Treatment foster care (TFC) provides critical mental health supports for youth with emotional, behavioral, and social difficulties who are at risk for adverse long-term outcomes. Existing evidence-based models of TFC are effective, yet resource-intensive, and they have relied primarily on evidence of implementation effectiveness with samples of…

This review examines empirically based studies of school-based mental health interventions. The review identified 64 out of more than 2,000 articles published between 1990 and 2006 that met methodologically rigorous criteria for inclusion. Of these 64 articles, only 24 examined both mental health "and" educational outcomes. The majority of…

A study tested the efficacy of a multicomponent parent training curriculum with caregivers of children receiving mental health services (n=250). The parent group intervention was found to affect significantly two factors critical to increasing caregiver empowerment, knowledge of the mental health services system, and mental health services…

Three customary performance guidelines (therapeutic relationship, satisfaction, and parent involvement) believed to be indicators of quality care were tested for their ability to account for improved mental health outcomes among 240 adolescent clients. Results showed statistically significant relationships between these commonly accepted measures…

Interviews were conducted with 60 human-services-agency staff of the Child and Adolescent Service System Program in California and 67 parents of children with serious emotional disturbance regarding changes over the previous four years in their local children's service systems. Results indicate increased interagency collaboration and family…

The Seattle (Washington) Homeless Adolescent Research Project implemented Project Passage to provide individualized mental health services to homeless adolescents, involving assessment, linkage, advocacy, counseling, treatment teams, and crisis service. Participants evidenced lower levels of aggression and greater satisfaction with quality of life…

Using data from three sites, a study examined service use and expenditures under systems-of-care. The sites provided children with a full range of mental health services. Per-child expenditures were high, but for two sites, those expenditures were within the range of expenditures in other innovative attempts at service delivery. (Contains…

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…

A survey of 37 system-of-care sites constituting 31 programs for children with serious mental health challenges found high family participation in such activities as modification of questionnaires, collecting data, and reviewing results. Low family participation was reported in the hiring of staff and data processing. Most families were…

A study compared practice-level variables between two sites that have been implementing system-of-care (SOC) principles for at least 5 years and two traditional service systems. Overall, SOC sites scored significantly higher than non-SOC sites in the child-centered and family-focused, community-based, and cultural competence domains. (Contains…

This article examines how researchers can apply analytical and methodological tools traditionally used in health policy analysis to study the multiple levels of systems-of-care impacts for students with emotional and behavior disorders. Where possible, results from existing systems-of-care education studies illustrate how these analyses and…

This commentary summarizes findings from previous articles on system-of-care mental health programs for children and adolescents with emotional and behavioral disorders. It addresses characteristics of participating children and families, system measurement system development, costs and sustainability, and family participation in program…

Rethinking and expanding the theory of change underlying systems of care are recommended to support development of the knowledge base for understanding what systems of care can be expected to accomplish. Three domains of knowledge are presented as necessary to understanding the relationship between systems-level change and services. (Contains…

This study compiled descriptive data over 7 years on 812 school-age children with serious emotional disturbance (SED), including demographic and family characteristics, level of psychological and adaptive functioning, services received in either residential mental health treatment facilities or community-based special education programs, and…

This article explores how the school-based wraparound approach and a school-wide systems approach to positive behavioral interventions and supports (PBIS) work together to create more effective school environments and improved outcomes for students with or at risk of behavioral challenges. Complementary aspects of these wraparound and PBIS…