Rethinking and expanding the theory of change underlying systems of care are recommended to support development of the knowledge base for understanding what systems of care can be expected to accomplish. Three domains of knowledge are presented as necessary to understanding the relationship between systems-level change and services. (Contains…

This article traces historical attempts to form a comprehensive child mental health policy in the United States and discusses the latest unsuccessful attempts at the creation of such a policy through the managed behavioral healthcare revolution and the Child and Adolescent Service System Program and Child Mental Health Services initiative.…