Performance Improvement 2000. Mental Health Services

01/01/2000

Evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program - Phase I

The Center for Mental Health Services (CMHS) is completing an evaluation of 22 grant sites of the Comprehensive Community Mental Health Services for Children and their Families Program funded in fiscal years 1993 and 1994. Local evaluators hired at each site have gathered basic descriptive information on about 40,000 children enrolled across all of the sites. They also have obtained information on functional outcomes at four points in time including intake, six months, 12 months, and 24 months for almost 1,000 children who remain continuously in services. External evaluators visited the sites annually to assess the degree to which each site implemented services in accordance with system of care goals and philosophy. A reliable system-of-care implementation tool was developed. Preliminary results indicate that a high percentage of children improve or maintain their functional outcomes, and that collaboration with the child welfare, juvenile justice, and education sectors has increased as indicated by a higher number of referrals from these sectors over the years in the program. A study comparing three systems of care with three service delivery systems will provide empirical evidence on the effectiveness of care systems.

AGENCY SPONSOR: Center for Mental Health Services

FEDERAL CONTACT: Santiago, Rolando L., Ph.D.
301-443-3808

PIC ID: 7269

PERFORMER: Macro International, Inc.
Calverton, MD

EXPECTED DATE OF COMPLETION: 12/31/2000

Evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program - Phase II

The Center for Mental Health Services (CMHS) is conducting an evaluation of 23 sites of the Comprehensive Community Mental Health Services for Children and their Families Program funded in fiscal years 1997 and 1998. Evaluators hired at each site currently gather descriptive data on such measures as demographics, functional status, diagnosis, and risk factors of enrolled children and their families as well as outcome data in such areas as social functioning, substance abuse, school performance, and juvenile justice involvement in a representative sample of 225 children. The children are assessed every 6 months for up to 36 months. A service-level substudy includes a provider survey and measures of multisector service contacts, client satisfaction, and adherence to a service plan. External evaluators visit the sites annually to assess implementation of services according to system care goals and philosophy. Three systems of care are being compared with three usual service systems to study how systems of care develop over time. Preliminary analyses indicate that 21 percent of referrals come from juvenile justice agencies, 21 percent from mental health providers, 20 percent from parents, 19 percent from schools, 9 percent from child welfare programs, and the remaining 10 percent from self or other sources.

AGENCY SPONSOR: Center for Mental Health Services

FEDERAL CONTACT: Santiago, Rolando L., Ph.D.
301-443-3808

PIC ID: 7269.1

PERFORMER: Macro International, Inc.
Calverton, MD

EXPECTED DATE OF COMPLETION: 9/29/2001

Evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program - Phase III

The Center for Mental Health Services (CMHS) will begin an evaluation of 20 new sites of the Comprehensive Community Mental Health Services for Children and their Families Program funded on September 30, 1999. Evaluators hired at each site will gather descriptive data on such measures as demographics, functional status, and participation in the Child Health Insurance Program of enrolled children and their families. These evaluators also will collect outcome data in such areas as social functioning, substance abuse, school performance, and juvenile justice involvement in a representative sample of children. External evaluators will visit the sites every 18 months to assess service implementation according to system of care program goals and philosophy. Local sites will receive technical assistance on how to create logic models to describe and self-monitor the development of their systems of care. The evaluation contractor will develop an Internet-based system to enter and monitor data collected at local sites to disseminate findings through Web-based technology. The evaluation contractor will also conduct a study on the effectiveness of specific services, treatments, or supports delivered within a selected system of care site.

AGENCY SPONSOR: Center for Mental Health Services

FEDERAL CONTACT: Santiago, Rolando L., Ph.D.
301-443-3808

PIC ID: 7269.2

PERFORMER: Macro International, Inc.
Calverton, MD

EXPECTED DATE OF COMPLETION: 9/29/2003

Evaluation of the HHS Access to Community Care and Effective Services and Supports (ACCESS) Program

The ACCESS Program is a five year demonstration program that provides grants to nine States to develop integrated systems of treatment and supportive services and housing for homeless persons with serious mental illnesses. The goal of the program is to identify strategies for developing integrated service systems and to evaluate their effectiveness in providing services to homeless persons with serious mental illnesses. The evaluation of the ACCESS Program has two major components: The system-level evaluation identifies the different systems integration approaches, documents how they are implemented, and measures their impact on system capacity and system barriers. The client-level evaluation determines whether systems integration efforts result in improved service delivery, improvements in mental health and health status, rehabilitation, quality of life and permanent exit from homelessness.

AGENCY SPONSOR: Center for Mental Health Services

FEDERAL CONTACT: Frances, Randolph, Ph.D.
301-443-3706

PIC ID: 4980.1

PERFORMER: R.O.W. Sciences, Inc.
Rockville, MD

EXPECTED DATE OF COMPLETION: 7/31/2000