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Title page for ETD etd-03312010-100102

Type of Document Master's Thesis
Author Lunn, Laurel Marie
Author's Email Address laurel.m.lunn@vanderbilt.edu
URN etd-03312010-100102
Title Community Context and Implementation of Systems of Care
Degree Master of Science
Department Community Research and Action
Advisory Committee
Advisor Name Title
Craig Anne Heflinger Committee Chair
Marybeth Shinn Committee Member
  • children's mental health
  • systems of care
  • community context
Date of Defense 2010-03-30
Availability unrestricted
How are characteristics of communities associated with the degree to which systems of care (SOC) are implemented within them? This study uses multiple regression with a stratified random sample (n=225) of U.S. counties to explore predictors of three implementation factors of the System of Care Implementation Survey (SOCIS). A model composed of community predictors accounted for at least 12 percent of the variation in: (1) Family Choice and Voice, (2) Outreach and Access to Care, and (3) Interagency and Cross-Sector Collaboration. Significant predictors varied between factors, though rurality tended to be negatively associated with SOC implementation, while residential stability tended to have positive associations. Surprisingly, availability of a community health center was not significantly related to any factor. Given the limitations of the study, results should be interpreted with caution. Further research is needed to clarify these relationships which could inform intervention and assistance efforts directed at promoting SOCs.
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