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Transforming Childrens Mental Healthcare in America
Systems of Care

Research and Training Center for Children's Mental Health Department of Child & Family Studies, Louis de la Parte Florida Mental Health Institute University of South Florida

http://rtckids.fmhi.usf.edu

The faculty and staff of the Research and Training Center for Children's Mental Health work to strengthen the empirical foundation for effective systems of care through an integrated set of research, training, consultation, and dissemination activities. The Center also seeks to transform the system and services for children with mental health challenges and their families, consistent with the recommendations of the President’s New Freedom Commission on Mental Health. The Center is part of the Department of Child and Family Studies at the Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa.

The Research and Training Center is jointly funded by the Center for Mental Health Services of the U.S. Department of Health and Human Services and the National Institute on Disability and Rehabilitation Research of the U.S. Department of Education. The Center was first funded in 1984 for five years, and has successfully obtained 5-year grants through a competitive process in 1989, 1994, 1999, and 2004. The Center also receives financial support from the Department of Child and Family Studies.

Both the Center and the Department of Child and Family Studies consist of a diverse team of researchers, evaluators, policymakers, administrators, parents, and practitioners. The Center and Department are committed to interdisciplinary approaches in their work, and specialize in the use of multiple methods to conduct in-depth studies of important issues in system of care development and implementation. The Center's research is based in complex, real-world environments, and findings are disseminated in formats suitable for a variety of audiences.
While the primary mission of the Center is to develop and disseminate new knowledge on implementation of effective systems of care through its research, the Center team is available to communities and States around the country for consultation and technical assistance.

The Center also works in partnership with ORC Macro on the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program. The Center is pleased to be a resource for communities involved in this Federal program, and works in partnership with other centers involved with the program as well.

AREAS OF ACTIVITY

Practical, Applied Research on System of Care Issues In keeping with a grant application submitted and approved in 2004, activities for the current grant cycle are based on investigating a theory of factors that contribute to effective implementation of systems of care; within that theory is a strong emphasis on the importance of understanding from a systemic perspective the interrelationship between the different factors, and their relationship to the community culture and context in which a service delivery system exists.

Evaluation of Systems of Care

Both as a partner to ORC Macro in the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program, and in response to special requests, the Center engages in evaluating systems of care.

Technical Assistance and Consultation to Communities

The Center engages in a variety of training, technical assistance, and dissemination activities. The Center seeks to be responsive to technical assistance requests, be they simple requests for information or requests for ongoing assistance. The Center has provided assistance around topics such as:

  1. developing and evaluating systems of care;
  2. creating outcome-based accountability systems;
  3. development of theories of change to help guide systems of care;
  4. use of mixed methods in evaluation;
  5. impact of managed care on service systems;
  6. development of effective school-based services;
  7. promotion of interagency collaborative efforts;
  8. promotion of cultural competence;
  9. integration of neighborhood and system-reform efforts; and
  10. workforce development.

Conferences

As part of an effort to build the capacity of the children's mental health field to conduct system of care research, and as an effort to disseminate the most current information, the Center sponsors a range of special meetings and conferences on contemporary issues. Since 1988, the Center has sponsored an annual system of care research conference. This annual conference is arguably the principal national forum for exploring emerging research methods and findings on systems of care. Innovative methods presented at prior conferences have been utilized in practice and policy, creating a framework of best practices to improve the way communities address the mental health needs of children and their families. The next research conference will be February 22-24, 2006, in Tampa.

Dissemination

The Center seeks to make information readily available to individuals in the children's mental health field through a variety of channels. The Center’s work is frequently published in refereed journals, monographs, and books; and Center staff present current findings at professional conferences. With support from the Center for Mental Health Services, and in partnership with the Research and Training Center at Portland State University, the Center publishes Data Trends, a series of brief summaries of important new research findings. Additionally, the Center maintains a bibliography of material that it makes available to others in the field, and disseminates new knowledge through its web site, CD collections, presentations, training and technical assistance.

