naa a22 4500 510781969 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11414-013-9339-x doi (NATIONALLICENCE)springer-10.1007/s11414-013-9339-x Children's Behavioral Health System Transformation: One State's Context and Strategies for Sustained Change [Elektronische Daten] [Deborah Harburger, Sharon Stephan, Sarah Kaye] The purpose of this paper was to examine the State of Maryland as a case study of sustained change efforts in the service delivery system for children with significant behavioral health needs and their families. A punctuated equilibrium paradigm is introduced to describe Maryland's behavioral health system transformation over the course of three decades. The context and specific strategies that characterized Maryland's execution of its recent Mental Health Transformation State Incentive Grant are highlighted. There is a discussion of one of the pinnacle achievements of Maryland's transformation efforts, the recent statewide establishment of care management entities for children with behavioral health challenges, and its implications for behavioral health in the context of health care reform changes. This case study illustrates how a state can systematically and incrementally develop systems of care for children and families that are values-based, sustainable, and flexible. National Council for Community Behavioral Healthcare, 2013 Harburger Deborah University of Maryland School of Social Work, The Institute for Innovation and Implementation, 525 West Redwood Street, 21201, Baltimore, MD, USA aut Stephan Sharon Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, 737 West Lombard Street, 4th Floor, 21201, Baltimore, MD, USA aut Kaye Sarah Kaye Implementation & Evaluation, LLC, 5537 Ashbourne Road, 21227, Halethorpe, MD, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 404-415 1094-3412 40:4<404 2013 40 11414 https://doi.org/10.1007/s11414-013-9339-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9339-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Harburger Deborah University of Maryland School of Social Work, The Institute for Innovation and Implementation, 525 West Redwood Street, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Stephan Sharon Department of Psychiatry, Division of Child and Adolescent Psychiatry, University of Maryland School of Medicine, 737 West Lombard Street, 4th Floor, 21201, Baltimore, MD, USA aut NATIONALLICENCE 700 1- Kaye Sarah Kaye Implementation & Evaluation, LLC, 5537 Ashbourne Road, 21227, Halethorpe, MD, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 404-415 1094-3412 40:4<404 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer