Describes mental health service needs in rural America and barriers to improving its quality and availability. Federal programs, especially the Office of Rural Health Policy, are described and policy recommendations for improving rural mental health care are presented. (DM)

The Community Reinforcement Approach (CRA) and Community Reinforcement and Family Training (CRAFT) are both highly effective and empirically validated psychosocial approaches to the treatment of addictions whose unique designs may help achieve certain public health objectives. Literature will be reviewed to examine the potential impact of CRA and…

A significant minority of teens and preteens suffer from anxiety disorders, depression and other mood disorders, behavior problems, and drug and alcohol addiction. Others have low self-esteem, difficulty coping, and feelings of insecurity. Given the harmful consequences of such disorders, policymakers and practitioners should be alert to teens…

The report analyzes roles of mental health professionals in implementing Public Law 99-457, the Education of the Handicapped Amendments of 1986, which established the Child and Adolescent Service System Program (CASSP). A December, 1987, conference of administrators, clinicians, policymakers, and parent representatives from federal, state, and…

The articles in this journal issue provide an overview of ways in which health services are presently delivered to children, youth, and pregnant women; the means by which these services are financed; and some of the major deficiencies in meeting the health needs of these groups. In the first article, the Center for the Future of Children presents…

This report represents the testimony of Dr. Mary Ann Hutchison, Project Director of the mental health demonstration and research discretionary grant, "Strengthening Head Start Families: Reducing High Risk Through Mental Health Prevention/Intervention," who discusses the importance of reauthorization of Head Start's mental health…

Providing housing and supports for people with psychiatric disabilities, particularly those who are homeless, is a major public policy challenge. Summarizes ways in which the concept of these needs is rapidly shifting in the mental health field. This population is increasingly seen as capable of full-community participation and integration. (AF)

Recent research suggests that approximately one-third of homeless single adults suffer from severe mental illnesses. Discusses federal initiatives undertaken by the National Institutes of Mental Health (NIMH) to encourage research and improve services for this subgroup. Describes the target population, NIMH research findings, and current mental…

Articles in this special issue use survey data to provide policymakers with validated indirect needs assessment models that will help them obtain information about populations requiring different levels and types of mental health services. The articles provide the basis for predictive needs assessment and explanatory models of resource allocation.…

In 2003, the Maternal and Child Health Bureau (MCHB) released a "Strategic Plan for Early Childhood Health." In recognition of the critical role states play in the development of early childhood initiatives and of the unique contributions that state Title V programs can make to these initiatives, the Bureau operationalized their…