Is implementation fidelity associated with improved access to care in a school-based Child and Family Team model?
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Effective child and family centered service planning is crucial to addressing vulnerable children's needs. However, there is limited evidence about what facets of these processes improve service use and outcomes. The current study used a Poisson random effects hazard model to test correlations between fidelity to NC's Child and Family Support Team model and time to service receipt, using case management data for 3396 children served by that program during the 2008-2009 school year. Students were more likely to receive recommended services more quickly when caregivers and the students attended planning meetings, when their plans included services for caregivers, and when child and family team leaders followed up after meetings to verify service receipt. Contrary to the Child and Family Support Team theory of change, match between student needs and the lead agency of the meeting was not associated with the odds of quicker service receipt, nor was attendance by natural supports. Findings from this study demonstrate the potential effectiveness of using case management systems to measure service planning process fidelity, as well as how results thereof can both inform process improvement and potential refinements to models' theories of change.
Child and Family Teams
Mental health, access
Health Services Accessibility
School Health Services
Published Version (Please cite this version)10.1016/j.evalprogplan.2014.11.005
Publication InfoBai, Yu; Gifford, Beth; Malone, Patrick S; & Wells, RS (2015). Is implementation fidelity associated with improved access to care in a school-based Child and Family Team model?. Eval Program Plann, 49. pp. 41-49. 10.1016/j.evalprogplan.2014.11.005. Retrieved from https://hdl.handle.net/10161/12804.
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Assistant Research Professor in the Sanford School of Public Policy
Beth Gifford is an Assistant Research Professor in the Sanford School of Public Policy. Gifford is leading the Social and Economic Component of the Children’s Health and Discovery Institute housed within the Duke School of Medicine Department of Pediatrics. She is currently serving as an Early Childhood Policy Fellow with the North Carolina Department
Research Scientist, Senior
Patrick Malone is a senior research scientist with the Center. His specialization is quantitative psychology and his independent research program focuses on developing statistical models of change over time, especially in health behaviors and developmental psychopathology. He is particularly interested in novel approaches to understanding racial, ethnic, and cultural differences in adolescent substance use and other health risk behaviors. As a methodological specialist, Dr. Malone col
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