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Development and Implementation of an Experimental Study of the Effectiveness of Intensive In-Home Crisis Services for Children and Their Families

MARY E. EVANS, PhD, is a visiting research professor in the College of Nursing, University of South Florida. She most recently served as director of and principal research scientist at the Bureau of Evaluation and Services Research in the New York State Office of Mental Health. Dr. Evans is the principal investigator of three federally funded research demonstration grants in children's mental health. Address: Mary E. Evans, College of Nursing, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL 33612–4799.

Roger A. Boothroyd

ROGER A. BOOTHROYD, PhD, is a visiting research assistant professor of the Louis de la Parte Florida Mental Health Institute, University of South Florida. Dr. Boothroyd was previously a research scientist with the Bureau of Evaluation and Services Research in the New York State Office of Mental Health, where he served as project director for the study examining the effectiveness of intensive in-home crisis services for children and their families.

Mary I. Armstrong, MBA, MSW

MARY I. ARMSTRONG, MBA, MSW, is the director of the Division of State and Local Support in the Department of Child and Family Studies at the Louis de la Parte Florida Mental Health Institute, University of South Florida. Prior to joining the Louis de la Parte Florida Mental Health Institute, Ms. Armstrong was the director of the Bureau of Children and Families in the New York State Office of Mental Health.

This article describes a 3-year research demonstration project originally funded by the National Institute of Mental Health and now funded in part by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration. This project, which was conducted in the Bronx, New York, examined the efficacy of 3 models of intensive in-home services as alternatives to hospitalization for children experiencing serious psychiatric crises. All programs were 4- to 6-week interventions. The first, Home-Based Crisis Intervention (HBCI), was modeled on the Homebuilders model of family preservation; the second, Enhanced HBCI (HBCI+), added respite care, flexible service money, parent advocate and support services, and additional staff training in cultural competence and violence management. Crisis Case Management, the third model, used case managers to assess child and family needs and link them to services, as well as respite care and flexible money. The specific features of the 3 program models, the research design, and data collection measures are described. The intake data on the children and families are presented, and implications for providing services and for future research are discussed.

Journal of Emotional and Behavioral Disorders, Vol. 5, No. 2, 93-105 (1997)
DOI: 10.1177/106342669700500204


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				M. E. Evans, R. A. Boothroyd, M. I. Armstrong, P. E. Greenbaum, E. C. Brown, and A. D. Kuppinger An Experimental Study of the Effectiveness of Intensive In-Home Crisis Services for Children and Their Families: Program Outcomes Journal of Emotional and Behavioral Disorders, January 1, 2003; 11(2): 92 - 102. [Abstract] [PDF]