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Enrollment in an Established System of Care: A Replication and Extension of Clinical Profiles at Service Intake
Authors:Iris Zanglis  Renee Pavelski  Michael J Furlong  J Manuel Casas  Todd Sosna
Institution:(1) University of California, Santa Barbara, CA;(2) Counseling/Clinical/School Psychology, University of California, Santa Barbara, CA;(3) Counseling/Clinical/School Psychology, University of California, Santa Barbara, CA;(4) Counseling/Clinical/School Psychology, University of California, Santa Barbara, CA;(5) MISC, Santa Barbara County Alcohol, Drug, and Mental Health Services, Santa Barbara, CA
Abstract:We replicated Rosenblatt et al.'s (1998) cluster analysis of intake profiles of youth enrolled in a system of care program. The characteristics of a unique sample of 275 children and adolescents with emotional and behavioral disorders (E/BD) who participated in the Santa Barbara County Multiagency Integrated System of Care (MISC) program were examined. A two-step clustering procedure (hierarchical and K-means) was used to evaluate subtypes of youth who were opened to MISC after it had become a stable youth-service program. The results of the Rosenblatt et al. (1998) study were replicated with four identical clusters emerging: Troubled, Troubled and Troubling, Troubling, and At-Risk. Two additional clusters were differentiated: Moderate Troubled, and Moderate Troubled and Troubling. Comparisons across these six clusters show distinct profiles of youth with E/BD. Implications of these findings for developing appropriate service plans and for evaluating systems of care outcomes are discussed.
Keywords:cluster  youth  system of care  E/BD  evaluation
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