Fischer presented a methodological framework which combined empirical methods of data collection with interpretive and philosophical approaches to provide a useful model for studying mental health policy for children and adolescents. The levels of the method include: (1) study of cause-effect relationships; (2) phenomenological analysis to…

Mail, telephone, and in-group methods of surveying youth are analyzed and an example of the use of the latter method during the early phase of Project 4-Health (4-H) in California is provided. Issues in data collection are associated with cost, time, survey item comprehension, and participation rates. Project 4-Health is a 5-year tobacco…

The state of Connecticut initiated a statewide program of systematic needs assessment for children's mental health services in 1986-1987. A stratified random sample of children ages 6 to 11 was drawn from registration lists of all public, private, and parochial schools. Of 79 schools, 56 were sampled, and 54 agreed to participate in the survey.…

This study uses a historical perspective to examine the interface of the Maryland Juvenile Justice Department and the Mental Hygiene Administration in their efforts to provide services to youth involved with the juvenile justice system who were found to have mental disorders. A time line was constructed documenting developments from the 16th…

In July of 1983, the state of Tennessee initiated The Healthy Children Initiative (HCI), a program designed to protect the health of Tennessee's children. Originally planned as a 4-year initiative, participating programs have been established on an ongoing basis. The first year's goal for Fiscal Year 83-84 was to make sure prenatal care was…

Accountability has become a concern for public mental health programs, including the Hawaii State Mental Health Division which relies on the Multi-State Information System (MSIS) for program planning and evaluation. Accuracy in reporting and agreement in clinical judgment on the MSIS has been assumed but never tested until an analogue study was…

This paper describes the Tennessee Children's Plan, a program phased in between 1991 and 1993 that implemented a coordinated service system for children, youth, and families. A study involving children and youth (birth through 21 years) who were in the custody of the State of Tennessee investigated the effectiveness of coordinated service systems…

This study was designed to document the processes and dynamics of two multidisciplinary teams under the Access Vermont program, which provides services for children and youth with serious emotional disabilities and their families. In both cases, local interagency teams in the largely rural catchment areas developed plans for an initiative focused…

This paper reports on initial implementation of a state required process for determining eligibility of children and adolescents for Massachusetts Department of Mental Health Programs. Three criteria are used for determining eligibility: a diagnosable mental, behavior, or emotional disorder; impairment of one year's duration; and establishment of…

This study attempted to assess family empowerment with participants in Access Vermont, a multilevel crisis intervention project for children with emotional disturbances and their families. The study used the Family Empowerment Scale, a scale based on two dimensions of empowerment level (comprised of family, service system, and community/political)…

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…