Journal of the American Academy of Child & Adolescent Psychiatry
New researchRandomized Trial of the Availability, Responsiveness, and Continuity (ARC) Organizational Intervention With Community-based Mental Health Programs and Clinicians Serving Youth
Section snippets
Method
Community mental health programs for youth were purposefully selected from a multi-site mental health service system for economically disadvantaged adults, families, and youth encompassing a range of settings (e.g., schools, outpatient clinics, residential facilities, homes) across 17 counties. The system serves more than 10,000 youth and adults annually and employs a range of full-time professionals including social workers, psychologists, and both child and adult psychiatrists.
As shown in
Results
The results of the analyses are shown in Table 1 for each dimension of organizational social context. The coefficient from the HLM analysis and the standardized effect size of ARC are reported for each criterion. The effect size (d) reported in Table 1 is the adjusted difference between the ARC and control groups represented by the HLM coefficient, divided by the pooled standard deviation of the two groups.38 Because higher scores on some dimensions represent positive change (e.g., morale) and
Discussion
The 18-month ARC intervention changed the organizational social contexts of participating community-based mental health programs for youth by improving multiple dimensions of organizational culture, organizational climate, and work attitudes of clinicians. This study is the first randomized controlled trial of ARC to document improvements in all three domains of social context. A difference between the present study and a previous study of ARC that documented improvements in climate but not
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This research was funded by the William T. Grant Foundation (PI: C.G.).
Disclosure: Drs. Glisson, Hemmelgarn, and Green, Mr. Dukes, Ms. Atkinson, and Mr. Williams report no biomedical financial interests or potential conflicts of interest.