TY - JOUR
T1 - A level of care instrument for children's systems of care
T2 - Construction, reliability and validity
AU - Fallon, Theodore
AU - Pumariega, Andres
AU - Sowers, Wesley
AU - Klaehn, Robert
AU - Huffine, Charles
AU - Vaughan, Thomas
AU - Winters, Nancy
AU - Chenven, Mark
AU - Marx, Larry
AU - Zachik, Albert
AU - Heffron, William
AU - Grimes, Katherine
N1 - Funding Information:
The field study was supported in part by a Federal grant from the Center for Mental Health Services Branch of Substance Abuse Mental Health Services Administration contract #282-98-0029, sub-task C through the American Institute for Research. All the logistical support for the development of the instrument and national field study came from the unflagging work of Kristin Kroeger-Ptakowski and through the workgroup on Community Based Systems of Care of the American Academy of Child and Adolescent Psychiatry.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2006/4
Y1 - 2006/4
N2 - The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/ CASH) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demon-strates excellent reliability when rating vignettes. Using children and adolescents in live system of care clinical settings, the CALOCUS/CASH demonstrates reasonable validity when compared with the Child Global Assessment Scale, and the Child and Adolescent Functional Assessment Scale.
AB - The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrument (CALOCUS/ CASH) is designed to help determine the intensity of services needed for a child served in a mental health system of care. The instrument contains eight dimensions that are rated following a comprehensive clinical evaluation. The dimensions are risk of harm, functionality, co-morbidity (psychiatric, substance abuse, development disability and medical), environmental stressors, environmental supports, the child's resiliency, and the child and family's willingness to engage in treatment. An algorithm connects the ratings to a level of care recommendation. The instrument specifies six levels of care defined flexibly enough to consider whatever services are available. The results of psychometric testing using raters with a broad range of clinical experience and training from four different systems of care around the country are presented. The testing demon-strates excellent reliability when rating vignettes. Using children and adolescents in live system of care clinical settings, the CALOCUS/CASH demonstrates reasonable validity when compared with the Child Global Assessment Scale, and the Child and Adolescent Functional Assessment Scale.
KW - Intensity of services for children and adolescents
KW - Level of care
KW - The Child and Adolescent Level of Care System/Child and Adolescent Service Intensity Instrumen
UR - http://www.scopus.com/inward/record.url?scp=33646683361&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33646683361&partnerID=8YFLogxK
U2 - 10.1007/s10826-005-9012-y
DO - 10.1007/s10826-005-9012-y
M3 - Article
AN - SCOPUS:33646683361
SN - 1062-1024
VL - 15
SP - 143
EP - 155
JO - Journal of Child and Family Studies
JF - Journal of Child and Family Studies
IS - 2
ER -