DHS is committed to meeting the human services needs of county residents, particularly the county’s most vulnerable populations, through an extensive range of prevention, early intervention, crises management and after–care services. While system involvement is sometimes inevitable, necessary and highly beneficial to consumers, DHS believes that preventing the need for such system interventions can ultimately result in safer, healthier and more cost–effective alternatives for consumers and for the region at–large.

This report begins by presenting a framework for prevention in the human ser­vices field. It then goes on to classify and catalog all prevention efforts across DHS, including program descriptions and other key pieces of information that are important to understanding the evaluation status and priorities of each program or service.

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RESPOND is an intensive treatment program designed to serve youth whose multiple needs (intellectual disability and significant behavioral challenges) are not able to be met through DHS’s current array of services. RESPOND operates on a collaborative model that integrates effective clinical treatment with principles of psychiatric rehabilitation, applied behavior analysis and community support programs. This report was prepared in order to examine – through evaluation of program data, interviews with caregivers and professional supports, and analysis of service and cost data – whether the program’s goals are being achieved.

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Starting Early Together, a program of Allegheny County’s System of Care Initiative, was designed to serve children under six with serious emotional disturbances, and their families, in four high-need Allegheny County communities. The program combined service coordination with formal family supports, and was intended to transform the mental health system for children and families and its relationship to early intervention, child welfare, child care and family support. Focus groups were held to determine the strengths of the program as well as any service gaps. The results of the focus groups, and related recommendations, are included in this report.

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