Defining Community Readiness for the Implementation of a System of Care
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.
KeywordsCommunity readiness Characteristics of system change Characteristics of systems of care
- 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.Google Scholar
- 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.Google Scholar
- Chinman, M., Inn, P., & Wandersman, A. (2004). Promoting accountability through methods and tools for planning, implementation, and evaluation. A technical report of the rand corp. Retrieved from www.rand.org/pubs/technical_reports/TR101/index.html.
- 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.Google Scholar
- Concept Systems (2006). The concept system, version 4.118. Ithaca, NY: Concept Systems Incorporated. Available at http://www.conceptsystems.com.
- Department of Health and Human Services. (2006). The Comprehensive Community Mental Health Services Program for Children and Their Families. Retrieved from http://www.mentalhealth.samhsa.gov/cmhs/ChildrensCampaign/grantcomm.asp.
- Fetterman, D. M., & Wandersman, A. (2005). Empowerment evaluation principles in practice. NY, USA: Guilford Press.Google Scholar
- Friedman, R. (2005a). Effective systems of care: A summary of implementation factors. Retrieved May 25, 2007 from University of South Florida, Florida Mental Health Institute Web site http://rtckids.fmhi.usf.edu/publications.html.
- Friedman, R. (2005b). Transformation work group report. Retrieved April 10, 2008 from University of South Florida, Florida Mental Health Institute Web site http://rtckids.fmhi.usf.edu/publications.html.
- 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.Google Scholar
- 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.Google Scholar
- Hodges, S., Ferreira, K., Israel, N., & Mazza, J. (2007a, January). Lessons from successful systems. Retrieved June 6, 2008, from University of South Florida, Florida Mental Health Institute Web site from http://rtckids.fmhi.usf.edu/publications.html.
- Hodges, S., Ferreira, K., Israel, N., & Mazza, J. (2007b, February). Locally identified factors for systems implementation. Retrieved June 6, 2008, from University of South Florida, Florida Mental Health Institute Web site http://rtckids.fmhi.usf.edu/publications.html.
- Joint Commission on Mental Health of Children, Inc. (1969). Crisis in child mental health: Challenge for the 1970’s. New York, NY: Harper & Row.Google Scholar
- Kane, M., & Trochim, W. M. K. (2007). Concept mapping for planning and evaluation. Thousand Oaks, CA: Sage Publications.Google Scholar
- Knitzer, J. (1982). Unclaimed children. Washington, DC: Children’s Defense Fund.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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).Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- Rosas, S. (2008, March). Concept mapping and scale development. Presentation to Concept Systems Research Association. Ithaca, NY.Google Scholar
- 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.Google Scholar
- 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).Google Scholar
- 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.Google Scholar
- Trochim, W. (1993, November). Reliability of concept mapping. Presentation at the annual conference of the American Evaluation Association, Dallas, TX.Google Scholar
- 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.Google Scholar
- 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.Google Scholar
- 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.Google Scholar