TY - JOUR
T1 - Patterns of functional impairment and their change among youth served in systems of care
T2 - An application of latent transition analysis
AU - Stephens, Robert L.
AU - Petras, Hanno
AU - Fabian, Anupa
AU - Walrath, Christine M.
N1 - Funding Information:
Address correspondence to Robert L. Stephens, PhD, MPH, ICF Macro, 10 Mustard St., Valle Verde 5, Pasig City, 1604, Philippines. Phone: +1-678-3898923; Fax: +1-404-3213688; E-mail: Robert.L.Stephens@macrointernational.com. Hanno Petras, PhD, Department of Criminology and Criminal Justice, University of Maryland, College Park, MD, USA. Phone: +1-301-4054716; Fax: +1-301-4054733; E-mail: hpetras@crim.umd.edu Anupa Fabian, MPA, ICF Macro, New York, NY, USA. Phone: +1-212-9415555; Fax: +1-212-9417031; E-mail: Anupa. A.R.Fabian@macrointernational.com Christine M. Walrath, PhD, ICF Macro, New York, NY, USA. Phone: +1-212-9415555; Fax: +1-212-9417031; E-mail: cwalrath@macrointernational.com The Comprehensive Community Mental Health Services for Children and Their Families Program of the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration supported this research under contracts #280-97-8014, #280-99-8023 and #280-03-8075. The research was also made possible by the hard work of the many individual grant communities funded across the country, who contributed to the national evaluation dataset.
PY - 2010/10
Y1 - 2010/10
N2 - This study describes patterns of youth functioning at intake and 6 months into services in systems of care and change in functioning profiles. Participants included 2,826 males and 1,335 females aged 5 to 18 at intake. Functional impairment was assessed at intake and 6 months. Latent class analysis was used to classify youth based on their functional impairment profiles, and latent class transition analysis was used to examine the conditional probabilities of transitions in class membership between intake and 6 months. Males and females enter services with distinct patterns of functional impairment. The majority of youth remained in their respective profiles. Transitions tended to be from a higher to a lower impairment class. Importantly, a small group of males and females transitioned from a low to a higher impairment class. Providers should note that gender differences existed in the nature of change in class membership over time.
AB - This study describes patterns of youth functioning at intake and 6 months into services in systems of care and change in functioning profiles. Participants included 2,826 males and 1,335 females aged 5 to 18 at intake. Functional impairment was assessed at intake and 6 months. Latent class analysis was used to classify youth based on their functional impairment profiles, and latent class transition analysis was used to examine the conditional probabilities of transitions in class membership between intake and 6 months. Males and females enter services with distinct patterns of functional impairment. The majority of youth remained in their respective profiles. Transitions tended to be from a higher to a lower impairment class. Importantly, a small group of males and females transitioned from a low to a higher impairment class. Providers should note that gender differences existed in the nature of change in class membership over time.
KW - CAFAS
KW - children's mental health services
KW - latent transition analysis
KW - risk factors
KW - system of care
UR - http://www.scopus.com/inward/record.url?scp=78149358292&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=78149358292&partnerID=8YFLogxK
U2 - 10.1007/s11414-009-9186-y
DO - 10.1007/s11414-009-9186-y
M3 - Article
C2 - 19688597
AN - SCOPUS:78149358292
SN - 1094-3412
VL - 37
SP - 491
EP - 507
JO - Journal of Behavioral Health Services and Research
JF - Journal of Behavioral Health Services and Research
IS - 4
ER -