent needs and strengths-mental health (CANS-MH) scale. Journal of Child and Family Studies, 12(3), 279–289.

    Article  Google Scholar 

  • Burchard, J., Bruns, E., & Burchard, S. (2002). The wraparound approach. In B. Burns & K. Hoagwood (Eds.), Community treatment for youths: Evidence-based interventions for servere emotional and behavioral disorders. New York: Oxford University Press.

    Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

    Google Scholar 

  • Duncan, B., Sparks, J., Miller, S., Bohanske, R., & Claud, D. (2006). Giving youths a voice: A preliminary study of the reliability and validity of a brief outcome measure for youths, adolescents, and caretakers. Journal of Brief Therapy, 5(2), 71–87.

    Google Scholar 

  • Fazio, M. (2009). Implications of needs-based planning in New York for the children’s public mental health services system. In J. Lyons & D. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Hoagwood, K., Cavaleri, M., Olin, S., Burns, B., Slaton, E., Gruttadaro, D., et al. (2009). Family support in children’s mental health: A review and synthesis. Clinical Child and Family Psychology Review, 13(1), 1–45.

    Article  Google Scholar 

  • Hodges, K., & Wotring, J. (2000). Client typology based on functioning across domains using the CAFAS: Implications for service planning. Journal of Behavioral Health Services and Research, 27, 257–270.

    Article  PubMed  CAS  Google Scholar 

  • Long, J. S. (1997). Regression models for categorical and limited dependent variables. Thousand Oaks, California: Sage.

    Google Scholar 

  • Lyons, J. (2009). CANS and ANSA instruments: History and applications. In J. Lyons & D. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Lyons, J., Lee, M., Carpinello, S., Rosenberg, L., Zuber, M. Fazio, M., & MacIntyre, J. (2001). Assessing the needs and strengths of youths and adolescents in a state public mental health system in New York State. New York State Office of Mental Health, Bureau of Youths and Family Services, Youths’ Plan for Action (unpub).

  • Lyons, J., Rawal, P., Yeh, I., Leon, S., & Tracy, P. (2002). Use of measurement audit in outcomes management. Journal of Behavioral Health Services and Research, 29, 75–80.

    Article  PubMed  Google Scholar 

  • Lyons, J., Uziel-Miller, N., Reyes, F., & Sokol, P. (2000). Strengths of youths and adolescents in residential settings: Prevalence and associations with psychopathology and discharge placement. Journal of the American Academy of Child and Adolescent Psychiatry, 39(2), 176–181.

    Article  PubMed  CAS  Google Scholar 

  • Lyons, J., & Weiner, D. (2009). An introduction and overview of total clinical outcomes management and communimetrics. In J. Lyons & D. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • Lyons, J., Weiner, D., & Lyons, M. (2004). Measurment as communication in outcomes management: The child and adolescent needs and strengths (CANS). In M. E. Maruish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (3rd ed., Vol. 2). Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Martinovich, Z., & Stallings, J. (2009). Applications of trajectory analysis in total clinical outcomes management. In J. Lyons & D. Weiner (Eds.), Behavioral health care: Assessment, service planning, and total clinical outcomes management. Kingston, NJ: Civic Research Institute.

    Google Scholar 

  • SAS Institute: SAS Release 9.1., Cary (North Carolina), 2002.

  • Sieracki, J., Leon, S., Miller, S., & Lyons, J. (2008). Individual and provider effects on mental health outcomes in child welfare: A three level growth curve approach. Youths and Youths Services Review, 30, 800–808.

    Article  Google Scholar 

  • Stroul, B., & Friedman, R. (1994). A system of care for youths and youths with severe emotional disturbances (revised edition). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.

    Google Scholar 

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Correspondence to Marleen Radigan.

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Radigan, M., Wang, R. Relationships Between Youth and Caregiver Strengths and Mental Health Outcomes in Community Based Public Mental Health Services. Community Ment Health J 49, 499–506 (2013). https://doi.org/10.1007/s10597-011-9476-8

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  • DOI: https://doi.org/10.1007/s10597-011-9476-8

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