1999 Annual Report to Congress on the Evaluation
of the Comprehensive Community Mental Health
Services for Children and Their Families Program

	Introduction
	The Comprehensive Community Mental Health Services for Children and Their Families Program
	The National Evaluation of Systems of Care
		Evaluation Design and Evaluation Components
		Current Status of the Evaluation
	About This Report

	Chapter Summary
	Introduction
		Purpose of the System-of-Care Assessment
		Diversity in Approaches to System-of-Care Implementation
		Overview of the Phase I and Phase II Assessments
	Phase I
		Assessment Protocol and Data Collection Procedures
		Analysis of Assessment Data
		System-of-Care Assessment Findings
	Phase II
		Conceptual Framework
		Assessment Protocol and Data Collection Procedures
		Analysis and Results
		Future Activities
	Synthesis

	Chapter Summary
	Introduction
	Evaluation Overview
		Phase I
		Phase II
	Descriptive Study
		Phase I
		Phase II
	Longitudinal Child and Family Outcome Study
		Phase I
		Phase II
	Description of Children and Families Served
		Demographic Characteristics
		Characteristics of Children with Serious Emotional Disturbance
		Functional and Behavioral Assessment
		Outcome Changes to 6 Months, 1 Year, and 2 Years
		Satisfaction with Services
	Synthesis

	Chapter Summary
	Design of the Longitudinal Comparison Study
		Community Selection
		Child and Family Selection
		Comparison Study Components and Methods
	Preliminary Results in the Phase I Longitudinal Comparison Study
		Current Data Collection Progress
		Phase I Current Status
		Phase II Current Status
	Synthesis

	Chapter Summary
	Service Utilization in Systems of Care
	Tracking Service Use in Systems of Care
	Services and Costs in Phase I
		Criteria for Inclusion in the Service and Cost Analysis
		Length of Time in Services
		Direct Versus Indirect Services
		Breaks in Services
		Number of Hours
		Cost of Services
	Services and Costs in Milwaukee
		System-level Changes in Services and Costs
		Fiscal Sustainability
	Predicting Level of Service Use
		The Future of Management Information Systems in Systems of Care
	Synthesis

	Chapter Summary
	Introduction
	Urban Hub Grant Communities
		Wichita, Kansas
		Project REACH Rhode Island
		Milwaukee, Wisconsin
		Summary: Urban Hub Grant Communities
	Small City or County Hub Grant Communities: California 5
		Riverside County, California
		San Mateo, California
		Santa Cruz County, California
		Fairfield, California
		Ventura, California
		Summary: California 5
	Rural Hub Grant Communities
		Bangor, Maine
		Las Cruces, New Mexico
		Pitt, Edgecombe, and Nash Counties, North Carolina
		Summary: Rural Hub Grant Communities
	Synthesis

	Chapter Summary
	Introduction
	Findings from a Family Scan Study
		Summary of Key Findings
	Findings from a Study on Managed Care
		Background and Methods
		Findings
		Summary of Key Findings
	Synthesis

	Chapter Summary
	National Resource Network for Child and Family Mental Health Services
		Fall and Spring Grantee Meetings
		Orientation Meeting for New Grant Communities
		Hub Meetings
		Adoption and Safe Families Act Meeting
		Committee on Improving Practice Meeting
		Native American Hub
	The Social Marketing Campaign
	Technical Assistance on Family Involvement
	The Leadership Academy
	The Urban Initiative
	Technical Assistance Meetings for Prospective Applicants for FY 1999 CMHS Grants
	Technical Assistance Meeting for Unfunded Applicants for CMHS Grants
	Promising Practice Series