Eleven states offer 1915(c) Home and Community Based Services (HCBS) Medicaid waivers to organize and fund programs that provide in-home and community support services to address the unique needs of children and youth with complex mental health concerns and their families. However, as the COVID-19 pandemic-imposed restrictions on community…

Mental health care in the United States is both important and expensive. In many instances, those with the least amount of access to quality mental health care services also face other social inequities. The government has addressed this issue in a myriad of ways, some effective, others not. The outpatient development model creates a barrier to…

This manual was designed primarily for use by people with disabilities. The hope is that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with disabilities. The focus of this manual is to provide easy-to-read information about available resources, and to provide immediate…

In this study the long-terms outcomes of children and youth with severe mental health problems receiving residential treatment (RT) or an intensive home-based treatment (IHT) were reported. RT is 24-hour mental health intervention in a highly supervised and structured group living setting where individualized and related therapies are provided.…

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 document describes services for the elderly provided by the Spokane Community Mental Health Center (CMHC) in Spokane, Washington. It begins by stating several reasons that the elderly are often unserved or underserved by health and social service agencies and by noting the need for community efforts to identify and locate the subpopulation of…

This paper describes the Home-Based Crisis Intervention (HBCI) program in New York and the outcomes of a study that investigated the effectiveness of the program. The HBCI program provides short-term intensive in-home services to families with children who are at-risk for out-of-home placements. Counselors work with families to prevent psychiatric…

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…

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 special journal "Theme" issue presents a collection of papers reflecting the psychiatric practices and community treatment for persons with severe psychiatric disabilities in Asia, Africa, Australia, and India. Some of the papers were presented at the 1988 meeting of the World Association of Psychosocial Rehabilitation (WAPR) in…

Nurseries in Cross-Cultural Education (NICE) initiated and implemented a 5-year program involving three nursery schools in preventive mental health in a San Francisco poverty area. It was a demonstration project carried out to study processes of involving inner-city families in coping with problems that often overwhelm city dwellers. NICE focused…

This paper describes the Home-Based Crisis Intervention (HBCI) program in New York and the effects that exposure to violence had on 36 participating children (ages 5-18), the training counselors received on violence issues, and strategies used as a result of efforts to address the effect of violence. The HBCI program provides short-term intensive…

This paper summarizes findings of a 3-year study of the job satisfaction and turnover of home visitors, both professional and paraprofessional, in programs which link families-at-risk for impaired functioning to medical home care and other resources. Specifically, the study examined: (1) home visitor personal characteristics that influence…

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,…

This paper describes the Home-Based Crisis Intervention (HBCI) program in New York and the characteristics and outcomes of the families involved in a study that investigated the effectiveness of the program. The HBCI program provides short-term intensive in-home services to families with children who are at-risk of out-of-home placements. The…