Journal of Child and Family Studies

, Volume 14, Issue 3, pp 403–415 | Cite as

The Links Among Perceived Adherence to the System of Care Philosophy, Consumer Satisfaction, and Improvements in Child Functioning



The present study investigated the associations among perceived adherence to the system of care philosophy, changes in internalizing and externalizing behaviors, and consumer satisfaction with services. Participants included 98 families, interviewed at two time points across a one-year period. Hierarchical multiple regressions indicated that the more a child and family perceived services to be consistent with the system of care philosophy, the greater their level of satisfaction with services and the fewer internalizing and externalizing behaviors they reported one year after receiving services (controlling for initial levels of problem behaviors). Implications for children’s mental health service delivery are offered.


system of care child functioning satisfaction with services system of care adherence community mental health 


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  1. Achenbach, T. M. (1991). Child Behavior Checklist for Ages 4–18. Burlington: University of Vermont, Department of Psychology.Google Scholar
  2. Achenbach, T. M. (1991). Manual for the Youth Self-Report 11–18 and 1991 Profile. Burlington, VT: University Associates in Psychiatry.Google Scholar
  3. Bronfenbrenner, U. (1977). Towards an experimental ecology of human development. American Psychologist, 54, 1335–1354.Google Scholar
  4. Burchard, J. D. (2001). Wraparound Fidelity Index 2.1. Burlington, VT: University of Vermont, Department of Psychology.Google Scholar
  5. Burns, B. J., Farmer, E. M. Z., Angold, A., Costello, E. J., & Behar, L. (1996). A randomized trial of case management for youths with serious emotional disturbance. Journal of Child and Family Studies, 4, 321–339.Google Scholar
  6. Center for Mental Health Services. (1997). The Descriptive Information Questionnaire. Unpublished measure.Google Scholar
  7. Center for Mental Health Services. (1997). The Family Satisfaction Questionnaire—Abbreviated Version (FSQ-A). Unpublished measure.Google Scholar
  8. Comer, J. P., Haynes, N. M., Joyner, E. T., & Ben-Avie, M. (1996). Rallying the whole village: The Comer process for reforming education. New York: Teachers College Press.Google Scholar
  9. Epstein, M. H. (1998). Assessing the emotional and behavioral strengths of children. Reclaiming Children and Youth, 6, 250–252.Google Scholar
  10. Friedman, R. M., Katz-Leavy, J. W., Manderscheid, R. W., & Sondheimer, D. L. (1999). Prevalence of serious emotional disturbance: An update. In R. W. Manderscheid & M. J. Henderson (Eds.), Mental health, United States, 1998 (pp. 110–112). Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
  11. Hernandez, M., & Hodges, S. (2000). Turning ideas into action using theory based frameworks. Tampa, FL: Department of Child and Family Studies, Louis de la Parte Florida Mental Health Institute, University of South Florida.Google Scholar
  12. Knitzer, J. (1982). Unclaimed children: The failure of public responsibility to children and adolescents in need of mental health services. Washington, DC: Children’s Defense Fund.Google Scholar
  13. Pumariega, A. J., & Winters, N. C. (2003). The handbook of child and adolescent systems of care: The new community psychology. San Francisco, CA: Jossey-Bass.Google Scholar
  14. Sarigiani, P. A., Heath, P. A., Camarena, P. M. (2003). The significance of parental depressed mood for young adolescents’ emotional and family experiences. Journal of Early Adolescence, 23, 241–267.CrossRefGoogle Scholar
  15. Stroul, B. A., & Friedman, R. M. (1994). A system of care for children and youth with severe emotional disturbances (Revised ed). Washington, DC: Georgetown University Child Development Center, CASSP Technical Assistance Center.Google Scholar
  16. Stroul, B. A., & Friedman, R. (1996). The system of care concept and philosophy. In B. Stroul (Ed.), Children’s Mental Health: Creating Systems of Care in a Changing Society. Baltimore, MD: Brookes.Google Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Center for Youth, Family, and Community Partnerships, Department of PsychologyUniversity of North Carolina at GreensboroGreensboro

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