2.50
Hdl Handle:
http://hdl.handle.net/10755/165821
Category:
Abstract
Type:
Presentation
Title:
A Policy Analysis of Systems of Care for Children with Special Needs
Author(s):
Evans, Mary
Author Details:
Mary Evans, PhD, Professor and Director of Research, University of South Florida College of Nursing, Tampa, Florida, USA, email: mevans@hsc.usf.edu
Abstract:
Children with multiple special needs have not been served well by the traditional fragmented approach to care. In the last 15 years there has been a move to encourage collaboration among child-serving organizations to increase the efficiency and improve the outcomes associated with care. This presentation reports a study of the policy instruments used by states in creating systems of care for children with emotional and behavioral problems who require services from multiple child-serving agencies. A national survey of state directors of children's mental health was conducted requesting information on the policy instruments (e.g., legislation, mandates, inducements) that were used to establish systems of care for these children and their families. Of the 50 states, responses were received from 39 (78%). Of the respondents, 34 (68%) reported that they had developed systems of care. Allowing for multiple approaches, 82% used legislation, 15% used inducements, 41% used capacity building, and 44% used other methods of system change. The data on the policy instrument used by the state, the collaborating agencies involved, and the principles underlying the effort to create a system of care were analyzed using Jaccard's method of cluster analysis. The optimal solution produced five clusters. These clusters differed from one another on the type of policy instrument used, the inclusion of juvenile justice and education agencies in the effort, and the number and variety of guiding principles, such as a family focus or community-based services. Implications for nurses providing services in systems developed under each condition will be described. Jaccard's method identified an exemplar state for each cluster. These states are being site visited to obtain information directly from providers of care and parents to examine the relationship between the policy instrument used and the system's outcomes, including level of collaboration among child-serving agencies.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Policy Analysis of Systems of Care for Children with Special Needsen_GB
dc.contributor.authorEvans, Maryen_US
dc.author.detailsMary Evans, PhD, Professor and Director of Research, University of South Florida College of Nursing, Tampa, Florida, USA, email: mevans@hsc.usf.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165821-
dc.description.abstractChildren with multiple special needs have not been served well by the traditional fragmented approach to care. In the last 15 years there has been a move to encourage collaboration among child-serving organizations to increase the efficiency and improve the outcomes associated with care. This presentation reports a study of the policy instruments used by states in creating systems of care for children with emotional and behavioral problems who require services from multiple child-serving agencies. A national survey of state directors of children's mental health was conducted requesting information on the policy instruments (e.g., legislation, mandates, inducements) that were used to establish systems of care for these children and their families. Of the 50 states, responses were received from 39 (78%). Of the respondents, 34 (68%) reported that they had developed systems of care. Allowing for multiple approaches, 82% used legislation, 15% used inducements, 41% used capacity building, and 44% used other methods of system change. The data on the policy instrument used by the state, the collaborating agencies involved, and the principles underlying the effort to create a system of care were analyzed using Jaccard's method of cluster analysis. The optimal solution produced five clusters. These clusters differed from one another on the type of policy instrument used, the inclusion of juvenile justice and education agencies in the effort, and the number and variety of guiding principles, such as a family focus or community-based services. Implications for nurses providing services in systems developed under each condition will be described. Jaccard's method identified an exemplar state for each cluster. These states are being site visited to obtain information directly from providers of care and parents to examine the relationship between the policy instrument used and the system's outcomes, including level of collaboration among child-serving agencies.en_GB
dc.date.available2011-10-27T14:34:24Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:34:24Z-
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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