This article presents the results of research conducted at the first place where autism was diagnosed in China, the Nanjing Child Mental Health Research Center. The purpose was to examine the development of service provision for children with autism in this state-run medical institution. Specifically, the specific intervention model for autism,…

The paper describes the transition of service provision for 240 intellectually handicapped Australian children and their families from a relatively traditional service delivery system to one emphasizing home and family involvement and placement of services closer to home. (Author/PHR)

This article describes the history of New York's efforts to create partnerships with families with children with emotional disturbances, articulates the stages of parent involvement in policymaking, and summarizes lessons learned and recommendations for effective and enduring families as policy allies. A case study is presented. (Contains…

This paper describes the development of a consumer-based program in rural Essex County (New York) for families with children with emotional disorders. Initially, in-depth, in-home interviews were held with 24 families who had children with serious emotional disturbances concerning their service needs and desires. The following needs were expressed…

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…

The book defines and discusses eight key elements of a family-centered approach to care for children with chronic illnesses and special health care needs: (1) recognition that the family is the constant in the child's life, while the service systems and personnel within those systems fluctuate; (2) facilitation of parent/professional collaboration…

This issue of "Focal Point" describes the need for, and provides examples of, new strategies for meeting the mental health needs of children and adolescents involved with the juvenile justice system. Articles in this issue discuss the particular need for correction in the way that the juvenile justice system interacts with youth who have mental…

Assessments of 41 mentally ill adults (consumers of mental health services) of their level of functioning were compared with assessments by family members and mental health services case managers. Moderate correlations are found among the perspectives, and the relevance of the three perspectives for community-based service provision is discussed.…

The articles in this issue of "Focal Point" focus on the Research and Training Center's current work, which reflects the evolution of expectations for partnering with youth and families. Partnering successfully requires not only a philosophical commitment to the value, but also intentional, specific steps to redesign services and reallocate…

The need for system reform for child and adolescent mental health services, long recognized as a vital issue, continues to challenge mental health professionals. While past legislation has not adequately addressed the issues, the 2003 President's New Freedom Commission may begin to reorient mental health systems toward recovery. Supported by this…

This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

This report highlights the progress of the 15 statewide family advocacy projects funded by the Center for Mental Health Services of the U.S. Substance Abuse and Mental Health Services Administration during the 1993 fiscal year. Section 1 provides an historical background and a summary of the interim report. A qualitative description of the…

This issue paper is designed to help families, advocates and policymakers ensure that "medically necessary" standards in public-sector contracts for managed mental health care protect children's rights, particularly the rights of children who have serious emotional disturbance. Fundamental principles for developing sound contracts for…

This monograph describes Families First, a family-designed system of mental health care for children in Essex County, New York. Philosophical principles of family-driven service delivery are outlined and illustrated with comments from participants. The planning that went into developing the Families First program is described, including initial…

This paper reflects on lessons learned from the implementation of KAN Focus, a demonstration project to develop a system of care for children with severe emotional disturbance in rural southeast Kansas. It notes trends toward providing more and younger children with community-based support services which provide family centered services,…