Who Benefits from Community Mental Health Care? Using Latent Profile Analysis to Identify Differential Treatment Outcomes for Youth

Treatment effectiveness has been shown to vary across subgroups of youth based on characteristics such as comorbidity, problem severity, gender, and age. The current study aims to explore if subgroups of youth, identified by applying latent profile analysis to parent-reported symptoms, age, and gender, are better served by specific usual care services. Archival data from a community mental health center were utilized, including parent-reports of symptoms for 953 youth (44.4% female; ages 4–18) across multiple time-points, and services received. Latent profile analysis identified five subgroups including Low Risk, High Risk, Internalizing, Externalizing, and Delinquent/Depressed. The relationship between the intensity level of services and symptoms varied across subgroups. Specifically, high intensity services were related to a greater reduction in symptoms for the Internalizing, Externalizing, and High Risk subgroups. Implications for future developmental research and clinical applications are discussed.     

Developing New Forms of Partnership With the ‘Market’ in the Procurement of Public Services

This article provides a conceptual framework for understanding the key differences between newly emerging ‘market’ relationships and more traditional forms of procurement by public sector organizations. It highlights how multiple relationships between service clients in the public sector and other stakeholders mean that service clients may often co‐produce welfare changes in their communities in ways which professional and commercial providers cannot easily control and may not fully understand. It highlights the very different nature of collaborations which affect single commissioners and contractors (relational contracting), multiple commissioning bodies with a unified procurement policy (partnership procurement) and multiple commissioning bodies with diverse procurement policies empowered by a single purchasing body (distributed commissioning). The article suggests that traditional conceptions of the ‘market’ and of ‘market management’ are now outdated and need to be revised to take into account the potential of collaborative relationships between multiple stakeholders in the public domain.     

From laboratory to the street: Capturing witness memory using the Self‐Administered Interview

The Self‐Administered Interview (SAI^©) is a tool designed to elicit a comprehensive initial account from witnesses at the scene of an incident or shortly thereafter to inoculate against the loss of information associated with delayed interview. Drawing on the principles of the Cognitive Interview (CI), the SAI^© provides witnesses with a series of instructions and retrieval cues to support recall. Requesting that witnesses complete an SAI^© not only serves to preserve and protect memory but also enables officers to prioritize the allocation of policing resources during the critical early stages of an investigation. The current review traces the development of the SAI^© from a series of laboratory studies through to field trials and integrates our findings with theoretical accounts of human memory. We present new data from trials of the tool in the field and consider future avenues for research and further development of the SAI^©.