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…

Provides background on national movements toward expanded school mental health programs and school-based health centers, and presents advantages and challenges of joining these two systems of child and adolescent health care. These challenges, ideas for overcoming them, and future directions for promising service delivery are discussed. (Contains…

This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This…

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…

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,…

This paper reports on the University of South Carolina School-Based Mental Health Project, a program which provides mental health services within a public school setting in an effort to maximize the preventive and educational effects of mental health services within schools. The project is also developing a model to serve as a foundation for a…

This document reviews how schools and providers of school-based mental health programs have implemented managed care contracts with Medicaid managed care organizations. Observations were made at three sites (Albuquerque, NM; Baltimore, MD; New London, CT) where school-based mental health services were provided by Medicaid organizations. Following…

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…

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…

This study evaluated the effectiveness of the Linkages to Learning (LTL) model of service delivery on the behavior of 119 students, 73 in a school receiving LTL services and the remainder attending a matched control school in Montgomery County, Maryland. LTL is a model for collaborative, school-based delivery of an array of mental health, social…

This paper presents baseline data on students (mean age 10 years) with severe emotional disturbances at four public schools, two in Kentucky and two in Vermont, who will be followed in an evaluation of the application of a coordinated, community-based system of care operating in both states. Data are summarized concerning the service systems…

This report describes a managed care approach which uses limited risk bundled contracting to provide mental health services for high risk children and youth in Franklin County, Ohio. The project uses flexible allocation of blended dollars to support individualized plans that are strength-based and family-centered and incorporate principles of…

This document is intended to assist schools in developing a comprehensive and multifaceted continuum of mental health programs and services. Following an introductory discussion of the scope of the problem, part 1 examines definitional concerns that must be resolved over time. Part 2 provides a general rationale for mental health services in…

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…

This paper considers the concept of the "one-stop shop" in relation to the provision of family services, whereby the family can access a range of support services made available in one location. The paper examines how the concept fits within the context of mainstream service provision in Great Britain today, specifically how the Coram…