These four symposium papers provide examples of different states that have experimented with various criteria and approaches in developing youth mental health services. The four states profiled, North Carolina, Arizona, Louisiana, and Massachusetts, are using the Child and Adolescent Functional Assessment Scale (CAFAS) to assess impairment in…

Three brief papers review the literature and report on a study concerning the concept of functional impairment in light of regulations requiring both a psychiatric diagnosis and functional impairment for access to mental health care by children and adolescents with emotional disturbances. The first, very brief summary is: "The Origin, Meaning and…

These three symposium papers summarize the outcomes of studies that explored the accessibility and the utilization of youth mental health services. The first study, "The Role of Diagnostic Systems" (Theodore Fallon and Mary Schwab-Stone), involving 219 children (ages 6-12), examined the perils involved in the use of categorical diagnosis to…

In March 1995, the U.S. House of Representatives passed the Personal Responsibility Act (H.R. 4), part of the House Republican Contract with America. The bill would move primary responsibility for child and family programs to states and communities, reduce federal spending, and consolidate programs into block grants for child care, child…