Holden E Wayne, O'Connell Susan Rousseau, Liao Qinghong, Krivelyova Anna, Connor Tim, Blau Gary, Long Dorian
RTI International, Research Triangle Park, North Carolina 27709, USA.
Child Welfare. 2007 Nov-Dec;86(6):89-114.
The Connecticut Department of Children and Families Title IV-E waiver demonstration evaluated whether the well-being of children approved for residential mental health services could be improved, and lengths of stay in restrictive placements reduced, by providing case rate payments to community agencies to provide continuum of care services. Children between ages 7 and 15 were randomly assigned to either the demonstration group (n = 78) or to usual state-supported services (n = 79). One-year outcome results indicated that in a situation that is less costly, improvement in outcomes occurred in less restrictive settings. Continuum of care services were more effective in 1) returning children to in-home placements, 2) reducing the length of stay in restrictive placements, and (3) utilizing higher levels of case management through coordination among agencies and family support services.
康涅狄格州儿童与家庭事务部的《第四类E款豁免示范项目》评估了，通过向社区机构提供按案例计费的款项以提供连续护理服务，是否能够改善获批接受住院心理健康服务儿童的福祉，并缩短其在限制性安置机构中的停留时间。7至15岁的儿童被随机分配到示范组（n = 78）或常规的州支持服务组（n = 79）。一年的结果表明，在成本较低的情况下，在限制较少的环境中取得了更好的效果。连续护理服务在以下方面更有效：1）让儿童回到家庭安置；2）缩短在限制性安置机构中的停留时间；3）通过机构间协调和家庭支持服务，提高个案管理水平。
