Clark County System of Care Evaluation

Evaluation data is collected on a sample of children who are identified at intake into a public mental health center and who fit the following criteria:

• Receiving, about to receive, or needs services from mental health services and at least one other service system (i.e. DCFS, Juvenile Justice, Special Education, etc.)
• Global Assessment of Function (GAF/Axis V) Score below 50
• Disability has lasted at least one year, or is expected to last more than a year.
• Child is diagnosable or has received a DSM-IV diagnosis (excluding developmental disability or substance use disorder, unless co-occuring)
• Age at intake is 5 years to 17.5 years

ü       Cross-sectional data (DIQ) collected through the intake process on all that meet criteria

ü       Random sampling selects families to invite to voluntarily participate in the full interview (face to face)

ü       Information collected from both caregiver (1-2 hour interview, $20 reimbursement) and youth (1 hour interview; $10 reimbursement; youth is 11 – 17.5 years old at intake)

ü       Voluntary interviews conducted every 6 months for up to 3 years after initial intake – even if not receiving services or youth has turned 18

Measures and information captured include the following:

Measure Title

Information Captured

C

Descriptive Information Questionnaire

Demographics/risk factors/family comp./custody/referral source/MH service history/present problems

C

Family Satisfaction Questionnaire – Abbreviated

Cultural competence, family focus, service coord., unconditional care, progress and global satisfaction

Y

Youth Satisfaction Questionnaire - Abbreviated

Cultural competence, family focus, service coord., unconditional care, progress and global satisfaction

C

Individualized and Tailored Care Questionnaire

Experience with the wraparound process

C

Education Questionnaire

Attendance, achievement, placements (and reasons), school performance, disciplinary actions

Y

Substance Abuse Survey

Substance abuse - alcohol, tobacco, illicit substances, prescription/non-prescription meds.

Y

Delinquency Survey

Contacts with law enforcement, criminal offenses, arrests, probation, delinquent acts

C

Restrictiveness of Living Environments and Placement Stability

Living situation/placements of youth

C

Family Assessment Device - Caregiver

How families interact, communicate and respond to each other and together

Y

Family Assessment Device - Youth

How families interact, communicate and respond to each other and together

C

Family Resource Scale

Family resources (time, money, energy, health and necessities)

C

Caregiver Strain Questionnaire

The extent of additional difficulties, strains and negative effects experiences

C

Multi-Sector Service Contacts

Services used/received – where, when, how much – from multiple providers in the community

Child functioning (standardized scales):

C

   Behavioral and Emotional Rating Scale (BERS)

Interpersonal/Intrapersonal/Family Involvement/Affective/School Functioning Strengths

C

   Child Behavior Checklist (CBCL)

Social competence/behavior/emotional probs.

Y

   Youth Self-Report (YSR)

Self assessed - social competence/behavior/emotional probs.

C

   Child and Adolescent Functional Assessment Scale (CAFAS)

Youth functioning in various life domains