Professional Training and Workforce Development

The Center develops and delivers university-based training programs and curriculum resources to equip a new generation of professionals with skills to identify, understand, and provide leadership in the implementation of systems of care. These programs are developed in collaboration with the colleges of the University of South Florida (USF), and across partner institutions through the System of Care Professional Training Consortium. The Center is in the process of developing a 15-credit graduate certificate in children’s mental health/systems of care in which all of the courses will be available through distance learning. The Center’s academic program includes the Child & Family Policy Program, an interdisciplinary doctoral level program offered through USF, and continued partnership with the College of Public Health in delivery of a graduate-level public mental health specialty track.

Service to the Field

Members of the Center's team provide leadership for national, state and local committees and boards related to our goal of creating effective systems of care for children with mental health challenges and their families. Center investigators serve as editors for a range of professional journals, participate in grant review activities, and contribute to task forces convened to address contemporary issues in mental health services delivery.

The Research Agenda

The mission of the Research and Training Center for Children’s Mental Health has been to increase the effectiveness of service systems by strengthening the empirical base for such systems through research and dissemination to key audiences. With its current five-year research program, the Center expands its mission with an integrated research, training, and dissemination program targeted specifically at implementation issues for developing effective systems of care.

The Center’s research program consists of six interrelated studies designed to produce knowledge about the development and implementation of effective and integrated systems of care for children and adolescents with serious emotional disturbances and their families.

Research Study 1: A National Survey of Systems Of Care Implementation

Principal Investigators: Paul Greenbaum, Krista Kutash, Roger Boothroyd
This project will collect the first and only national survey data on system of care implementation in a probability sample of counties across the United States. The intent is to document national levels of systems of care implementation in the U.S., examine changes during the course of the grant, and develop an instrument and method that can be continued to be used after the grant has been completed.

Research Study 2: Holistic Approaches to Studying Community-Based Systems of Care
Principal Investigator: Sharon Hodges

The purpose of this study is to investigate how system implementation factors, considered holistically and in relation to one another, contribute to the development of systems of care, and to test the Center’s theoretical premises’ about systems of care implementation. This project will provide greater understanding of how local communities develop systems of care that meet the unique needs of their children with serious emotional disturbance and their families.

Research Study 3: Financing Structures and Strategies to Support Effective Systems of Care
Principal Investigators: Mary Armstrong, Sheila Pires, Beth Stroul and Ginny Wood

This project uses a case study design to test whether the Center’s theory regarding the hypothesized set of financing structures and strategies that support effective systems of care is valid. The study will determine how the components in its comprehensive financing framework operate separately and collectively, within a community and systemic context.

Research Study 4: The School-based Mental Health Services Study (SBMH)
Principal Investigators: Al Duchnowski and Krista Kutash

The purpose of this study is to identify factors associated with effective school-based mental health services for students who are identified as having emotional disturbances and served in special education programs. Specific components of effective school-based mental health services models will be identified within the broad context of a comprehensive, integrated system of service delivery.

Research Study 5: Accessibility of Mental Health Services: Identifying and Measuring Organizational Factors Associated with Reducing Mental Health Service Disparities
Principal Investigators: Mario Hernandez, Teresa Nesman and Mareasa Isaacs

This project will identify and describe measurable organizational factors associated with increased accessibility for ethnically/racially diverse children with serious emotional/behavioral disorders and their families to an array of quality mental health services/supports. The project will also lead to the development of a cultural competence organizational assessment protocol. Activities will include documentation of the systemic organizational strategies that influence service access, adaptations of available services/supports and enhance utilization of services/supports for ethnically/racially diverse children and their families.

Research Study 6: The Family Voice Study: Assessing the Role of Family Organizations in Developing Family Voice in Systems of Care
Principal Investigators: Katherine Lazear and Mary Evans

This project examines how family voice, as represented through family-run organizations, contributes to the implementation of effective systems of care. Findings also will generate new knowledge of the factors related to development and sustainability of family organizations.


