Mental health services for minorities have remained biased and deficient. A discussion is included on some racial differences that affect assessment, diagnosis, and intervention of counseling services. A model is proposed that illustrates how cultural information can improve service delivery to African Americans. (JDM)

Background: There has been relatively little research into therapeutic alliance in child and adolescent mental health and virtually no incorporation of alliance measures as a variable in treatment trials in Child and Adolescent Mental Health Services (CAMHS). Method: A selective literature review on studies in therapeutic alliance in adulthood and…

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…

The case histories of water and sanitation schemes described in this volume can best be understood by identifying the moments at which critical hurdles were encountered and surmounted. The first case study, which concerns Bangladesh, discusses promising prospects that existed amid the pollution and the technical and managerial expansion of the…

This manual provides resource tools and strategies to enhance the suicide prevention capabilities of health professionals and the health care setting in which care is provided. In the first section, terms are defined and the suicide prevention triangle model is described. Applications of the model and good practices for suicide prevention in any…

This paper provides a model to assist local program planners, administrators, and other decisionmakers in the assessment of local drug abuse conditions and problems. The model presents data on which to base everyday judgments about drug abuse, to plan for drug abuse services, and to allocate limited resources on local levels. Drug abuse indicators…

While much of the development of consultation programs in mental health centers has been independent of the traditional treatment program, this document describes a consultation program which is closely integrated with an agency's treatment program. The emphasis is on system change and the development of prevention programming. The system-crisis…

While mental health services can be delivered through either traditional or community paradigms, most behaviorally oriented clinicians have implicitly or explicitly opted for the more traditional approach. This paper examines research which delineates conceptual limitations in subscribing to a traditional orientation. The community model…

Using a developmental approach to establish a rational model for the assignment of tasks and roles to various levels of mental health manpower, 36 participants attended four 2-day seminars which were concerned with needs of clients, activities to meet the needs of clients, needs of agencies and institutions, and legal, institutional, and…

This model presents a working plan of consultation between schools and a community mental health agency. This involves two functioning levels: (1) concern with process issues; (2) interpersonal transactions between staff and students. This model defines stages in relationship to the institution. It emphasizes the importance of multi-level…

Whatever organizational alternative--medical care, welfare, or educational system--is chosen, it is clear that there should be an integration of services--medical, social, emotional, and educational--for all children and their families. (Author/IRT)

At the request of the Substance Abuse and Mental Health Services Administration (SAMHSA), the Research and Education Foundation of the American Association of Marriage and Family Therapy organized a series of 12 panels that focused on family issues in adolescent treatment. In these workshops, panelists discussed the importance of involving the…

A course in consultation is increasingly becoming part of the required graduate curriculum of counseling psychologists/counselors who are training for employment in mental health and educational settings. This practical model for teaching consultation skills includes didactic presentations, demonstrations, and simulation experiences. (Author)

Deficiencies observed in health education and infant bonding in the postpartum service at the University of California-Irvine Medical Center prompted the creation of a nurse clinician position to coordinate health education for the largely indigent patient population, to expand in-service training, facilitate delivery of services, and to serve as…

Service-planning issues necessary for successful implementation of an indirect needs-assessment model to estimate geographical differences in the prevalence of needs for alcohol, drug abuse, and mental health services are discussed. The issues include selection of need categories as target groups, estimation model selection, and understanding…