Implementation and Utilization Characteristics of a Rural,School-linked Mental Health Program |
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| Authors: | Garret D. Evans Heidi Liss Radunovich Michelle M. Cornette Brenda A. Wiens Antara Roy |
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| Affiliation: | (1) Human Solutions Consulting, Gainesville, FL, USA;(2) Department of Family, Youth & Community Sciences, University of Florida, Box 110310, Gainesville, FL 32611-0310, USA;(3) Department of Psychiatry, Clement J. Zablocki VA Medical Center, University of Wisconsin, Milwaukee, WI, USA;(4) Department of Psychiatry and Behavioral Medicine, University of Wisconsin, Milwaukee, WI, USA;(5) Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA;(6) State University of New York at Buffalo, Buffalo, NY, USA |
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| Abstract: | We examined variables associated with treatment engagement in a real-world therapeutic setting. The model of care examined involved school-linked mental health care for children and their families in a rural county. Service utilization characteristics, as well as child- and treatment-specific variables were examined in relation to their impact on therapy length, missed appointments, and treatment outcome. A total of 168 students and their families participated in therapeutic services over a period of approximately 4.5 years. Overall, children who had less psychopathology and a higher level of clinician-rated functioning (GAF) at the start of therapy were more likely to successfully complete treatment. Parental involvement in therapy was associated with a longer course of therapy, as well as more missed appointments. Barriers to treatment and treatment engagement, as well as future directions of study, are discussed. |
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| Keywords: | Children Rural Treatment School Engagement |
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