General Growth Mixture Modeling and Propensity Analysis: Evaluating an Integrated Services Program for Children With Serious Emotional Disorders Paul E. Greenbaum and Eric C. Brown Department of Child and Family Studies Louis de la Parte Florida Mental Health Institute Funded by “Evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program-Evidenced-Based Treatment” (PIs: Robert M. Friedman, Paul E. Greenbaum, & Mario Hernandez), ORC MACRO award #35064-OS-336.

Intervention:  “ System-of-Care” integrated services for children with emotional and behavioral problems.  Theory states that providing a full-range of community-based, child-centered (individualized), culturally competent, and family-focused services will reduce children’s problem behavior. Sites:  Demonstration site, Stark County--a “System-of-Care” public mental health system that supplied integrated services. Comparison site, Youngstown--a traditional public mental health system.  Sites were from the same State and matched on county demographics for gender, age, and race/ethnicity. Background

Participants:  Participants were consecutively enrolled.  442 children and their primary caretakers.  Mean age was 11.3 years (SD = 3.2) ranging from 6 to 17 years.  Stark (n = 228) and Youngstown (n = 214). Measure:  Delinquent Syndrome Scale of the Child Behavior Checklist/4-18 (Achenbach, 1991).  13 items, each rated on a 3-point scale (Not true, Sometimes True, Often True). Method

Figure 1. Site Effect – Unadjusted for Propensity Score Time Delinquent CBCL Score

Figure 2. S ite Effect – Adjusted for Propensity Score Time Delinquent CBCL Score

Figure 3. GGMM – 4 Classes - Propensity Score Adjusted Time Delinquent CBCL Score 41% 21% 33% 4%

Figure 4. CLASS 4 – Site Effect Time Delinquent CBCL Score

Figure 5. CLASS 3 – Site Effect Time Delinquent CBCL Score