This description of counseling and psychotherapy services at Amherst College begins with our heritage from the "mental hygiene" movement of the nineteenth century, the founding of the first university mental health services and the later development of a counseling center tradition. By tracing the evolution at Amherst, from a brief…

Evidence-based substance use prevention programs have proliferated in schools and are being adopted by districts in rural settings and internationally. Little attention, however, has been paid to the adaptation process that occurs when these programs are moved to different contexts. In this commentary, the authors draw upon their experience with…

There are many challenges to transporting evidence-based treatments from laboratories into real-world settings. However, if we hope to make our evidence-based treatments accessible and available to children and usable by community professionals, effectiveness research is imperative. We argue that schools represent an ideal real world setting in…

The decision to mass immunize the public against Swine Flu was based on odds that had been calculated from variables of unknown magnitude. (JD)

The author argues for a humanistic approach to the mental health education of the general public. He suggests that a "demythologizing" approach has advantages over the medical model in helping the public to deal with their psychological problems. Supporting research evidence is reviewed. (Author/SJL)

The promotion of evidence-based practice (EBP) has become a dominant discussion in mental health and education, and in school mental health, which reflects attempts to integrate these (and other) systems. Research in this area is advancing, and there are increasing examples of school-based programs built on scientific findings of effectiveness.…

This paper critiques current models for evaluation of mental health services provided to children and adolescents with emotional disturbances and offers an alternative model. The most popular model, Donabedian's tripartite model, is described. This model separately evaluates three domains: (1) structure (characteristics of the care providers,…

This paper examines critical issues for states and advocacy groups in trying to develop short-term goals to address mental health needs of refugees and to plan long-term strategies for state and county service systems for this population. The paper begins with a discussion of the following issues: (1) centralized versus decentralized state mental…

This report of the National Council on Disability (NCD) examines root causes of the crisis in mental health, specifically the dysfunction of fragmented public systems charged with providing mental health services and supports for children, youth, adults, and senior citizens diagnosed with mental illnesses. Following an introductory chapter,…

The outcomes of deinstitutionalization programs for criminals and the mentally ill have not matched expectations. Community alternatives have become extensions of the penal system. For the chronically mentally ill, granting the negative right of freedom from organized interference has often meant denial of the right to care and attention.…

This introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

In addition to publishing the papers given at key meetings, this series on health facilities includes discussions and responses. The series is intended to help meet the information needs of health service providers and others who require direct access to concepts and ideas evolving from the exchange of research results. Health facility reuse is an…

Raises concerns about the failure of mental health service providers to address the psycho-developmental needs of people with mental retardation, especially incarcerated individuals with severe behavior disturbances and both mental illness and mental retardation. A "flight from developmental theory" is seen in most service providers to this…

Explores why mental health has been a contested issue in Head Start and describes recent efforts to bring mental health closer to the center of the program agenda. Describes areas of challenge and innovation that might further the program goal of improving the well-being of parents and children in poverty. Concludes with recommendations for…