Nationally, school-based mental health (SBMH) is seen as an avenue to increase access to children's mental health services and promote mental health awareness. The current article describes the implementation of a statewide SBMH program focusing on partnerships between community-based providers and local school systems, with providers embedded…

Concerns about the mental health and well-being of children and young people have been articulated in health and education policy fields as a call for closer working between schools and providers of mental health support services. Drawing from a Scottish study, this article explores issues of access, when mental health initiatives are sited in…

In order to meet the challenging needs and behaviors of children with Serious Emotional Disorders (SED), a school and community based Intensive Mental Health Program (IMHP) was developed and evaluated. We describe the conceptual framework, treatment principles, and model for service delivery for psychological and educational interventions under…

A model of service delivery called Wraparound, which was developed in the USA, focuses on maximising collaboration between stakeholders, including the client and their support network, as well as services involved. It is used extensively in the disability, mental health, juvenile justice, education and out-of-home care fields across North America.…

A 4-year study of 27 system-of-care sites designed to provides mental health services to children and adolescents, found that despite many changes in each local service system, no site was able to fully implement all 16 key attributes comprising an ideal system-of-care model (including sites with previous system-building experience). (Contains…

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…

Describes an expanded school mental health framework and its goal of improving the mental health status of children and adolescents through collaboration. Addresses current challenges including building advocacy, improving funding, increasing capacity, enhancing quality, and using and expanding the evidence base for mental health in schools. (SD)

The service delivery model of the Pennsylvania Children and Adolescent Service Systems Program (CASSP) is explained, and the 1983 federal initiative that launched this system is discussed. The federal CASSP initiative was developed to improve systems of care to ensure that the underserved population of children and adolescents with severe…

Cluster analysis was conducted to examine clinical characteristics of 1,961 boys and 1,320 girls (ages 10-19) with serious emotional disturbances entering systems of care funded by the Center for Mental Health Services. Combining functional and behavioral characteristics of participants indicate that symptom measures alone could not adequately…

This report to the Minnesota state legislature describes the status of the local children's mental health collaboratives. These mental health collaboratives were established in response to the fragmented service delivery system. Counties, school districts, and local mental health entities became partners with public health, juvenile corrections,…

Interviews were conducted with 60 human-services-agency staff of the Child and Adolescent Service System Program in California and 67 parents of children with serious emotional disturbance regarding changes over the previous four years in their local children's service systems. Results indicate increased interagency collaboration and family…

This paper discusses the results of a study that investigated the effectiveness of the New Jersey Youth Incentive Program (YIP). The YIP program grew out of earlier private and public efforts and reflected national trends in the reform of mental health services for children. Cutting across most of these programs is the underlying principle that…

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…

This paper discusses the results of a study that investigated the need for services across the continuum of child/adolescent mental health services in Virginia. Specific objectives of the study were to: (1) describe the youth receiving services; (2) determine where and to what extent gaps in services exist; (3) determine the reasons why youth do…

A study examined the long-term (3 year) treatment outcomes of all adolescents (n=2,481) who received services in Vermont's statewide systems of care. Recipients of services had substantially elevated rates of incarceration and hospitalization but maternity rates in the treatment groups were not different from other young women. (Contains…