4053.0: Tuesday, October 23, 2001 - 8:30 AM

Abstract #30211

Children's Care Coordination Systems: A Comparison of Three Different Models of Care Coordination for Children in New York State

Patricia Bott, MPA1, Bruce B. Way, PhD1, Chip Felton, MSW1, Sharon Carpinello, PhD2, Marcia Fazio3, James MacIntyre, MD3, Linda Rosenberg, CSW4, and Robert Myers, PhD4. (1) Center for Performance, Evaluation and Outcome Management, New York State Office of Mental Health, 44 Holland Ave, Albany, NY 12229, 518-473-8508, COPIPCB@omh.state.ny.us, (2) CPEOM, New York State Office of Mental Health, 44 Holland Ave, Albany, NY, (3) Children and Families, New York State Office of Mental Health, 44 Holland Ave, Albany, NY 12229, (4) Division of Community Care Systems Management, New York State Office of Mental Health, 44 Holland Ave, Albany, NY 12229

This presentation will compare three different models of care coordination for children with serious emotional disturbances in NYS. These models are: freestanding Intensive Case Management (ICM), Home and Community-Based Waiver (HCBS) Services, and the Kids Oneida. These three models of care coordination could be arrayed on a continuum with ICM providing the least amount of control over the overall service system and being the least comprehensive, HCBS in the middle (comprehensive and coordinated for the array of services covered under the waiver), and Kids Oneida the most comprehensive (ASO model, individualized service plans, richest funding). It has been hypothesized that greater and more comprehensive management and control over the entire array of needed services yield better individual-level outcomes. The presentation will compare the characteristics, and levels of need and strengths for children and families served by each of the models. Further, it will compare the services provided by ICM, HCBS and Kids Oneida. Finally, it will assess and compare the longitudal outcomes which include symptoms, functioning, caregiver strengths, community tenure, service use, and costs. The comparisons will control for initial differences in client characteristics such as risk of out-of-home placement.

Learning Objectives: Participants who attend this session: 1. Understand the organization of comparative models of children's mental health service delivery systems. 2. Understand measurement outcomes for children with serious emotional disturbances.

Keywords: Child/Adolescent Mental Health, Mental Health System

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA