Impact of a System of Care on a Community's Children's Social Services System
- 63 Downloads
Researchers and practitioners have questioned how the implementation of a system of care influences the broader context of children's social services within a community. We examined the impact that the Dawn Project system of care had on children's services in Marion County, Indiana. A series of semi-structured interviews were conducted in order to gain a broad understanding of stakeholder perspectives related to how system-level and other community leaders viewed system of care influences. Qualitative analyses uncovered several common themes including positive impact at the community level, challenges to implementation, and feelings of ambivalence related to program impact. Results were generally positive and suggested that most respondents saw core system of care principles beginning to emerge within the community related to the establishment of the care system. In addition, challenges to implementing the system of care also were uncovered, including some underlying resistance to system-level changes. Implications from our study highlight the importance of continuously working to enhance strengths and collaboration among systems, integrate and coordinate across systems and services, and authentically involve families at all levels.
Key Wordssystems of care mental health children's social services system level change
Unable to display preview. Download preview PDF.
- Choices Inc. (1999). Dawn Project Team Handbook. Indianapolis, IN: Author.Google Scholar
- Doll, B., & Lyon, M. A. (1998). Risk and resilience: Implications for the delivery of educational and mental health services in schools. School Psychology Review, 27, 348–363.Google Scholar
- Duchnowski, A. J., & Kutash, K. (1996). The mental health perspective. In C. M. Nelson, R. B. Rutherford, & B. I. Wolford (Eds.), Comprehensive and collaborative systems that work for troubled youth (pp. 90–110). Richmond, KY: National Coalition for Juvenile Justice Services.Google Scholar
- Families Reaching for Rainbows (2005). Retrieved March 15, 2005 from http://www.choicesteam.org/page/program/alias/rainbows&article=319&prog=319.
- Friedman, R. M. (1994). Restructuring of systems to emphasize prevention and family support. Journal of Clinical Child Psychology, 23, 40–47.Google Scholar
- Fullan, M. G. (2005). Leadership and sustainability: System thinkers in action. Thousand Oaks, CA: Corwin Press.Google Scholar
- Glaser, B., & Strauss, A. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine.Google Scholar
- Glisson, C. (1998). Factors affecting case management: Recommendations for children entering state custody. Social Service Review, 72, 521–544.Google Scholar
- Hernandez, M., & Hodges, S. (2003). Building upon the theory of change for systems of care. Journal of Emotional and Behavioral Disorders, 11, 19–26.Google Scholar
- Hodges, S., Nesman, T., and Hernandez, M. (1999). Promising practices: Building collaboration in systems of care. Systems of care: Promising practices in children's mental health, 1998 Series, Volume VI. Washington, DC: Center for Effective Collaboration and Practice, American Institutes for Research.Google Scholar
- Indiana Division of Mental Health. (1999). A brief history and guide to the development of a system of care in Marion County (1996–1998). Indianapolis, IN: Author.Google Scholar
- 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
- Krathwohl, D. R. (1998). Methods of educational and social science research: An integrated approach. New York: Longman.Google Scholar
- Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. (2nd ed.). Thousand Oaks, CA: Sage.Google Scholar
- Scolari. (1997). Atlas.ti (Version 4.1). Berlin.Google Scholar
- Stroul, B., & Friedman, R. (1986). A system of care for children and youth with severe emotional disturbances (rev. ed.). Washington, DC: Georgetown University Child Development Center, National Technical Assistance Center for Children's Mental Health.Google Scholar
- Sullivan, W. P. (2001). System of care models with high-risk children: Pooling dollars, pooling values. Unpublished manuscript, Indiana University Purdue University Indianapolis.Google Scholar
- Walker, J. S., & Schutte, K. M. (2004). Practice and process in wraparound teamwork. Journal of Emotional and Behavioral Disorders, 12, 182–192.Google Scholar