School of Social Welfare, University of Kansas, Lawrence, KS, 66045, USA.
Community Ment Health J. 2024 Aug;60(6):1141-1150. doi: 10.1007/s10597-024-01265-8. Epub 2024 Mar 26.
Case management is a widely utilized service in both youth and adult outpatient community mental health settings. Despite its widespread use, previous findings suggest that youth case management often lacks empirically tested models or frameworks. This article presents the results of a pilot study that involved adapting the Strengths Model, an adult case management model, for the child and adolescent outpatient community mental health population. The newly adapted model, known as the Strengths Model for Youth (SM-Y), was implemented in an urban community mental health center across five different youth case management teams. To assess changes over time in youth receiving SM-Y case management, marginal maximum likelihood multilevel modeling with adaptive Gaussian quadrature methods was applied. The study focused on three domains: socialization, education, and hospitalization. Utilizing the logit link function and Bernoulli conditional distribution due to the binary nature of the outcome data, three individual trajectories were drawn for socialization, education, and hospitalization. Positive findings indicated increases in socialization and educational performance among children and adolescents.
个案管理是青少年和成人门诊社区心理健康环境中广泛使用的服务。尽管它被广泛使用,但先前的研究结果表明,青少年个案管理往往缺乏经过实证检验的模型或框架。本文介绍了一项试点研究的结果,该研究涉及将成人个案管理模型中的优势模型改编为儿童和青少年门诊社区心理健康人群。新改编的模型称为青少年优势模型(SM-Y),在五个不同的青少年个案管理团队中在一个城市社区心理健康中心实施。为了评估接受 SM-Y 个案管理的青少年随时间的变化,采用具有自适应高斯求积方法的边际最大似然多层建模进行了评估。该研究侧重于三个领域:社会化、教育和住院治疗。由于结果数据的二元性质,利用对数链接函数和伯努利条件分布,为社会化、教育和住院治疗绘制了三个单独的轨迹。积极的发现表明,儿童和青少年的社会化和教育表现有所提高。