Background: Systems of care is a family centered, strengths-based service delivery model for treating youth experiencing a serious emotional disturbance. Wraparound is the most common method of service delivery adopted by states and communities as a way to adhere to systems of care philosophy. Objective: The purpose of this study was to evaluate…

Despite dramatic increases in the number of Indian Health Service alcoholism programs and total expenditures, alcoholism mortality for American Indians and Alaska Natives increased 40%, 1986-90. Data analysis reveals little relationship of mortality rate with allocations, number of service components available, or per capita expenditures. Includes…

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…

This report highlights the major issues discussed during a 2-day workshop on Medicaid funding for community-based mental health services for children and youth with severe emotional disturbances. The report opens with a brief description of the service needs of children and youth with severe emotional disturbances and the system of care that can…

In recognition of the greater needs of low socioeconomic status persons, federal grant policy has favored areas in which 25 percent or more of the population is impoverished. Areas of greater poverty have more resources both in terms of service structure and level of manpower, yet broad inequities are found when the rural-urban status of a mental…

This brief paper summarizes three papers and a response presented at a symposium examining longitudinal comparison studies of federally funded community mental health services (CMHS) for children and their families. Emphasis was on comparing the system of care approach to a more traditional approach. The symposium provided an update on the status…

This fact sheet describes the Comprehensive Community Mental Health Services for Children Program overall and includes descriptions of 22 specific programs. The program was authorized by Congress in 1992 and provides federal funds through demonstration grants to states, communities, and Native American tribes. The program currently administers 22…

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…

Describes the mental health problem among the poor whose rural or cultural attitudes and values often prevent their seeking or receiving services. Describes federal involvement in mental health since 1946, including legislation, presidential policy, currently proposed bills, and budget items. Discusses state and local administration of federal…

The mental health resources available in American Indian communities fall far short of the demonstrated need, especially for Native American adolescents. The Indian Health Care Amendments of 1990 and 1992 are reviewed, and recommendations are made to facilitate community-based programs for American Indians. (SLD)

A Critical Health Manpower Shortage Area (CHMSA) is a medical service area that has inadequate opportunities for access to medical care, mostly primary care (the first line encounter which diagnoses and treats sick or injured people). Most CHMSA's are located far from large population centers. Six hundred seventy three CHMSA's are found in…

This paper is the first of a two-part series on financing early childhood mental health services. It discusses the need for a systemic approach to financing early childhood mental health services and supports and presents a matrix to assist states and communities in the design of comprehensive financing systems. The vertical axis of the matrix…

Abstracts of documents relating to the planning, management, and delivery of human services are provided in this journal. The journal is divided into four parts: abstracts, arranged in alphabetical order by title; an alphabetical list of authors; an alphabetical list of documents; and a subject index. Each document citation includes ordering…

To provide information on subjects of concern to those in planning, management, and delivery of human services, this journal presents 149 abstracts from literature in the human services field. The journal is divided into five parts: the abstracts themselves, arranged in alphabetical order by title, with bibliographic and availability information;…