STAFF
CENTER LEADERSHIP

Robert M. Friedman, Ph.D.
Center Director and Principal Investigator
Phone: 813-974-4640
E-mail: friedman@fmhi.usf.edu

Al Duchnowski, Ph.D.
Deputy Director
Phone: 813-974-4618
E-mail: duchnows@fmhi.usf.edu

Krista Kutash, Ph.D.
Deputy Director
Phone: 813-974-4622
E-mail: kutash@fmhi.usf.edu

STUDY 1: National Survey of SOC Implementation

Paul Greenbaum, Ph.D.
Principal Investigator
Phone: 813-974-4553
E-mail: greenbau@fmhi.usf.edu

Roger Boothroyd, Ph.D.
Co-Principal Investigator
Phone: 813-974-1915
E-mail: boothroyd@fmhi.usf.edu

Krista Kutash, Ph.D.
Co-Principal Investigator
Phone: 813-974-4622
E-mail: kutash@fmhi.usf.edu

STUDY 2: Holistic Approaches to Studying Community-based SOC

Sharon Hodges, Ph.D.
Principal Investigator
Phone: 813-974-6460
E-mail: hodges@fmhi.usf.edu

STUDY 3: Financing Structures and Strategies Study

Mary Armstrong, M.A.
Principal Investigator
Phone: 813-974-4601
E-mail: armstron@fmhi.usf.edu

Sheila Pires, MPA
Co-Principal Investigator
Phone: 202-333-1892
E-mail: sapires@aol.com

Beth Stroul, MS
Co-Principal Investigator
Phone: 703-689-0950
bethstroul@aol.com

Ginny Woods
Co-Principal Investigator
Phone: 602-288-0155
gmwood@worldnet.att.net

STUDY 4: School-based Mental Health Study

Al Duchnowski, Ph.D.
Co-Principal Investigator
Phone: 813-974-4618
E-mail: duchnows@fmhi.usf.edu

Krista Kutash, Ph.D.
Co-Principal Investigator
Phone: 813-974-4622
E-mail: kutash@fmhi.usf.edu

STUDY 5: Accessibility of Mental Health Services Study

Mario Hernandez, Ph.D.
Principal Investigator
Phone: 813-974-4637
E-mail: hernande@fmhi.usf.edu

Teresa Nesman, Ph.D.
Co-Principal Investigator
Phone: 813-974-7417
E-mail: nesman@fmhi.usf.edu

Mareasa Isaacs, Ph.D.
Co-Principal Investigator
Phone: 202-806-4727
E-mail: misaacs@howard.edu

STUDY 6: Family Voice Study

Katherine Lazear, M.A.
Principal Investigator
Phone: 813-974-6135
E-mail: lazear@fmhi.usf.edu

Mary E. Evans, Ph.D.
Co-Principal Investigator
Phone: 813-974-7374
E-mail: evans@fmhi.usf.edu

Center Integration Team
Karen Blase, Ph.D.
Phone: 813-974-4463
E-mail: kblase@fmhi.usf.edu

Stephen Banks, Ph.D.
Phone: 508-856-8829
E-mail: Tbosteve@aol.com

Robert Paulson, Ph.D.
Phone: 813-974-3117
E-mail rpauson@fmhi.usf.edu

University-based Training and Workforce Development
Carol MacKinnon-Lewis, Ph.D.
Project Director
Phone: 813-974-2075
E-mail: CMacKinnon@fmhi.usf.edu

KNOWLEDGE TRANSFER TEAM

Cindy Liberton
Coordinator, Knowledge Transfer Team
Phone: 813-974-6144
E-mail: liberton@fmhi.usf.edu

Daniel Casella, M.A.
Conference Coordinator
Phone: 813-974-6143
E-mail: casella@fmhi.usf.edu

Catherine Newman, M.A.
Co-Editor for Data Trends and Conference Coordination
Phone: 813-974-8429
E-mail: cnewman@fmhi.usf.edu

Jonathan Wilson
Web and Electronic Media
Phone: 813-974-6139
E-mail: jwilson@fmhi.usf.edu

  Please direct information updates to soc@samhsa.gov with the specific location or internet address to be updated. Thank you.
Systems of Care