The current youth mental health crisis has highlighted a substantial unmet need for effective, accessible, culturally sensitive mental health services and interventions. Schools have the potential to address this gap through the provision of evidence-based mental health interventions and services that meet the needs of their diverse student…

Leadership in infant and early childhood mental health must take into consideration issues of diversity, historical context, power dynamics, and difference in worldview and experiences. This article describes the importance of equitable and effective partnerships with rural/remote, underserved, and Indigenous communities in the United States and…

Background: Systems of care is a family centered, strengths-based service delivery model for treating youth experiencing a serious emotional disturbance. Wraparound is the most common method of service delivery adopted by states and communities as a way to adhere to systems of care philosophy. Objective: The purpose of this study was to evaluate…

The Network for a Healthy California (Network) employs a Geographic Information System (GIS) to identify the target audience and plan program activities because GIS is a powerful tool for assisting in data integration and planning. This paper describes common uses of GIS by Network contractors as well as demonstrating the possibilities of GIS as a…

Institutions of higher education have a vested interest in the health of their student populations, even without the traditional strictures of "in loco parentis". Student health issues involve stress management, healthy diet and exercise, the building of healthy social lives, effective relationship management, and the development of life…

Reviews the history of the Crippled Children's Service (CCS) program and reports results of a survey of state CCS programs conducted in 1981. Documents extensive variability among state programs in number of children served, conditions covered, services provided, and other indices. Emphasizes the considerable influence of historical and leadership…

This study demonstrates the usefulness of cluster analytic patterns of care in a sample of 979 children receiving federal mental health services. Six patterns were identified. These service-utilization clusters provide a useful and easily understood way to summarize children's quantity of use of various mental health services. (SLD)

This parameter presents overarching principles and practices for child and adolescent mental health care in community systems of care. Community systems of care are defined broadly as comprising the wide array of child-serving agencies, programs, and practitioners (both public and private), in addition to natural community supports such as…

Recent cutbacks in Indian Health Service (IHS) funding, particularly for urban programs, generated political mobilization and intergroup conflict among several Indian groups with IHS-funded programs. A Montana survey revealed gross underestimation of urban Indian population and high levels of unmet needs for health care services. Contains 27…

Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

Describes changes in management and accreditation among Canadian health organizations caused by changing federal transfer payments and philosophies of service. Examines the status quo of evaluation in organizations based on either quality assurance or continuous quality improvement. Challenges facing evaluators in the health care sector are…

Psychologists must help to create a national atmosphere that would facilitate progress on critical issues affecting children and families by monitoring the quality and outreach of child services and serving as advocates for children in the political arena. (Author/GC)

This introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by…

Describes the mental health problem among the poor whose rural or cultural attitudes and values often prevent their seeking or receiving services. Describes federal involvement in mental health since 1946, including legislation, presidential policy, currently proposed bills, and budget items. Discusses state and local administration of federal…