The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

Projects and research studies, often involving minority or low income students, developed by two medical specialists, focused on health attitudes and behaviors of elementary school students. A 2-year study of the impact of allowing students to initiate their own health care, with the aid of school nurse practitioners, identified distinct…

This first volume of the 1981 Report of the Select Panel for the Promotion of Child Health presents the panel's major findings and recommendations in several areas of maternal and child health. Section I, the Introduction, addresses five major concerns related to health care that were identified by the panel. These concerns were (1) that programs…

This fourth volume of the 1981 Report of the Select Panel for the Promotion of Child Health presents a collection of commissioned papers prepared in order to provide working groups of the panel with background information on major areas of health care and health policy toward children and pregnant women. The papers are grouped according to the…

Substantial numbers of children and adolescents experience symptoms of sadness, dysphoria, and other characteristics associated with depression. The nature of depression in children and adolescents has presented challenges in identification and definition. This chapter reviews research on depression in children and adolescents. Three current…

This conference paper discusses the results of a study that investigated the effects of a mentor service on 30 children with severe emotional disturbances and considered to be at extreme risk for out-of-home placement. The mentors provided regular, consistent, face-to-face and telephone contact with each child for five hours per week. The mentors…

In schools, youngsters with serious emotional and learning problems usually are assisted under the auspices of "special education." Of course, many students with behavior, learning, and emotional problems don't meet the criteria for special education. Their needs must be addressed through support programs and other accommodations. This…

A study involving 574 children (ages 5-17) who received mental health services examined whether caregiver variables predicted child mental health service utilization patterns, particularly caregiver strain. Results found caregiver strain to be associated with the combination of services used, sequencing of services, gaps in care, and cost of…

This article examines how researchers can apply analytical and methodological tools traditionally used in health policy analysis to study the multiple levels of systems-of-care impacts for students with emotional and behavior disorders. Where possible, results from existing systems-of-care education studies illustrate how these analyses and…

Three studies are presented, which illustrate situations in which researchers and funders agreed on the primacy of either the experimental or pragmatic paradigms but acknowledged a role for the other. The studies involved evaluations of mental health care, information systems, and a curriculum for behavioral and academic dysfunction. (SLD)

Examines child and family risk factors and behavioral indexes of youths with emotional and behavioral disorders to determine critical factors that predicted the restrictiveness of their educational placements. Discusses findings in the context of system of care efforts to reform service system response to youth with special-education and…

This commentary summarizes findings from previous articles on system-of-care mental health programs for children and adolescents with emotional and behavioral disorders. It addresses characteristics of participating children and families, system measurement system development, costs and sustainability, and family participation in program…

The longitudinal comparison study of the national evaluation of the Comprehensive Community Mental Health Services for Children and Their Families Program assesses factors in service delivery systems that may shape the impact of systems of care. We evaluated the extent to which services embodying the principles of a system of care, as measured by…

Objective: To study the rate of, and factors associated with, recognition of psychiatric disorders and self-perceived problems among 18-year-old adolescent boys. Method: The study population consisted of 2347 Finnish boys born during 1981 attending military call-up (79.7% of the original sample). At age 8, the boys were evaluated by parental and…

Of all of the medical specialties, child and adolescent psychiatry has the most severe shortage of practitioners. This shortage is even more pronounced in economically disadvantaged and rural areas. The American Indian population is younger, more economically disadvantaged, and more rural than the general U.S. population (United States Census…