A demonstration project for very disturbed adolescents from Metropolitan Toronto involving 13 agencies is described. The system is composed of four interrelated services in each geographical area and would allow for free movement of adolescents from one phase to another in accordance with their needs and abilities, including back-tracking as well…

This article reviews recent changes in the mental health system's response to children and adolescents with serious emotional disabilities, emphasizing developments in service delivery and service demonstration research and evaluation efforts. The role of research is examined in terms of its critical importance in improving the system of care for…

An overview of research and programs aimed at primary prevention of adolescent suicide is presented. In addition to person-centered programs, institutionally oriented prevention efforts involving policy formation at the district, community, and state levels are outlined. Model programs and resources are cited. (SLD)

Between 1999 and 2000, 7 British Columbia communities participated as demonstration sites for suicide prevention initiatives. The goal was to identify planning and communication requirements, local leadership characteristics, community level partnerships, and infrastructure needs that best facilitate a comprehensive and community-wide approach to…

This paper discusses the results of a study that investigated the effectiveness of the Fort Bragg demonstration project, a program which provided a comprehensive approach to the delivery of mental health and substance abuse services to a population of approximately 48,000 military-related children residing within the Fort Bragg catchment area.…

Examines elements of programs that have been successful at changing long-term outcomes among disadvantaged children and their families: delivering a wide array of services, building relationship of trust and respect, dealing with children as part of a family, and responding to those most at risk. Suggests ways to overcome barriers to multiplying…

Outlines a group-oriented residential treatment model for emotionally disturbed adolescents, aged 13-18. Key features include use of therapeutic language and value systems, delineation of developmental expectations, formation of a positive peer culture, and emphasis on the group process for both therapy and decision making. (Author/BF)

This study examined whether parent reports of their child's service use are more reliable in a family-focused delivery system than in more typical service environments. Data were obtained through the Fort Bragg Evaluation Project, a longitudinal assessment of a managed care model for delivering mental health services to children and adolescents.…

Oregon has implemented a successful school-based clinic demonstration program. It was the first state to fund directly school-based clinics that provide comprehensive health services, including birth control counseling, to high school students. The program is administered through the Health Division of the Oregon Department of Human Resources,…

This study investigated the findings of a previous study on the effectiveness of the Fort Bragg Child and Adolescent Mental Health Demonstration Project, a program that provided a comprehensive approach to the delivery of mental health and substance abuse services to a population of military-related children residing within the Fort Bragg…

IN THIS FIVE YEAR DEMONSTRATION PROJECT, EMOTIONALLY DISTURBED ADULTS AND ADOLESCENTS RECEIVED TREATMENT AT A DAY CARE REHABILITATION CENTER SPONSORED BY THE RHODE ISLAND DIVISION OF VOCATIONAL REHABILITATION (DVR) LOCATED IN A PRIVATE PSYCHIATRIC HOSPITAL (BUTLER HOSPITAL). THE MAJOR TREATMENT GOALS WERE PRESERVATION AND RESTORATION OF…

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 article addresses theoretical and practical issues in the provision of mental health services to address psychosocial problems of secondary and postsecondary students with learning disabilities. Examples are offered of case studies and interventions from two federally funded research/demonstration projects at the University of Minnesota: the…

This paper reflects on lessons learned from the implementation of KAN Focus, a demonstration project to develop a system of care for children with severe emotional disturbance in rural southeast Kansas. It notes trends toward providing more and younger children with community-based support services which provide family centered services,…