This document presents findings from a study conducted to examine the relationships between jails which were represented at the 1978 Special National Workshop on Mental Health Services in Local Jails and the various components of their local mental health systems. Chapter I explains the origins and scope of the study, describes the sample of 33…

This document is the first volume of a series of reports on the Community Mental Health Center (CMHC) survey project undertaken to assess the impact of the Alcohol, Drug Abuse and Mental Health Services block grant program on the delivery of mental health services to older persons. Chapter I presents an introduction to and background information…

The study was designed to identify hearing impaired persons (3-21 years old) with emotional disturbances and to examine assessment and intervention approaches. Questionnaires and behavior checklists were completed by 116 public and private agencies serving school age hearing impaired students. Among findings were the following: Ss generally felt…

Needs assessments are conducted with the expectation that the information obtained will be used to make rational decisions. A prior review of the anticipated utilization of needs assessment data and evaluation of the appropriateness of such utilization may prevent inefficient use of resources. A structured interview was developed to evaluate the…

In this study social indicators and survey measures were used to predict three-year service utilization rates at a community mental health center on a geographic basis. Ten social indicators were selected from available census tract statistics and seven survey measures were taken from an epidemiological survey of the catchment area of the mental…

To provide remote psychiatric services to a population in Moose Factory, Ontario, via satellite, digital data links will be used to provide 24-hour access to the psychiatric medical file system and the psychiatric patient register at University Hospital, London, Ontario, and to permit scoring and interpretation of standard psychological tests. The…

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…

This paper presents contributions at a symposium about Carolina Alternatives (CA), a North Carolina program that blends capitated financing with public sector managed care for mental health and substance abuse services for children and youth eligible for Medicaid. The symposium focused on stakeholders' perspectives and on expenditure patterns of…

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…

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…

A formalized consultation program has increased preventive mental health services at one midwestern university. A high priority on consultation and outreach services is needed. Staff, interns, and graduate students must be trained. The role of consultation/outreach activities in the broad university scheme must be evaluated. (Author/JAC)

Chapters included are (1) introduction; (2) mental health problems affecting Indian people; (3) impact of mental health problems on Indian communities; (4) the service delivery system; (5) treatment modalities; (6) mental health providers; (7) holding the system together; and (7) a model Indian mental health system. (KS)

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…

Although universal school-wide support efforts are sufficient for most students, some children need more specialized and intensive supports. These supports are organized into programmatic structures such as alternative programs, special education, and Title programs. However, as Atkins, Graczyk, Frazier, and Abdul-Adil (2003) have described, an…

This paper contains preliminary findings from a 1989 survey of over 400 rural health programs serving chronically ill, handicapped, or high-risk children. Respondents identified major problems affecting service delivery. Follow-up research is continuing, but present data indicate that transportation problems, for both clients and staff, will…