In response to a national call for states to shift from an overreliance on restrictive treatment modalities to community-based systems of care and to the needs identified by the families of children with serious emotional disturbance (SED), the New York State Office of Mental Health has developed Family-Centered Intensive Case Management (FCICM) as part of a research demonstration project. FCICM is intended to empower and support families with children with SED. Staffed by a case manager and parent advocate, FCICM includes respite care, flexible service money, parent support groups, and behavior management skills training. In this study, which had positively controlled experimental conditions, children who were referred for treatment foster care in three rural New York counties were randomly assigned to FCICM or treatment foster care. The present article compares and contrasts the program elements of FCICM and the treatment foster care models, provides an overview of the research design and methods, describes the children and families served, and examines program implementation issues.
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References
1.
Achenbach, T. M. (1991a). Manual for the Child Behavior Checklist and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.
2.
Achenbach, T. M. (1991b). Manual for the Teacher Report Form and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.
3.
Armstrong, M. I., & Evans, M. E. (1992). Three intensive community-based programs for children--with serious emotional disturbance. Journal of Child and Family Studies, 1(1), 61–74.
4.
Bloom, R. B., Shea, R. J., & Eun, B. (1979). The Piers-Harris Self-Concept Scale: Norms for behaviorally disordered children. Psychology in the Schools, 16, 483–487.
5.
Cole, R. F., & Poe, S. L. (1993). Partnerships for care: Interim report of the mental health services program for youth. Washington, DC: Washington Business Group of Health.
6.
Dollard, N., Evans, M. E., Lubrecht, J., & Schaeffer, G. (1994). The use of flexible service dollars in rural community-based programs for children with serious emotional disturbance and their families. Journal of Emotional and Behavioral Disorders, 2(2), 117–125.
7.
Donner, R. (1988). Rest-a-bit: Respite care training project. Topeka, KS: Families Together, Inc.
8.
Dougherty, D. M., Saxe, L. M., Cross, T., & Silverman, N. (1987). Children's mental health: Problems and services. A report by the Office of Technology Assessment. Durham, NC: Duke University Press.
9.
Evans, M. E. (1990). Outcomes of two intensive services for children. Proposal (No. 1 R18 MH 48072/CMHS 5HD5 SM 48072) submitted to the National Institute of Mental Health by the New York State Office of Mental Health, Bureau of Evaluation and Services Research, Albany.
10.
Freeman, B. J. (1985). Review of the Child Behavior Checklist. In V. Mitchell, Jr. (Ed.), The ninth mental measurement yearbook (pp. 300–301). Lincoln: University of Nebraska Press.
11.
Friedman, R. M., & Duchnowski, A. J. (1990). Children's mental health: Challenges for the nineties. Journal of Mental Health Administration, 17(1), 3–12.
12.
Hodges, K. (1990). Child and adolescent functional assessment scale. Nashville, TN: Vanderbilt Child Mental Health Services Evaluation Project.
13.
Hodges, K., Bickman, L., & Kurtz, S. (1991). Multidimensional measure of level of functioning for children and adolescents. In A. Alprin & R. M. Friedman (Eds.), Proceedings of the 4th Annual System of Care for Children's Mental Health: Expanding the research base (pp. 149–154). Tampa: University of South Florida, Florida Mental Health Institute, Research and Training Center for Children's Mental Health.
14.
Katz-Leavy, J. W., Lourie, I. S., Stroul, B. A., & Zeigler-Dendy, C. (1992). Individualized services in a system of care. In Individualized services in a system of care (pp. 7–11). Washington, DC: Georgetown University. CASSP Technical Assistance Center.
15.
Knitzer, J. (1982). Unclaimed children. Washington, DC: Children's Defense Fund.
16.
McConaughy, S. H., & Achenbach, T. M. (1985). Practical guide for the Child Behavior Checklist and related materials. Burlington, VT: University of Vermont Department of Psychiatry.
17.
New York State Office of Mental Health. (1990). Family-based treatment program description. Albany: New York State Office of Mental Health, Bureau of Children and Families.
18.
New York State Office of Mental Health. (1991a). Baseline supplemental form. Albany: New York State Office of Mental Health, Bureau of Evaluation and Services Research.
19.
New York State Office of Mental Health. (1991b). Client description form. Albany: New York State Office of Mental Health, Bureau of Evaluation and Services Research.
20.
New York State Office of Mental Health. (1992). At the crossroads: Expanding community-based care for children and families. The New York State plan for children and families mental health services. Albany: New York State Office of Mental Health, Bureau of Children and Families and the Bureau of Planning, Assistance and Coordination.
21.
Olson, D. H., Portner, J., & Lavee, Y. (1985). Family Adaptability and Cohesion Scales III. St. Paul: University of Minnesota, Family Social Science Department.
22.
Palma, P. B. (1994). Responding to the needs of families: Preliminary results of families of children receiving intensive case management services. Poster presented at Proceedings of the 7th Annual System of Care for Children's Mental Health: Expanding the research base. University of South Florida, Florida Mental Health Institute, Research and Training Center for Children's Mental Health, Tampa.
23.
Piers, E. V. (1984). Manual for the Piers-Harris Children's Self-Concept Scale. Nashville, TN: Counselor Recordings and Tests.
24.
Saxe, L., Cross, T., & Silverman, N. (1988). Children's mental health: The gap between what we know and what we do. American Psychologist, 10, 800–807.
25.
Snodgrass, R. (1986). Parent skills training. Staunton, VA: People Places, Inc.
26.
Solomon, P. (1992). The efficacy of case management services for severely mentally disabled clients. Community Mental Health Journal, 28(3), 163–180.
27.
Stroul, B. A., & Friedman, R. M. (1986). A system of care for severely emotionally disturbed children and youth. Washington, DC: Georgetown University, CASSP Technical Assistance Center.
28.
Trupin, E. W., Forsyth-Stephens, A., & Low, B. P. (1991). Service needs of severely disturbed children. American Journal of Public Health, 81, 975–980.
29.
Ward, S. H., & Braun, J. R. (1972). Self-esteem and racial preference in black children. American Journal of Orthopsychiatry, 42, 644–647.
