This report discusses the outcomes of a study that investigated whether a self-contained (SC) or pull-out (PO) intervention model was the most effective and most supportive of children's behavioral gains over the course of the entire 1996/1997 year. Data were collected by reviewing the clinical records of children (ages 6-14) who participated in…

Proposes a framework for assessing how human service delivery systems function. Identifies factors that influence the ability of agencies to operate as a unified system. Provides an accurate picture of how services are delivered to target populations, and why various systems function as they do. (Author/JAC)

A community-based program was designed to serve as an alternative to traditional short-term hospital treatment and after-care services for the psychiatrically disabled client. Comparisons revealed significant differences in favor of this approach. A rehabilitation counselor worked half-time and was an invaluable member. (Author)

The development of affiliate agreements requires an organized and planned approach with specific goals and strategies, taking into account the complex dynamics that operate in inter-organizational relationships. Successful negotiation leads to decisions in the best interest of each partner, not just preservation of the relationship. (JAC)

Described are educational services, residential programs, and financial support for individuals with mental retardation in Belgium. The services are available from several government agencies and cover the entire life cycle of the individual. The situation of the mentally handicapped person with psychiatric problems is also briefly reviewed. (JDD)

A pilot system of individualized and rurally compatible community-based alternatives to residential and institutional treatment settings for seriously emotionally disturbed children was evaluated. The results indicate that this intensive, community-based, service-delivery system appears to improve children's behavioral and emotional functioning,…

A summary is provided of a large-scale needs assessment research project in Colorado that tested the validity of several statistical procedures or models for indirectly estimating the need for alcohol, drug abuse, and mental health services across geographic subregions using a Colorado Social Health Survey sample of 4,745 adults. (SLD)

The domestic health profile, family and community role, and federal efforts to help at-risk children are discussed. Federal efforts center on maternal and child health programs that strengthen the family, but other initiatives are necessary to give each child the security and stability needed for healthy development. (SLD)

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…

This report proposes creation of a flexible and coordinated system for delivery of comprehensive community-based services to Minnesota children with emotional and behavioral disorders. The proposal calls for the state to support multiagency Local Collaboratives with: (1) legislation that grants local communities certain powers in exchange for…

This guide is designed to be a resource for individuals and agencies wishing to provide health promotion programs for rural black elderly. Community health promotion is defined as "any combination of educational, social, and environmental supports for behavior conducive to health." Part One, "Health Promotion and the Rural Black…

The Southwest Iowa Mental Health Center recently completed a 4-year project to increase use of mental health services by normally reluctant rural populations and to increase coping ability among persons affected by the farm crisis. During the first 2 years, program goals included aggressive outreach to potential patients, mental health education…

This publication addresses the issues of diverse health care needs and perceptions of the people of Israel based on their ethno-cultural backgrounds. Also studied is the provision of health care services and delivery systems as well as changes in the health care structure with emphasis on regionalization and community oriented primary health care.…

Three panels appearing before the Senate Special Committee on Aging discuss the sensitivity of the Administration on Aging to Native Americans, coordination of services between Title II and Title VI of the Older Americans Act, and availability of services under the act. Witnesses recommend language be included in the reauthorization of the Older…

Traditional mental health service systems are examined in terms of factors limiting their effectiveness, theoretical biases that have shaped them, and their assumptions. Alternative community-oriented approaches are then presented and analyzed. Finally, a new mental health role, the Liaison Specialist, is described. The Liaison Specialist attempts…