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A Multilevel Model of Client Participation in Intensive Family Preservation Services

2000/09/01 by Julia H. Littell, Emiko A. Tajima
Health Professions · Psychology · #Attachment and Relationship Dynamics #Geriatric Care and Nursing Homes #Patient Satisfaction in Healthcare

paper · doi:10.1086/516411

crossref issued 2000/09/01 · crossref published 2000/09/01 · crossref published-print 2000/09/01 · openalex publication_date 2000/09/01 · crossref created 2008/07/16 · crossref deposited 2019/05/12 · openalex created_date 2025/10/10 · crossref indexed 2026/07/30 · openalex updated_date 2026/07/31

Abstract

We identify two distinct components of parent participation in intensive family preservation services: collaboration in treatment planning and compliance with program expectations. Using hierarchical linear models, we explore influences on collaboration and compliance at the case, worker, and program levels. Effects of cross‐level interactions are also examined. Parental substance abuse, mental health problems, minority status, and lack of extended family support predict lower levels of participation. Workers' perceptions of their clients and of their own working conditions appear to influence client participation. Program factors matter as well, although some operate in tandem with case characteristics and worker perceptions.

Citations