A major finding from interviews with 25 New York City (New York) poverty-area urban elementary school principals is that they cannot adequately educate children without services to deal with the emotional distress experienced by many students. Teachers need the help and support of trained professionals. (SLD)

Follow-up of 972 children for 6 months after sexual victimization found that those children most likely to enter therapy were Caucasian, between the ages of 7 and 13, had cases in which the Department of Children's Services of Los Angeles or law enforcement were involved, were placed outside the home, and experienced abuse of greater frequency.…

Analysis of an instrument for assessing workers' beliefs about parents of children receiving mental health-related services identified five factors: parent blame, giving information, parent validation, use of psychotropic medications, and parent instruction. Differences in beliefs were revealed among workers who endorsed psychodynamic, family…

The quality of health services is a subject of increasing interest to health care providers and organizations responsible for financing and promoting health services. This paper utilizes family planning programs to explore issues of the quality of health services. Reviews the literature on quality of services and identifies the gaps in research…

The multivariate generalizability of the Role Functioning Scale (RFS), which serves as a replacement for the global ratings of the Social Adjustment Scale, was studied with 396 severely disturbed clients of a public mental-health bureau. Generalizability of single subscales was less than that of the combined subscales. (SLD)

Seven articles focus on child and adolescent mental health services, highlighting major evaluation issues, considering the contribution of evaluation to improvement of these services, and describing efforts to overcome distinctive problems in these areas. Policymakers and providers of services are optimistic about the use of evaluation of program…

A pilot study assessing parent satisfaction with mental health services for children was a disappointment in its low response rate (28%, 15 of 53 questionnaires). However, the questionnaire, the Client Satisfaction Questionnaire, was an easy to use and effective tool that identified some sources of dissatisfaction. (SLD)

Reports the positive effects of a school-based program including classroom health education, vigorous physical education, and lower fat and sodium school lunches on improving students' diet and physical activity. However, staff development and policy changes would have to accompany any widespread implementation. (CJS)

Strategies for the adaptation of Head Start for the economic and social conditions of the future involve the linkage of early childhood and family support approaches with community economic development. Such strategies must include a reappraisal of mental health models to ensure the health of children and their families. (SLD)

Describes West Indian culture, including belief systems, family patterns, child-rearing practices, racial mixtures, and geography; and explains the importance of culturally relevant approaches to mental health services. The effective clinician must approach clients with an attitude of cultural relativity. (SLD)

Physical fitness of children with learning disabilities may be comparatively low. In a school-university cooperative program, four rural children with learning disabilities and their families participated in a 10-week fitness program that included nutrition education and family exercise activities. Results were positive and showed the need for…

Describes the evolution, implementation, maintenance, and evaluation of comprehensive school-based mental health services in the Dallas, Texas public schools. A collaboration between mental health services, other health services, and the schools established 10 Youth and Family Centers to serve local schools. Benefits and challenges to coordinated…

Proposes a one-stop model of services to be delivered from pediatric outpatient clinics to improve the delivery of services to low-income preschool children and their families. The needs of low-income preschoolers and their mothers, and how these needs are met by this model, are described. (Author/CR)

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…

Based on a sample of 1747 from the Chinese American Psychiatric Epidemiological Study, this report examined perceived barriers to mental health treatment. Two factors emerged, namely "practical barriers", which included cost of treatment, time, knowledge of access, and language, and "cultural barriers" consisting of credibility…