Premature application of quantitative indicators formerly used for individual assessment and research to bureaucratic decision making can produce side effects that are dysfunctional in nature. In order to illustrate this phenomenon, the author reviews a general literature and utilizes examples form mental health care. (Author/BW)

This monograph explores the development of comprehensive systems of care for severely emotionally disturbed children and adolescents. It is intended as a technical assistance tool for states and communities interested in improving services and as a review of the state of the art for developing systems of care. A generic model of a system of care…