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Published in: Administration and Policy in Mental Health and Mental Health Services Research 6/2009

01-11-2009 | ORIGINAL PAPER

Defining Community Readiness for the Implementation of a System of Care

Authors: Lenore B. Behar, William M. Hydaker

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 6/2009

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Abstract

Developing systems of care for children with emotional disorders requires changes in the organization and delivery of services. Using concept mapping, the authors conducted a study to define factors of a community’s readiness to make such changes. Participants were from 25 of 27 federally-funded, advanced sites, plus a panel of experts. The participants completed three tasks: brainstorming, rating, and sorting. This process produced eight factors: Leadership, Network of Local Partners, Shared Goals, Collaboration, Families and Youth as Partners, Accountability, Evaluation, and Plans to Expand Services. Understanding factors that contribute to successful implementation should help communities identify and make needed changes.
Appendix
Available only for authorised users
Footnotes
1
Concept mapping analysis and results were conducted using The Concept System© software: Copyright 2004–2007; all rights reserved. Concept Systems Inc.
 
2
The first three of these sites are funded by the Center for Mental Health Services, Child, Adolescent and Family Branch; the three sites in Florida are funded by Health Resources and Services Administration, Maternal and Child Health Bureau.
 
3
High ratings indicate that a statement is highly important and most difficult to implement.
 
Literature
go back to reference Behar, L. B. (1985). Changing patterns of state responsibility: A case study of North Carolina. Journal of Clinical Child Psychology, 14(3), 188–195.CrossRef Behar, L. B. (1985). Changing patterns of state responsibility: A case study of North Carolina. Journal of Clinical Child Psychology, 14(3), 188–195.CrossRef
go back to reference Behar, L. B. (2002). Children’s mental health services: The challenge of changing policy and practice. In William. Reid & Stuart. Silver (Eds.), Handbook of mental health administration and management (pp. 149–162). New York, NY: Brunner-Routledge. Behar, L. B. (2002). Children’s mental health services: The challenge of changing policy and practice. In William. Reid & Stuart. Silver (Eds.), Handbook of mental health administration and management (pp. 149–162). New York, NY: Brunner-Routledge.
go back to reference Behar, L., Friedman, R., & Lynn, N. (2005). A study of service innovations that enhance systems of care. Selected readings in systems of care. Tampa, FL: The Research & Training Center for Children’s Mental Health, University of South Florida. Behar, L., Friedman, R., & Lynn, N. (2005). A study of service innovations that enhance systems of care. Selected readings in systems of care. Tampa, FL: The Research & Training Center for Children’s Mental Health, University of South Florida.
go back to reference Comprehensive Community Mental Health Services Program for Children and Their Families (2006). Child and Family Services Branch, the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, US. Comprehensive Community Mental Health Services Program for Children and Their Families (2006). Child and Family Services Branch, the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, US.
go back to reference Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28(3), 291–307.CrossRef Edwards, R. W., Jumper-Thurman, P., Plested, B. A., Oetting, E. R., & Swanson, L. (2000). Community readiness: Research to practice. Journal of Community Psychology, 28(3), 291–307.CrossRef
go back to reference Fetterman, D. M., & Wandersman, A. (2005). Empowerment evaluation principles in practice. NY, USA: Guilford Press. Fetterman, D. M., & Wandersman, A. (2005). Empowerment evaluation principles in practice. NY, USA: Guilford Press.
go back to reference Friedman, R. M., Greenbaum, P., Kutash, K., Boothroyd, R., & Wang, W. (2009). System of care implementation survey. Presentation at the 22nd Annual Research Conference, The Research and Training Center for Children’s Mental Health, University of South Florida, Tampa, FL. Friedman, R. M., Greenbaum, P., Kutash, K., Boothroyd, R., & Wang, W. (2009). System of care implementation survey. Presentation at the 22nd Annual Research Conference, The Research and Training Center for Children’s Mental Health, University of South Florida, Tampa, FL.
