title: How states, tribes and localities are re-defining systems of care.
abstract: The original definition of system of care was developed 20 years ago largely in response to the fragmented services experienced by children with serious emotional disorders and their families, who, typically, were involved in multiple systems and/or receiving services from different providers. Over time, in response to national funders' pursuing system of care for different populations and their own experience, states, tribes and localities have applied system of care principles, values and operational characteristics to other populations (children and adults). The definition offered by Hodges et al., has an unintended effect of constraining the properties (and potential) of system of care in its limitation to a single population. This paper argues that the adaptations made to the original Stroul and Friedman definition in the training curriculum Building Systems of Care: A Primer adequately encompass properties that reflect state, tribal and local implementation experience and are specific to planning, implementing and evaluating a system of care, without limiting system of care to any one population.
authors: Human Service Collaborative, 1728 Wisconsin Avenue, NW #224, Washington, DC 20007, USA. sapires@aol.com
authors: Sheila A
authors: SA
authors: Pires
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019058:Community Networks / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006285:Health Planning / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D009937:Organizational Objectives; D044382:Population Groups; D011785:Quality Assurance, Health Care; D012922:Social Change; D014481:United States