For decades, empirically tested youth interventions have prevented dysfunction by addressing risk and ameliorated dysfunction through treatment. The authors propose linking prevention and treatment within an integrated model. The model suggests a research agenda: Identify effective programs for a broadened array of problems and disorders, examine…

There are critical challenges for the design of effective school-based mental health delivery systems. Atkins et al. (2003) provide illustrative examples of how these challenges can be addressed in ways that can significantly increase children's access to empirically supported interventions, integrate programming into existing school leadership…

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…

Refugee movements impose tremendous psychological and physical trauma on survivors, making refugees a high risk group for psychopathology and psychosocial adjustment problems. This paper explores the traditional impediments to developing prevention programs for refugees and describes public mental health strategies that could be used for different…

This paper draws on the emerging literature on consultation and education (C and E) information systems as well as on experiences from an in-progress research project on consultation and education in four comprehensive community mental health centers. It (1) provides a brief review of the literature and state of the art of information systems for…

The major aim of this report is to develop a model of mental health service delivery to the urban, low-income black community. The model assumes that racism and poverty have placed constraints on the development and functioning of systems related to the black family and that the family is the primary source of mental health in the black community.…

A model of mental health service delivery to the low-income Puerto Rican population in areas of the mainland United States where Puerto Ricans are concentrated is presented in this report. The model, designed for use by family service agencies and other similar mental health facilities, assumes that Puerto Ricans are at great risk for mental…

Paraprofessional program development in school psychology is discussed with a focus on student paraprofessional models. Presented is a rationale for the paraprofessional helper concept, an overview of key issues in using paraprofessionals and descriptions of situations for using student paraprofessionals in school psychology service delivery…

This study examined whether parent reports of their child's service use are more reliable in a family-focused delivery system than in more typical service environments. Data were obtained through the Fort Bragg Evaluation Project, a longitudinal assessment of a managed care model for delivering mental health services to children and adolescents.…

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)

Notes the evolving definition of mental health "primary prevention," the future of which is currently jeopardized. Describes a study of the effectiveness of primary prevention in relieving some of the signs and symptoms of teacher burnout. Includes the format of a teacher inservice program which addresses teacher burnout. (SB)

This article provides estimates of emotional and behavioral problems in children and their service utilization patterns. A model for the study of children's help-seeking pathways is offered and used to review the empirical support for variables associated with help-seeking, primarily help-seeking of formal mental health services. (DB)

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 Vanderbilt School-Based Counseling Program in Nashville, Tennessee, increases access to mental health services for children from socioeconomically disadvantaged backgrounds via a primary care model delivering on-site services. Possible interventions include psychotherapy, parent skill training, behavioral and psychiatric consultation to staff…