changes-during-icc-and-iht-from-the-cans-part-1-dec2015.doc - Changes in Child Status During Behavioral Health Services in 2013 Data from the Child and

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Changes in Child Status During Behavioral Health Services in 2013: Data from the Child and Adolescent Needs and Strengths Tool (CANS), Part I, Item Level Analysis MassHealth Office of Behavioral Health Boston, MA October 15, 2015
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Introduction Introduction ..................................................................................................... 3 Function of the CANS .................................................................................... 3 CANS at the individual level ...................................................................... 3 CANS at the program level ........................................................................ 4 CANS at the system level .......................................................................... 4 CANS ratings and the meaning of changes in CANS item ratings .................... 5 The dataset ...................................................................................................... 7 Findings ............................................................................................................ 9 Domain averages and general observations ................................................ 9 Changes in specific items ........................................................................... 11 Child Risk Behavior .................................................................................. 11 Child Emotional / Behavioral Needs ......................................................... 12 Life Domain Functioning .......................................................................... 14 Caregiver needs and resources ............................................................... 14 Transition to Adulthood ............................................................................ 14 Child Strengths, and Cultural Considerations .......................................... 15 Implications ................................................................................................... 16 System level ............................................................................................... 16 Organization and individual level ............................................................... 17 Appendix 1: number of CANS records in datasets by item ............................ 18 Appendix 2: Item level analysis for children with 3 CANS (9 months) in ICC 21 Appendix 3: Item level analysis for children with 4 CANS (12 months) in ICC ....................................................................................................................... 25 Appendix 4: Item level analysis for children with 2 CANS (3 months) in IHT 29 Appendix 5: Item level analysis for children with 3 CANS (9 months) in IHT. 33 p. 2 / 36 December 2, 2015
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Introduction Introduction This is the first part of a two-part report, which together will constitute the Commonwealth’s first annual Standardized Analysis as described in MassHealth’s Plan for Ongoing CANS Data Analysis and Reporting, issued April 29, 2015. 1 It is the intention of MassHealth to produce the Standardized Analysis each year, and also to produce each year a separate report on one or more CANS topics of special interest. The current Part 1 of the Standardized Analysis report examines changes in CANS items for children and youth in Intensive Care Coordination (ICC) and also for children and youth in In-Home Therapy (IHT). A subsequent Part 2 report will look at CANS items grouped by domain and will synthesize findings and recommendations from both Part 1 and Part 2 analyses. Before presenting data we review briefly the function of the CANS tool in the MassHealth behavioral health system, and then review the item rating system that is the source of the CANS data. Function of the CANS The Child and Adolescent Needs and Strengths tool (CANS), as used in child- serving systems in Massachusetts, has multiple functions, at three levels: individual, program, and system. CANS at the individual level. The primary function of the CANS is to support provision of the best possible care to an individual child and his or her family. The CANS prompts a thorough assessment, including a consideration of child strengths, and of cultural considerations for service planning. The CANS, written in ordinary language, also supports an ongoing dialog with the family about which needs to prioritize, and it helps to track changes in needs over time. Finally, the CANS and its associated web-based data system provide a medium for collaboration among providers working with a family.
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