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Effectiveness Of Intensive Case Management For Homeless Adolescents

Results Of A 3-Month Follow-Up

VICTORIA WAGNER, MA, has been with YouthCare for 15 years.

Jennifer Sy

JENNIFER SY has an MSW from the University of Pennsylvania and is a Project Passage caseworker.

Kim Weeden

KIM WEEDEN, a doctoral candidate at Stanford University, helped develop the interview instruments and protocols.

Trish Blanchard

TRISH BLANCHARD, MEd from University of Washington, is the clinical program director of Child&Family Services at Seattle Mental Health Institute and manages the provision of mental health services.

Ana Mari Cauce

ANA MARI CAUCE is an associate professor of psychology and director of clinical training at the University of Washington.

Charles J. Morgan

CHARLES J. MORGAN manages the SHARP research team. He holds a PhD in sociology, with specialties in research methods and social psychology.

Elizabeth Moore

ELIZABETH MOORE has a doctorate in physiological psychology. She owns and operates Applied Interence, a research and data analysis firm.

Kathryn Wurzbacher

KATHRYN WURZBACHER, who has an MEd from the University of Washington, was clinical director at YouthCare and implementated Project Passage. She is now director of the Adolescent Center with Group Health Cooperative.

Sandy Tomlin

SANDY TOMLIN has an MSW from the University of Washington and over 15 years experience with youth and families in drug, alcohol, and mental health services. She is the clinical program manager of Project Passage.

This article describes the Seattle Homeless Adolescent Research Project (SHARP), a research demonstration program with a goal of implementing and evaluating an intensive mental health case management program for homeless adolescents. This new program, Project Passage, is based on nine primary components: (a) assessment, (b) planning, (c) linkage, (d) monitoring or tracking, (e) advocacy, (f) counseling or the therapeutic relationship, (g) treatment teams, (h) crisis service, and (i) flexible funds. Case load was limited to no more than 12 cases, so that adolescent-centered, individualized services could be delivered. Youths were randomly assigned to Project Passage or a "regular" case management program. A 3-month follow-up found that both groups demonstrated significant improvements in mental health outcomes and social adjustment; however, youths in Project Passage evidenced lower levels of aggression and greater satisfaction with their quality of life.

Journal of Emotional and Behavioral Disorders, Vol. 2, No. 4, 219-227 (1994)
DOI: 10.1177/106342669400200404


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