This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

This paper contains summaries of research projects of three graduate students participating in the Multicultural Mental Health Training Program at the University of South Florida's Florida Mental Health Institutes. The students' work involved the development of evaluation or research projects with ethnically diverse minority communities. The first…

This paper reviews the literature on the background, legal process, and implications of the Felix consent decree, a legal settlement in which the State of Hawaii agreed to improve its special education program and to develop a self-sustaining system of care for delivering special education services. The paper begins by reviewing federal laws (the…

This report discusses the preliminary results of a study that investigated arrest rates for adolescents who received community mental health services under Medicaid managed care programs in Hillsborough, Florida, and four surrounding countries. Results indicate many young recipients of mental health services were arrested in Hillsborough and…

Using urban schools to provide a pivotal platform from which to launch mental health services, the target population in this study was a group of students (n=41), ages 5-13, with serious emotional disturbances and their families at two elementary schools in Cleveland, Ohio. The children were referred for school-based mental health services by…

This paper summarizes findings of a 3-year study of the job satisfaction and turnover of home visitors, both professional and paraprofessional, in programs which link families-at-risk for impaired functioning to medical home care and other resources. Specifically, the study examined: (1) home visitor personal characteristics that influence…

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 traces historical attempts to form a comprehensive child mental health policy in the United States and discusses the latest unsuccessful attempts at the creation of such a policy through the managed behavioral healthcare revolution and the Child and Adolescent Service System Program and Child Mental Health Services initiative.…

This article describes the methodological challenges and processes involved in designing and conducting the School Health Policies and Programs Study. Information is provided on questionnaire development, sampling, data collection, and weighting and variance estimation. (SM)

This article addresses theoretical and practical issues in the provision of mental health services to address psychosocial problems of secondary and postsecondary students with learning disabilities. Examples are offered of case studies and interventions from two federally funded research/demonstration projects at the University of Minnesota: the…

Describes a rural West Virginia health-care center as a successful model program for integration between the clinic and community. Describes center facilities, funding sources, community cooperation, and cooperative residency program with regional medical school. Discusses implications for other medical-education programs. Describes differences…

Discusses treatment modalities for drug-abusing women. The following are barriers that prevent women, particularly pregnant women, from getting treatment they need: (1) lack of programs admitting women; (2) lack of programs tailored to women; and (3) fear and isolation experienced by drug-abusing women. (SLD)

Reviews studies on the risk of human immunodeficiency virus (HIV) among homeless adolescents, and makes policy recommendations. Discusses factors affecting delivery of services, social networks and risk acts, and describes intervention programs aimed at homeless youth. Homeless youth are well informed about HIV and responsive to behavior change.…

Little attention has been given to racial/ethnic differences in studies of co-occurring disorders among women. In this article, we present findings from analyses conducted on the influence of racial/ethnic differences on the demographic and clinical profiles of 2,534 women in the Substance Abuse and Mental Health Services Administration-sponsored…