Purpose: We sought to determine whether participants in the Program of All-Inclusive Care for the Elderly (PACE) with an informal caregiver have a higher or lower risk of nursing home admission than those without caregivers. Design and Methods: We performed a secondary data analysis of 3,189 participants aged 55 years or older who were enrolled in…

The homeless mentally ill, numbering approximately 300,000 persons, are a group neglected and forgotten by society. While deinstitutionalization promised a bright future, the necessary, long-term support to implement deinstitutionalization never materialized. Government policies have helped produce problems that encourage recidivism and…

This paper presents the approach used by the Technical Assistance Center (TAC) of the University of Minnesota's Refugee Assistance Program in Mental Health for identifying successful and culturally sensitive mental health service delivery models. It divides these into four categories: the psychiatric model; the community mental health model; the…

Issues are presented which concern today's children, even those growing up under the best of environmental, social, and economic conditions. All will face an increased probability of emotional stress accompanying problems of living, undoubtedly resulting in increased demands upon child mental health services. The history of child mental health…

The Life Enhancement Counseling Model was developed specifically for the treatment of the problems of meaninglessness and purposelessness among depressed Cuban elders. The model is based on psychosocial development and ecological theoretical orientations. A life review approach is used to help the depressed individuals complete unfinished business…

The Foster Parent Training Project builds on the desire of foster parents to promote the physical, mental and emotional growth of children in their care. Parents are taught to assist in reducing the impact on the children of separation. Classes deal with emotional development, sexual development, lying, emotional disturbance, the issues at each…

Based on a North Carolina feasibility study (1967-73) which focused on development of a pattern for providing comprehensive mental health services to rural people, this guide deals with measuring and monitoring stress in the community. Emphasizing the "proactive" efforts developed in a stress model for Vance and Franklin counties, this…

This Training Manual for Student Service Program Development is being published by the WICHE program Improving Mental Health Services on Western Campuses as a result of work done on a grant from the Experimental and Special Training Branch of the National Institute of Mental Health. The manual presents processes used during on-site campus…

As part of a series of reports designed to support the implementation of Proposition 10: The California Children and Families Act and to provide comprehensive and authoritative information on critical issues concerning young children and families in California, this report examines how child health services can be improved to support two related…

This paper uses data from a project in South Carolina that provides services to children with severe emotional disturbance (SED) to examine the role of schools in integrated service delivery. This study examined organizations participating in a demonstration project sponsored by the federal Center for Mental Health Services and administered by a…

The rural community mental health center tends to serve a large geographic area, have decentralized service delivery, require its professionals to function as generalists, and coordinate closely with other agencies. The last decade has seen an increasing strain placed on this pattern. As block grant and fee-for-service shifts resulting from the…

There is increasing evidence that the application of knowledge in developing countries is failing. One reason is the woeful shortage of health workers, but as this is redressed, it is also crucial that we have an evidence base of what works to minimize the "know-do gap." The World Health Organization and other international organizations are…

This document presents papers prepared for the 1978 Special National Workshop on Mental Health Services in Local Jails. The articles provide information on several topics: (1) the nature and extent of mental health needs in local jails; (2) assessment and intervention approaches for addressing these needs; (3) mental health service delivery…

This paper addresses the current need for new, more effective ways of delivering mental health services. It recognizes the need for closer ties between mental health professionals and community groups, which has been met in the past by consultation and education (C and E) groups. But these groups have been hampered by complex social and…

The librarian in a mental health hospital has a unique opportunity to serve patients. The nonclinical setting is a significant factor in establishing the library as a bridge between the hospital and the outside world. The librarian-bibliotherapist, especially when working as a team member with the psychotherapist, brings professionalism and…