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…

During a symposium, three presentations described initiatives that exemplify the principles and components of the Ecology of Outcomes. Emphasis is on accountability for achieving measurable outcomes and use of outcome information in program planning and development. Summaries of individual papers are: (1) "The Ecology of Outcomes: System…

This paper presents contributions at a symposium about Carolina Alternatives (CA), a North Carolina program that blends capitated financing with public sector managed care for mental health and substance abuse services for children and youth eligible for Medicaid. The symposium focused on stakeholders' perspectives and on expenditure patterns of…

Three summaries of papers presented in a symposium examine issues in the wraparound model of providing case management and mental health services to children and adolescents with emotional/behavioral disorders. The papers describe 30 months of participatory program evaluation and simultaneous program development between the University of South…

Summaries of four papers and a discussion presented at a symposium on expanding the research base of systems of care for children's mental health examine school-wide systems of positive behavioral support and provide data on a three-tiered Positive Behavior Intervention and Support (PBIS) program for improving mental health functioning of…

This document comprises three papers related to the implementation of early childhood education, health care, and support programs. The first paper is a brief reflection on the nature of implementation, based on the contributions of Boudewijn Bekkers. The second is a proceedings chapter by Marian Hanrahan titled "Community Based Innovative…

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…

Four brief papers in this symposium examine clinical research, community mental health services, and policy issues of young children's mental health problems. First, "Risk Factors for Poor Mental Health Outcomes in Young Children Entering School" (Lynne C. Huffman, Sarah L. Mehlinger, and Amy S. Kerivan Marks) reviews the research and identifies…

This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

This paper contains summaries of research projects of three graduate students participating in the Multicultural Mental Health Training Program at the University of South Florida's Florida Mental Health Institutes. The students' work involved the development of evaluation or research projects with ethnically diverse minority communities. The first…