Abstract
In this article, we introduce a child-focused measure of the degree to which local systems of care share responsibility for children and adolescents (the Caseload Segregation/Integration Ratio) and apply this measure to three service sectors in each of Vermont's 10 mental health service areas. The analysis focuses on caseload overlap among three service sectors: community mental health programs, the state child protection agency, and special education for an emotional or behavioral disability. Because the three service sectors do not share unique person identifiers, probabilistic population estimation was used to derive unduplicated counts of the number of children and adolescents served. Caseload integration was found to be positively related to the size of the mental health service sector, negatively related to the size of the child protection service sector, and unrelated to the size of the special education emotional behavioral service sector.
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