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Implementation and Development of Federally‐Funded Systems of Care Over Time

Bibliographic Data

ID11054268
AuthorsAna María Brannan (0000-0001-9651-0619, Vanderbilt University Nashville TN USA, corresponding author), Freda Brashears (ICF Macro Atlanta GA USA), Phyllis Gyamfi (ICF Macro Atlanta GA USA), Brigitte Manteuffel (ICF Macro Atlanta GA USA)
Year2012
Volume49
Issue3-4
Pages467-482
Publication date2012-06-01
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Community Psychology (JOURNAL)
Journal identifiersISSN: 0091-0562 • E-ISSN: 1573-2770
PublisherWiley (PUBLISHER • GB)
DOI10.1007/s10464-011-9472-8
PMID21964990
OpenAlexW2029996432
LanguageEN
Citations received2
References cited23

This study describes development in federally funded systems of care. Data for this study were collected using the System of Care Assessment that rated grantees’ enactment of system of care principles in the infrastructure and service delivery domains. Data were collected by trained raters who conducted several site visits over the funding period. This study described system development over time across 61 sites and tested whether gains were statistically significant. Latent profile analysis was used to explore whether sites could be meaningfully grouped based on their baseline service delivery domain scores. Differences across groups were tested in terms of community, system, and client characteristics. Differential growth across groups was also examined. Overall, systems of care developed over time in both the infrastructure and service delivery domains. Although infrastructure scores were generally lower than service delivery scores, greater gains were seen for the infrastructure domain. Three groups of sites were identified that could be distinguished in terms of degree of development overall, and for specific system of care principles. The groups of sites differed in terms of community factors, system features, and client characteristics. In addition, repeated measures analyses found differential growth in system development over time across groups

Environmental health · Health psychology · Public health · Geriatric Care and Nursing Homes · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes

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Citations per year0.14
Citation span2012 - 2012 (1)
Highly citedNo

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