Delivering effective children's services in the community: Reconsidering the benefits of system interventions Article

Salzer, MS, Bickman, L. (1997). Delivering effective children's services in the community: Reconsidering the benefits of system interventions . 6(1), CO2-C13. 10.1016/s0962-1849(05)80062-9

cited authors

  • Salzer, MS; Bickman, L

fiu authors

abstract

  • This article examines research on systems of care, which are acknowledged as the current dominant paradigm in the delivery of children's mental health services. The authors conclude that systems of care produce important system-level changes. Early results suggest that these systems changes do not impact clinical outcomes, however. One plausible explanation for this finding is that system interventions are too far removed from the actual delivered services, thereby limiting their potential impact. Moreover, numerous assumptions underlying the purported effectiveness of systems of care remain unvalidated. The authors propose that the primary direction to improving children's mental health services should be through effectiveness research, in contrast to continued large-scale investments in systems research and development. Recommendations are made for addressing methodological problems that researchers will confront and for developing policies encouraging future research on the effectiveness of children's mental health services. Copyright © 1997 AAAPP.

publication date

  • January 1, 1997

Digital Object Identifier (DOI)

start page

  • CO2

end page

  • C13

volume

  • 6

issue

  • 1