Citation

Sokol RL, Li J, Victor BG, Miller AL, Ryan JP, Perron BE. Child. Youth Serv. Rev. 2020; 112: e104917.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.childyouth.2020.104917

PMID

unavailable

Abstract

The Child and Adolescent Needs and Strengths (CANS) is an assessment tool that child-serving settings have used with children and their families to identify areas for intervention and monitor service outcomes over time. Despite its widespread application, the field knows little about how children's CANS scores change over time in settings that provide CANS-informed services. The current study systematically reviewed changes in CANS scores over time in the existing longitudinal services research. Seven studies met inclusion criteria, and these studies assessed a total of 11 CANS domains: Problems, Risk Behaviors, Functioning, Mental Health, Traumatic Stress Symptoms, Behavioral/Emotional Needs, Acculturation, Externalizing, Child Strengths, Care Intensity, Caregiver Strengths, and Caregiver Needs and Strengths. Overall, the existing evidence on longitudinal CANS applications is limited. Scores within three CANS domains-Risk Behaviors, Functioning, and Child Strengths-improved over time in five of the seven studies. For the majority of CANS domains, however, there was little to no evidence for improvement over time following CANS-informed services. We discuss implications for practice and future research.

Language: en

Keywords

Child and Adolescent Needs and Strengths; Child welfare; Community mental health; Foster care; Juvenile justice; Service settings