Background: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). Methods: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and…

This research evaluates childhood mental health disorders and their prevalence. Public-school systems are tasked with providing equitable education and services to students in special education who are in need under the Individuals with Disabilities Education Act. Public school districts may look outside of the traditional academic setting, to a…

Publicly funded mental health programs play a significant role in serving children with autism spectrum disorder. Understanding patterns of psychiatric comorbidity for this population within mental health settings is important to implement appropriately tailored interventions. This study (1) describes patterns of psychiatric comorbidity in…

Although sleep problems often comprise core features of psychiatric disorders, inadequate attention has been paid to the complex, reciprocal relationships involved in the early regulation of sleep, emotion, and behavior. In this paper, we review the pediatric literature examining sleep in children with primary psychiatric disorders as well as…

Psychiatric emergency services for children and adolescents vary in process, structure and outcome. There are few systematic studies on the type and prevalence of psychiatric problems encountered, related circumstances or resulting interventions. Evidence in these areas is important in evaluation of the function of mental health services in the…

The focus of this study was to review and analyze current programs, practices, and procedures of child mental health consultation in order to generate an in-depth, empirically derived, conceptual framework to assist in the development of new programs of training and research in consultation. The design of the study included the collection of data…

Describes evaluations of two programs, one designed to improve mental health outcomes for children and adolescents referred for mental health treatment, and the other designed to provide comprehensive mental health services to children and adolescents. In both studies, the effects of systems of care are primarily limited to system level outcomes,…

This study demonstrates the usefulness of cluster analytic patterns of care in a sample of 979 children receiving federal mental health services. Six patterns were identified. These service-utilization clusters provide a useful and easily understood way to summarize children's quantity of use of various mental health services. (SLD)

Delivery of health care services is under close national scrutiny -- and rightly so! This report examines one facet of those traditional services, inpatient specialty consultation, in the form of 100 consecutive initial requests for child psychiatry consultative assistance in the clinical setting of a large children's hospital. Analysis of the…

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…

A study compared 58 patients who were deaf and 168 hearing patients at a facility serving youth with psychological disturbances. All of the children who were deaf and admitted at age 12 or younger had strong or confirmed indications of sexual abuse and 85 percent of the adolescents. Residential facilities are described. (Contains references.)…

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…

This paper summarizes results of a study which determined usage of mental health services by children with depressive disorders and whether patterns of service use and parents' perceptions of service use barriers are the same for children with depressive disorders as for those with disruptive disorders. The study used data from the Methods for…

A mental health program in the schools is described which uses a nurse trained in mental health, with the support of a psychiatrist, to coordinate a mental health team and act as a liaison between the school and the health professionals, to assess referrals and arrange team meetings to plan interventions. (JMF)

The satisfaction of 469 parents or guardians and 387 of their children who received mental health services at 22 community agencies in Illinois was assessed with standardized measures and procedures. Youths' satisfaction was less than that of their parents. Results are used to formulate a prediction model. (SLD)