go back to reference Graham, A. L., Kerner, J. F., Quinlan, K. M., Vinson, C., & Best, A. (2008). Translating cancer control research into primary care practice: A conceptual framework. American Journal of Lifestyle Medicine, 2(3), 241–249.CrossRef Graham, A. L., Kerner, J. F., Quinlan, K. M., Vinson, C., & Best, A. (2008). Translating cancer control research into primary care practice: A conceptual framework. American Journal of Lifestyle Medicine, 2(3), 241–249.CrossRef
go back to reference Greene, J. C., & Caracelli, V. J. (Eds.). (1997). Advances in mixed-method evaluation: The challenges and benefits of integrating diverse paradigms. New directions for program evaluation (Vol. 74). San Francisco: Jossey-Bass. Greene, J. C., & Caracelli, V. J. (Eds.). (1997). Advances in mixed-method evaluation: The challenges and benefits of integrating diverse paradigms. New directions for program evaluation (Vol. 74). San Francisco: Jossey-Bass.
go back to reference Joint Commission on Mental Health of Children, Inc. (1969). Crisis in child mental health: Challenge for the 1970’s. New York, NY: Harper & Row. Joint Commission on Mental Health of Children, Inc. (1969). Crisis in child mental health: Challenge for the 1970’s. New York, NY: Harper & Row.
go back to reference Kane, M., & Trochim, W. M. K. (2007). Concept mapping for planning and evaluation. Thousand Oaks, CA: Sage Publications. Kane, M., & Trochim, W. M. K. (2007). Concept mapping for planning and evaluation. Thousand Oaks, CA: Sage Publications.
go back to reference Knitzer, J. (1982). Unclaimed children. Washington, DC: Children’s Defense Fund. Knitzer, J. (1982). Unclaimed children. Washington, DC: Children’s Defense Fund.
go back to reference Lourie, I. S. (2002). A history of community child mental health. In A. J. Pumariega & N. C. Winters (Eds.), The handbook of child and adolescent systems of care (pp. 1–17). San Francisco, CA: Jossey-Bass. Lourie, I. S. (2002). A history of community child mental health. In A. J. Pumariega & N. C. Winters (Eds.), The handbook of child and adolescent systems of care (pp. 1–17). San Francisco, CA: Jossey-Bass.
go back to reference Manteuffel, B., Katana, P., Petrila, A., Rosales-Elkins, D., & Stroul, B. (2006, July). Effective strategies for sustaining systems of care: Lessons learned. Presentation at the National Training Institutes, Orlando, FL. Manteuffel, B., Katana, P., Petrila, A., Rosales-Elkins, D., & Stroul, B. (2006, July). Effective strategies for sustaining systems of care: Lessons learned. Presentation at the National Training Institutes, Orlando, FL.
go back to reference Manteuffel, B., Stephens, R. L., & Santiago, R. (2002). Overview of the national evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program and summary of current findings. Children’s Services: Social Policy, Research and Practice, 5(1), 3–20. Manteuffel, B., Stephens, R. L., & Santiago, R. (2002). Overview of the national evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program and summary of current findings. Children’s Services: Social Policy, Research and Practice, 5(1), 3–20.
go back to reference New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Department of Health and Human Services. (Final report). New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Rockville, MD: Department of Health and Human Services. (Final report).
go back to reference Novak, J. D. (1998). The nature of knowledge and how humans create knowledge. In J. D. Novak (Ed.), Learning, creating, and using knowledge: concept maps as facilitative tools in schools and corporations (pp. 79–111). Mahwah, NJ: Lawrence Erlbaum Associates. Novak, J. D. (1998). The nature of knowledge and how humans create knowledge. In J. D. Novak (Ed.), Learning, creating, and using knowledge: concept maps as facilitative tools in schools and corporations (pp. 79–111). Mahwah, NJ: Lawrence Erlbaum Associates.
go back to reference Osher, T. W., & Huff, B (2007, October). Family driven care and practice system self assessment tool. Presentation to the Colorado House Joint Resolution 07-1050 Task Force, Denver, CO. Osher, T. W., & Huff, B (2007, October). Family driven care and practice system self assessment tool. Presentation to the Colorado House Joint Resolution 07-1050 Task Force, Denver, CO.
