Patterns of clinical functioning over time for young people served in a system of care

Jeffrey A. Anderson, Eric R. Wright, Ken Kelley, Harold Kooreman

    Research output: Contribution to journalArticle

    15 Scopus citations


    Few studies have examined the longitudinal impact that systems of care (SOCs) have on the clinical functioning of young people. This study investigated patterns of clinical improvement over time in an SOC and explored the degree to which demographic characteristics and referral source affected those patterns. Data were gathered at the time of enrollment in the SOC and collected at 6-month intervals, up to 36 months. Clinical change was assessed with three measurement tools, using hierarchical linear modeling to examine change patterns longitudinally. Results indicated that there were several clinical differences at the time of enrollment that were associated with specific demographic characteristics or referral source. Findings also indicated that clinically and statistically significant improvements occurred over time, with little regard to participants' demographic characteristics or source of referral. These findings lend support to the potential of SOCs to improve youth outcomes and suggest that such improvements appear regardless of individual-level differences among participants.

    Original languageEnglish (US)
    Pages (from-to)90-104
    Number of pages15
    JournalJournal of Emotional and Behavioral Disorders
    Issue number2
    StatePublished - Jun 2008


    • Change over time
    • Child mental health
    • Emotional and behavioral disorders
    • Hierarchical linear modeling
    • Systems of care

    ASJC Scopus subject areas

    • Psychology(all)

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