A Systematic Strategy to Improve Services to Individuals With Coexisting Developmental Disabilities and Mental Illness: National Trends and the "Connecticut Blueprint"
Joan B. Beasley, Ph.D., LMHC & Kathryn duPree

One method to evaluate community based systems of care based on service effectiveness standards for individuals with mental retardation and behavioral health needs is described. Thirty-five evaluations were conducted throughout the U.S. to identify obstacles to effective service delivery and determine remedies to improve the system as a whole. Common trends were found in almost all aspects of service delivery reviewed. The service evaluation process used in the state of Connecticut and the new initiatives now taking place there exemplify one state's attempt to evaluate services, overcome common obstacles and seek positive, long-term remedies to meet the challenge of providing effective services for this population. The authors recommend that state and local municipalities consider implementation of a systematic evaluation process to better identify gaps in the system and plan future services.