A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity

The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/CASII) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a com...

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Veröffentlicht in:Journal of child and family studies 2006-04, Vol.15 (2), p.140-155
Hauptverfasser: Fallon, Theodore, Jr, Pumariega, Andres, Sowers, Wesley, Klaehn, Robert, Huffine, Charles, Vaughan, Thomas, Jr, Winters, Nancy, Chenven, Mark, Marx, Larry, Zachik, Albert, Heffron, William, Grimes, Katherine
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container_end_page 155
container_issue 2
container_start_page 140
container_title Journal of child and family studies
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creator Fallon, Theodore, Jr
Pumariega, Andres
Sowers, Wesley
Klaehn, Robert
Huffine, Charles
Vaughan, Thomas, Jr
Winters, Nancy
Chenven, Mark
Marx, Larry
Zachik, Albert
Heffron, William
Grimes, Katherine
description The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/CASII) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demonstrates excellent reliability when rating vignettes. Using children and adolescents in live system of care clinical settings, the CALOCUS/CASII demonstrates reasonable validity when compared with the Child Global Assessment Scale, and the Child and Adolescent Functional Assessment Scale.
doi_str_mv 10.1007/s10826-005-9012-y
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source Applied Social Sciences Index & Abstracts (ASSIA); Education Source; Springer Nature - Complete Springer Journals
subjects Adolescents
Algorithms
Care delivery
Child care
Child rearing
Children
Children & youth
Clinical Experience
Community Resources
Departments
Disabilities
Emotional Disturbances
Evaluators
Family (Sociological Unit)
Functional Behavioral Assessment
Health Services
Measurement
Measures (Individuals)
Mental Disorders
Mental Health
Mental health care
Mental Health Programs
Psychiatry
Psychological tests
Psychometrics
Quality of care
Reliability
Resilience (Psychology)
Schizophrenia
Services
Social services
Substance Abuse
Testing
Validity
Vignettes
Youth
title A Level of Care Instrument for Children's Systems of Care: Construction, Reliability and Validity
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