Logic Model

Logic Model of the CMHI National Evaluation of the CMHI Expansion and Sustainability Grants

Goals	Inputs		Activities	Proximal outcomes	Distal outcomes
Expanded implementation of SOC (population; geographic area; services, etc.) Implementation of expansion of SOC across multiple sectors Improved culturally relevant services impedes access to hard-to-reach populations Improved representation of C and F needs Sustainability of system of care components after CMHI funding ends Improved cross agency coordination of services and policy throughout grantee area Improved coordination of care for clients Improved client and system outcomes Better understand­ing of barriers to and facilitators to expansion Develop understanding of how to inform successful system of care expansion	SAMHSA funding for grantees to plan and expand systems of care Technical assistance from national center Local infrastructure and processes established through previous CMHI community grants New commitment to expand system of care across broader areas New governance and management structures supporting implementation throughout SOC CDP system for collecting performance indicators Previous experiences with, and findings from, local and national evaluation of CMHI community grants New roles for C and F representatives	Policy/ Partnerships	State Establish policy, administrative and regulatory structures to support SOC implementation Increase interagency collaboration in statewide planning and implementation Expand family and youth involvement in governance Engage in ongoing monitoring of system performance Local Increase interagency collaboration in statewide planning and implementation Coordinate direct care across agencies Expand family and youth involvement in management Engage in ongoing monitoring of quality of care and services processes	State Policy changes implemented Increase in family and youth roles across SOC Improved coordination for organizations/agencies Improved system performance Local Service system processes more child- and family-friendly Greater coordination of care Improved quality of care and service processes	Greater expansion of SOC Greater sustainability of SOC Reduction in duplication of services across agencies Closing of service gaps within and across agencies Less fragmentation across service sectors
		Services/ Supports	State Expand service array across state and close gaps Promote adoption of culturally valid service and support options Mandate provision of evidence-based services and supports Local Conduct outreach to historically underserved populations Provide full array of services/supports within the community that are culturally valid Offer evidence-based service options Conduct strength-based assessment Provide individualized care in partnership with families Prioritize least restrictive settings Integrate family and youth support options and advocacy	State Improved cultural and linguistic policy Improved service array options Local Improved access to services and supports Increased use of services among historically underserved populations More responsive service delivery to child and family needs More culturally appropriate care Greater use of evidence-based service options	Reduction in service gaps across state and within local systems Reduced out-of-home and out-of-community services Improved child and family outcomes Enduring quality practice

Goals	Inputs		Activities	Proximal outcomes	Distal outcomes
		Financing	State Create cross agency financial planning Maximize financing options for SOC Explore Medicaid expansion opportunities Look for braided/blended options Develop strategies to fund new services Local Develop multi-agency review teams to blend/braid funding for highest risk clients Share resources and processes Explore additional local funding sources	State Increased funding options Reduce costs across service sectors Improved cross agency financial planning Local Reduce local operating costs Reduce financial barriers to care	Reduced costs across state and local systems Reduced cost-shifting across service sectors Identification of cost off-sets
		Training/Workforce	State Implement policies to support diverse and competent workforce (e.g., fund positions, mandate and fund training, outreach in hiring) Support training on evidence-based options Mandate training on system of care approaches Local Build and support diverse and competent workforce (e.g., training, funding, outreach and hiring) Conduct training in EBTs Monitor provider quality of care Conduct training on system of care approaches Diversify workforce to fit client population	State Implement policies to support diverse and competent workforce (e.g., fund positions, mandate and fund training, outreach in hiring) Support training on evidence-based options Mandate training on system of care approaches Local More diverse and competent workforce Greater fidelity to EBTs Better quality of care delivered by providers Reduced staff turnover Improved cultural and linguistic, practice	More stable work force Workforce competent to meet needs of population Better quality and appropriateness of care
		Strategic Communications	State Engage in outreach and social marketing efforts Generate reports on outcomes and cost avoidance Create partnerships with and among policy leaders Establish strong family and youth advocacy organizations Foster System of Care Leadership Local Partner with state advocacy and policy makers Collect data on outcomes and costs Engage in local advocacy Support Leadership at local and state levels	State Greater public awareness Engaged Policy Makers Increased Leadership Stable and established youth and family advocacy organizations Local Engaged local policy makers Participation in state and local advocacy Use of data for system development and advocacy	Reduced public stigma Increased public confidence in service delivery Effective legislation Positive media awareness