Competition for mental health funding among advocates for treatment, prevention, and research often produces more tension than productivity. Competition is fueled by dependency on varied streams of funding and lack of coherent connections and coordination among the host of public and private agents involved in addressing child and adolescent…

The mental health resources available in American Indian communities fall far short of the demonstrated need, especially for Native American adolescents. The Indian Health Care Amendments of 1990 and 1992 are reviewed, and recommendations are made to facilitate community-based programs for American Indians. (SLD)

There is growing recognition of the impact of exposure to trauma on the social and emotional development of children and adolescents, and this recognition has spurred initiatives to improve the standard of care and increase the identification, diagnosis, and treatment of child trauma. Leaders of child traumatic stress (CTS) initiatives recognize…