The system of care (SOC) philosophy evolved into a framework to support access to effective behavioral health services for children. This study explored the use of the System of Care Implementation Survey (SOCIS) to monitor SOC development during one Midwestern state’s federal planning and expansion grants. Utilizing a translational framework, results showed that despite ﬂuctuations in SOC factor implementation over time, state and local SOCs had mid-level development. Further, inferential analysis of select factors indicated that outreach and access to services and the skilled provider network were signiﬁcantly worse over time. Signiﬁcant improvement in the treatment quality was documented but not sustained. Changes for Family Choice and Voice and Collaboration were not statistically signiﬁcant. Variability in survey participation limited the evaluation. Reﬁnement of evaluation methods is needed to monitor progress and to manage SOC development.
Karikari I, Walton B, Bishop C, et al. State-community system of care development: An exploratory longitudinal review, Journal of Behavioral Health Services & Research 2020; DOI 10.1007/s11414-020-09702-8.