caa a22 4500 469067691 CHVBK 20180323132913.0 cr unu---uuuuu 170328e19920601xx s 000 0 eng 10.1007/BF02521314 doi (NATIONALLICENCE)springer-10.1007/BF02521314 Evaluation of state efforts to improve systems of care for children and adolescents with severe emotional disturbances: The CASSP initial cohort study [Elektronische Daten] [William Schlenger, Rose Etheridge, David Hansen, Doreen Fairbank, James Onken] In 1984, the National Institute of Mental Health (NIMH) began funding its Child and Adolescent Service System Program (CASSP). In this paper, we present findings from a descriptive study of the experiences of the initial cohort of states to receive CASSP grants, conceived and conducted when the projects were approaching the end of their fifth and final year of NIMH funding. Detailed case studies were conducted of each of the 10 initial cohort projects, and the findings analyzed across projects. Data were collected from three major sources: (1) existing documentation about the projects, (2) site visits to each of the projects, and (3) information from relevant secondary sources. Findings suggest that the initial cohort projects utilized a variety of strategies and encountered a variety of barriers and facilitating factors. The projects generally implemented the intended CASSP program and did so by using a variety of strategies. The projects were judged by stakeholders in their states to have influenced the service systems in their states in the intended directions: toward a more comprehensive system of care that emphasizes community-based treatment; toward better integrated, more collaborative efforts among the state agencies involved; toward a more detailed understanding on the part of system stakeholders of the mental health problems of children and adolescents who have severe emotional disturbances, and of the influence of those problems on the lives of the children and their families; and toward increased involvement by parents and other family members in the care of these children and adolescents. Association of Mental Health Administrators, 1992 Schlenger William Mental and Behavioral Health Research, Center for Social Research and Policy Analysis, Research Triangle Institute, P.O. Box 12194, 27709-2194, Research Triangle Park, NC aut Etheridge Rose Research Triangle Institute, Research Triangle, Park, USA aut Hansen David West Virginia University, Morgantown, W. Va. aut Fairbank Doreen Meredith College, Raleigh, N.C. aut Onken James National Institute of General Medical Sciences, Bethesda, Md. aut The journal of mental health administration Springer-Verlag 19/2(1992-06-01), 131-142 0092-8623 19:2<131 1992 19 11414 https://doi.org/10.1007/BF02521314 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02521314 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Schlenger William Mental and Behavioral Health Research, Center for Social Research and Policy Analysis, Research Triangle Institute, P.O. Box 12194, 27709-2194, Research Triangle Park, NC aut NATIONALLICENCE 700 1- Etheridge Rose Research Triangle Institute, Research Triangle, Park, USA aut NATIONALLICENCE 700 1- Hansen David West Virginia University, Morgantown, W. Va aut NATIONALLICENCE 700 1- Fairbank Doreen Meredith College, Raleigh, N.C aut NATIONALLICENCE 700 1- Onken James National Institute of General Medical Sciences, Bethesda, Md aut NATIONALLICENCE 773 0- The journal of mental health administration Springer-Verlag 19/2(1992-06-01), 131-142 0092-8623 19:2<131 1992 19 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer