Drafts by Rolando L . Santiago, Ph.D.
Curriculum Vitae, 2018
This is my curriculum vitae (CV).
Papers by Rolando L . Santiago, Ph.D.
Journal of Emotional and Behavioral Disorders, 2001
This paper discusses the finding of two studies that assessed the need for children' mental healt... more This paper discusses the finding of two studies that assessed the need for children' mental health services in the Mott Haven community of the South Bronx, and investigated the cultural, personal, and service utilization characteristics of Mott Haven children who are recipients of existing mental health services. Results from a one-week period in 1993 found that only 160 children and youth, or 34 percent of the estimated number of children who need mental health services, utilized those services. These findings indicate a large gap between the estimate of need for services and actual use of services. Study 2 used a sample of 143 Mott Haven youth (ages 17 and under) who utilized mental health services during a one-week period in 1993 to analyze cultural and personal characteristics of program participants. African American children had a tendency to receive services outside Mott Haven, while Hispanic children tended to be served inside Mott Haven, and younger children were more likely to visit clinics than older children and youth. These results provide some support for using personal characteristics and cultural measures to better understand patterns of service utilization. (CR)
The Journal of Behavioral Health Services Research, Oct 1, 2003
The current study uses data from the national evaluation of the Comprehensive Community Mental He... more The current study uses data from the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program to examine child functioning in rural (n = 8) as compared to nonrural (n = 18) system-of-care communities across the United States. In this study, the topic of rural versus nonrural differences is approached from a community-level perspective with aggregated functional impairment scores as the dependent variable of interest in weighted least squares regression. The demographic characteristics of children, particularly age, were more important predictors of functional impairment than geographic locale (i.e., rural vs nonrural). Specifically, while children served in nonrural communities were older than those served in rural communities, after controlling for this difference functional impairment levels were similar. It appears from these analyses that youth served in rural and nonrural communities with systems of care were more similar than they were different with regard to their level of functional impairment. This lack of aggregate functional difference between the rural and nonrural sites reminds policymakers and funding agents that youth in rural areas need equity in both access and resource for mental health services. As indicated by the findings in the current investigation youth in rural areas are not immune to the types of mental health challenges often publicized by researchers examining youth in nonrural areas.
This paper discusses the finding of two studies that assessed the need for children' mental healt... more This paper discusses the finding of two studies that assessed the need for children' mental health services in the Mott Haven community of the South Bronx, and investigated the cultural, personal, and service utilization characteristics of Mott Haven children who are recipients of existing mental health services. Results from a one-week period in 1993 found that only 160 children and youth, or 34 percent of the estimated number of children who need mental health services, utilized those services. These findings indicate a large gap between the estimate of need for services and actual use of services. Study 2 used a sample of 143 Mott Haven youth (ages 17 and under) who utilized mental health services during a one-week period in 1993 to analyze cultural and personal characteristics of program participants. African American children had a tendency to receive services outside Mott Haven, while Hispanic children tended to be served inside Mott Haven, and younger children were more likely to visit clinics than older children and youth. These results provide some support for using personal characteristics and cultural measures to better understand patterns of service utilization. (CR)
Research" (Joseph B. Stone) and related discussion; "Focus on Implications for Policy Practice" (... more Research" (Joseph B. Stone) and related discussion; "Focus on Implications for Policy Practice" (Velma Garcia Mason) and related discussion; and "Final Discussion and Summary Comments" (Holly Echo-Hawk). Appendices contain lists of symposium participants and AIRPEM network participants, a symposium chapter review coding sheet, and "A Model for Conducting Research with American Indian Participants" (Justin D. McDonald). Papers contain references. Author profiles are included. (SV) Reproductions supplied by EDRS are the best that can be made from the original document. Preface Research in Indian Country can be, and often is, challenging. Tribes are often sovereign political entities with specific powers of self-governance. This raises issues of protocol and the tribal leaders' acceptance of research agendas. Other challenges faced by researchers are rooted in cultural and language barriers. The American Indian population is highly diverse, speaking about 200 languages and dialects. While there are some beliefs and traditions that are common to many Indian nations, American Indians cannot be perceived as being homogenous. This monograph has been developed to address alternative and appropriate methods of conducting research with this population. Research with American Indians needs to be academically acceptable in the general research community as well as appropriate culturally and linguistically. In the quest to improve and enhance quality of life for First Nations people, there are environmental, societal, economic, health, and disability issues that need to be addressed, including a need for capacity building throughout Indian Country. Research and program evaluation experiences shared in this monograph are offered as viable methods of impacting these multifaceted issues and problems.
Child abuse & neglect, 2003
The current study examines multiple empirically based perspectives (i.e., child, caregiver, and c... more The current study examines multiple empirically based perspectives (i.e., child, caregiver, and clinician) of behavior and functioning as they contribute to the clinical and psychosocial profile of children (aged 5 to 17.5 years) with reported histories of sexual abuse. A large, multi-site data set of children referred into Comprehensive Community Mental Health Services both with and without reported histories of sexual abuse, was examined. Seven hundred and fifty-nine children with a reported history of sexual abuse were compared to 2722 without such a history on caregiver and child reported behavior, clinician rated functioning, diagnosis, demographic variables, and life challenges. The multiple perspectives contributed unique and specific information to regression models: caregiver-reported behavior contributed information about externalizing behavior while child-reported behavior added information about internalizing behavior and clinician ratings about self-harmful behavior. Ch...
