Eleven states offer 1915(c) Home and Community Based Services (HCBS) Medicaid waivers to organize and fund programs that provide in-home and community support services to address the unique needs of children and youth with complex mental health concerns and their families. However, as the COVID-19 pandemic-imposed restrictions on community…

This manual was designed primarily for use by people with disabilities. The hope is that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with disabilities. The focus of this manual is to provide easy-to-read information about available resources, and to provide immediate…

Objective: This article introduces and evaluates children's psychosocial rehabilitation, a home- and community-based treatment for children with serious emotional disturbance. Method: In an open-trial design, the author used repeated-measures analysis of variance and Wilcoxon signed-rank tests to assess pre-post outcome ratings for 218…

This background paper on children's mental health indicates that less than one-third of the children who have mental health problems receive treatment. Types of mental health problems are discussed, including intellectual, developmental, behavior, emotional, psychophysiological, and adjustment disorders. Enviromental risk factors of poverty and…

Evaluates the usefulness of the Strengths and Difficulties Questionnaire (SDQ) as a routine measure to screen for emotional and behavioral disorders in children and adolescents referred to a community child and adolescent mental health service (CAMHS). Results reveal that the SDQ is sensitive in detecting emotional and behavioral problems and may…

This article presents a description of the Child and Adolescent Services Assessment, a self- and parent-report instrument designed to assess use of mental health services by children, ages 8 to 18. The article provides information on interviewer training, coding of data, and psychometric data on clinical samples, and presents a case study.…

This study examined the utilization rate of behavioral health services by children with autism spectrum disorders (ASD) over a 6-year period and compared this rate to the expected number of children with ASD in TennCare, Tennessee's managed care Medicaid program. Analysis of TennCare patient data found the rate at which children with ASD received…

An intervention designed to address barriers to access to children's mental health services for low-income families was implemented in three Oregon counties. Paraprofessionals provided families with information, emotional support, and tangible assistance. Families in the intervention group (n=96) were significantly more likely to initiate…

This document is part of a series of monographs on community-based services for children and adolescents who are severely emotionally disturbed. The series is the product of a national study of community-based service approaches which identified over 200 programs serving emotionally disturbed children and included visits to several programs…

Mental health services are often unavailable, inaccessible, or inappropriate for the children and families who need them. In order to implement a more effective system of mental health services to children and adolescents, an adequate system of care must be defined and described, and a policy mandate to implement such a system must be developed.…

A social system and ecological, as well as individual, perspective is applied to the development of a psychosocial community-oriented data system for children's mental health services. A rationale for the evaluation procedure and the necessary criteria met by the data system are presented. The problem appraisal focuses on the assessment of…

This document is part of a series of monographs on community-based services for children and adolescents who are severely emotionally disturbed. The series is the product of a national study of community-based service approaches, which identified over 200 programs serving emotionally disturbed children and included visits to several programs…

This set of seven issue briefs considers six important community-based services for children with serious mental or emotional disorders that some states provide as mandated rehabilitation services under the federal Medicaid law. The materials are designed to help state policymakers develop appropriate rules for covering community-based services…

Describes a nationally recognized service program that delivers integrated mental health and substance abuse services to children and youth with a wide range of problems. The model incorporates elements of primary and secondary prevention and community outreach into service delivery. Program components are discussed in detail. (RJM)

This second biennial report on children presents information pertaining to children, discusses the implications and use of such information in planning for children, describes certain historical trends affecting children, and provides updates of statistics and significant expansions on many topics covered in the 1975 report. Part A examines basic…