Evidence map›Paper›PMID 38783284›Full record

ArticleBMC health services research2024

30 years of youth system of care lessons learned - a qualitative study of Hawai'i's partnership with the Substance Abuse and Mental Health Services Administration.

Kelsie H Okamura, David Jackson, Danielle L Carreira Ching, Da Eun Suh, Tia L R Hartsock, Puanani J Hee, Scott K Shimabukuro

Abstract read
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kelsie H OkamuraThe Baker Center for Children and Families, Harvard Medical School, Cambridge, MA, USA. kokamura@jbcc.harvard.edu.
David JacksonDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Danielle L Carreira ChingThe Baker Center for Children and Families, Harvard Medical School, Cambridge, MA, USA.
Da Eun SuhDepartment of Psychology, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Tia L R HartsockHawai'i State Office of Wellness and Resilience, Honolulu, HI, USA.
Puanani J HeeHawai'i State Child and Adolescent Mental Health Division, Honolulu, HI, USA.
Scott K ShimabukuroHawai'i State Child and Adolescent Mental Health Division, Honolulu, HI, USA.

Funding

SAMHSA HHS 1 H79 SM082961
6 · The paper itself

Abstract

backgroundThe Hawai'i State Department of Health, Child and Adolescent Mental Health Division (CAMHD) has maintained a longstanding partnership with Substance Abuse and Mental Health Services Administration (SAMHSA) to enhance capacity and quality of community-based mental health services. The current study explored CAMHD's history of SAMHSA system of care (SOC) awards and identified common themes, lessons learned, and recommendations for future funding.

methodsEmploying a two-phase qualitative approach, the study first conducted content analysis on seven final project reports, identifying themes and lessons learned based on SOC values and principles. Subsequently, interviews were conducted with 11 system leaders in grant projects and SOC award projects within the state. All data from project reports and interview transcripts were independently coded and analyzed using rapid qualitative analysis techniques.

resultsContent validation and interview coding unveiled two content themes, interagency collaboration and youth and family voice, as areas that required long-term and consistent efforts across multiple projects. In addition, two general process themes, connection and continuity, emerged as essential approaches to system improvement work. The first emphasizes the importance of fostering connections in family, community, and culture, as well as within workforce members and child-serving agencies. The second highlights the importance of nurturing continuity throughout the system, from interagency collaboration to individual treatment.

conclusionsThe study provides deeper understanding of system of care evaluations, offering guidance to enhance and innovate youth mental health systems. The findings suggest that aligning state policies with federal guidelines and implementing longer funding mechanisms may alleviate administrative burdens.

Indexed as

Qualitative ResearchUnited States Substance Abuse and Mental Health Services AdministrationAdolescentAdolescent Health ServicesChildCommunity Mental Health ServicesHawaiiHumansInterviews as TopicMental Health ServicesSubstance-Related DisordersUnited StatesHawaiʻiSubstance Abuse and Mental Health Services AdministrationSystem of Care

Identifiers

PMID38783284
PMCPMC11118110

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.