Issues in Clinical Child Psychology, 2005
Manderscheid, & Sondheimer, 1999). The program provides grants to states, communities, territ... more Manderscheid, & Sondheimer, 1999). The program provides grants to states, communities, territories, and American Indian tribes to improve and expand their systems of care to meet the needs of children and ado-lescents with serious emotional disturbance and their families. ...
Children's Services, 2002
... Administration, represents the largest federal investment ever to develop community-based men... more ... Administration, represents the largest federal investment ever to develop community-based mentalhealth services for children ... use a variety of services and have contact with several child-servingagencies, service coordination and interagency collaboration are critical. ...
Igniting the Power of Community, 2009
Page 1. 93 About the Author Rolando L. Santiago, PhD, is the executive director of the Mennonite ... more Page 1. 93 About the Author Rolando L. Santiago, PhD, is the executive director of the Mennonite Central Committee US (MCC US), the US component of the Mennonite Central Committee, an international relief, develop-ment ...
... sector. Efforts to define the citizen sectorā™s typology and refine its taxonomy include the ... more ... sector. Efforts to define the citizen sectorā™s typology and refine its taxonomy include the network analysis of Green and Matthias (1997) and the generational model of David Korten (Korten 1990; Korten and Brown 1991). However ...
Journal of the American Academy of Child & Adolescent Psychiatry, 2001
To compare clinical characteristics of youths who had attempted suicide recently, previously but ... more To compare clinical characteristics of youths who had attempted suicide recently, previously but not recently, repeatedly, or never. The sample comprised 4,677 youths receiving services between 1993 to 1998 in 22 communities and participating in the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program. Data on suicide attempts, demographics, and clinical characteristics were obtained from intake interviews and referring agencies. Chi-square and univariate analyses of variance were used for between-group comparisons. Twenty-one percent of the sample had a history of attempted suicide. Previous and repeat attempters were more likely to have a history of family violence and substance abuse. Repeat attempters were most likely to have depression, while never and previous (but not recent) attempters were more likely to have conduct disorder. Other clinical differences were also found. Among children receiving mental health services, those who attempt suicide experience more and different types of distress, depending on the recency and frequency of attempts. Clinicians should be aware that depression is not a necessary factor in predicting suicide attempts and that suicide risk is also associated with violent and aggressive behaviors.
Journal of Emotional and Behavioral Disorders, 2001
We provide an overview of the National Evaluation of the Comprehensive Community Mental Health Se... more We provide an overview of the National Evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program. This overview serves as an introduction to the accompanying articles, which report on specific aspects of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the process of conducting this large, multisite evaluation are discussed. Future directions for the ongoing evaluation being conducted within 45 newly funded communities are highlighted. We conclude with a summary of the six articles that comprise the remainder of this special issue.
Journal of Child and Family Studies, 2000
This study examined the psychiatric diagnoses and clinical characteristics of the 981 Asian Ameri... more This study examined the psychiatric diagnoses and clinical characteristics of the 981 Asian American children enrolled in the first phase of the Comprehensive Community Mental Health Services for Children and Their Families Program. Asian Americans were less likely than non-Asian Americans to receive diagnoses of depression and ADHD and more likely to receive diagnoses of anxiety and adjustment disorder. As compared to non-Asians, Asian Americans were significantly more likely to be rated with severe functional impairment in community role performance, self-harmful behavior, and thinking. There was also a trend for fewer externalizing behavior problems. Implications for research and practice are discussed.
The Journal of Behavioral Health Services & Research, 2003
The current study uses data from the national evaluation of the Comprehensive Community Mental He... more The current study uses data from the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program to examine child functioning in rural (n = 8) as compared to nonrural (n = 18) system-of-care communities across the United States. In this study, the topic of rural versus nonrural differences is approached from a community-level perspective with aggregated functional impairment scores as the dependent variable of interest in weighted least squares regression. The demographic characteristics of children, particularly age, were more important predictors of functional impairment than geographic locale (i.e., rural vs nonrural). Specifically, while children served in nonrural communities were older than those served in rural communities, after controlling for this difference functional impairment levels were similar. It appears from these analyses that youth served in rural and nonrural communities with systems of care were more similar than they were different with regard to their level of functional impairment. This lack of aggregate functional difference between the rural and nonrural sites reminds policymakers and funding agents that youth in rural areas need equity in both access and resource for mental health services. As indicated by the findings in the current investigation youth in rural areas are not immune to the types of mental health challenges often publicized by researchers examining youth in nonrural areas.
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Drafts by Rolando L . Santiago, Ph.D.
Papers by Rolando L . Santiago, Ph.D.