go back to reference Padgett, S. M., Bekemeier, B., & Berkowitz, B. (2005). Building sustainable public health systems change at the state level. Journal of Public Health Management & Practice, 2, 109–115. Padgett, S. M., Bekemeier, B., & Berkowitz, B. (2005). Building sustainable public health systems change at the state level. Journal of Public Health Management & Practice, 2, 109–115.
go back to reference Rosas, S. (2008, March). Concept mapping and scale development. Presentation to Concept Systems Research Association. Ithaca, NY. Rosas, S. (2008, March). Concept mapping and scale development. Presentation to Concept Systems Research Association. Ithaca, NY.
go back to reference Stroul, B., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center. Stroul, B., & Friedman, R. M. (1986). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.
go back to reference Stroul, B., & Friedman, R. M. (1996a). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University, Child Development Center, CASSP Technical Assistance Center. (Revised edition). Stroul, B., & Friedman, R. M. (1996a). A system of care for children and youth with severe emotional disturbances. Washington, DC: Georgetown University, Child Development Center, CASSP Technical Assistance Center. (Revised edition).
go back to reference Stroul, B., & Friedman, R. (1996b). The system of care concept and philosophy. In B. Stroul (Ed.), Children’s mental health: Creating systems of care in a changing society (pp. 3–21). Baltimore: Paul H. Brookes. Stroul, B., & Friedman, R. (1996b). The system of care concept and philosophy. In B. Stroul (Ed.), Children’s mental health: Creating systems of care in a changing society (pp. 3–21). Baltimore: Paul H. Brookes.
go back to reference Trochim, W. (1989a). An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning, 12, 1–16.CrossRef Trochim, W. (1989a). An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning, 12, 1–16.CrossRef
go back to reference Trochim, W. (1989b). Concept mapping: Soft science or hard art? Evaluation and Program Planning, 12, 87–110.CrossRef Trochim, W. (1989b). Concept mapping: Soft science or hard art? Evaluation and Program Planning, 12, 87–110.CrossRef
go back to reference Trochim, W. (1993, November). Reliability of concept mapping. Presentation at the annual conference of the American Evaluation Association, Dallas, TX. Trochim, W. (1993, November). Reliability of concept mapping. Presentation at the annual conference of the American Evaluation Association, Dallas, TX.
go back to reference Trochim, W., & Linton, R. (1986). Conceptualization for evaluation and planning. Evaluation and Program Planning, 9, 289–308.CrossRefPubMed Trochim, W., & Linton, R. (1986). Conceptualization for evaluation and planning. Evaluation and Program Planning, 9, 289–308.CrossRefPubMed
go back to reference Trochim, W., Milstein, B., Wood, B. J., Jackson, S., & Pressler, V. (2003). Setting objectives for community and systems change: an application of concept mapping for planning a statewide health improvement initiative. Health Promotion Practice, 8, 1–12. Trochim, W., Milstein, B., Wood, B. J., Jackson, S., & Pressler, V. (2003). Setting objectives for community and systems change: an application of concept mapping for planning a statewide health improvement initiative. Health Promotion Practice, 8, 1–12.
go back to reference US Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health. US Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Rockville, MD: US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.
go back to reference Wandersman, A. (2009). System of care values in research and evaluation. Presentation at the 22nd Annual Research Conference, The Research and Training Center for Children’s Mental Health, University of South Florida, Tampa, FL. Wandersman, A. (2009). System of care values in research and evaluation. Presentation at the 22nd Annual Research Conference, The Research and Training Center for Children’s Mental Health, University of South Florida, Tampa, FL.
Metadata
Title
Defining Community Readiness for the Implementation of a System of Care
Authors
Lenore B. Behar
William M. Hydaker
Publication date
01-11-2009
Publisher
Springer US
Published in
Administration and Policy in Mental Health and Mental Health Services Research / Issue 6/2009
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-009-0227-x

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