The Coimbra Early Intervention Project was undertaken in Portugal to develop the first coordinated, multidisciplinary, interagency program involving health care, education, and social service, using existing resources in the community. The program now operates regionwide and supports more than 100 families and children with disabilities or at…

Differentiates skills needed for work with multicultural families from skills needed for mainstream Anglo-American families. Notes that multicultural family therapist needs to be more aware of cultural diversity, more sensitive to differences in cultural nuances by avoiding stereotyping, and more flexible than in dealing with mainstream families.…

This article reviews recent changes in the mental health system's response to children and adolescents with serious emotional disabilities, emphasizing developments in service delivery and service demonstration research and evaluation efforts. The role of research is examined in terms of its critical importance in improving the system of care for…

Advocates providing health and human services in cooperation with public schools. Reports on the work of the federally sponsored School-Linked Integrated Services Study Team, which examined the development and implementation of integrated services, and found resistance to such change among some service providers. (MDM)

Differences in service utilization and community adjustment between community mental health clients with and without substance abuse disorders were studied for 144 outpatients, 37 percent of whom had dual diagnoses (substance abuse and another disorder). The association of dual diagnosis with poor service use and adjustment is discussed. (SLD)

This paper offers a model for planning services for children who are both mentally retarded and autistic. The model and recommendations for the residential therapeutic environment are organized according to the main axes of child development (biological, physical, cognitive, and socioemotional). (Author/DB)

This paper addresses the processes by which state agencies regulate services for individuals with developmental disabilities and explores whether the regulatory process can be directed to issues affecting the quality of life of people receiving developmental services. Limitations of regulations include the unpredictability of long-term effects,…

Some of the confusion surrounding evaluations of case management results from lack of clarity about value frames used to arrive at judgments of the merit of case management. Six value frames commonly applied to human service evaluation are reviewed, and the relevance of each perspective is examined. (SLD)

Using Derald Sue's framework for examining counseling process with racial-ethnic minority clients, develops new model to examine career counseling process with Asian Americans in terms of culturally appropriate and inappropriate process and outcomes. Offers recommendations for culturally appropriate career counseling interventions from this…

Addresses difficult situations in counseling characterized by fundamental clash in values between client and counselor. Offers conceptual framework for understanding bases of fundamental value clashes, counselor bias, counselor integrity, and respect for clients. Presents model for ethical counseling concerning fundamental value clashes.…

Applies typology to counseling research that lends understanding to role that client-counselor similarity and difference may play in facilitating counseling effects. Asserts that considering this model in relation to existent research illustrates the value of such a typology both for defining relevant cultural differences and for understanding…

Examined effects of therapist marital status and therapist and participant sex on participants' perceptions of therapist and expectations for therapy. Each partner of 20 couples presenting for marital therapy completed protocols differing only on therapist's marital status and sex. Neither therapist marital status nor therapist sex had effect on…

Notes that smaller than expected main effects in psychotherapy research are often attributed to mismatches between clients and treatment. Examines issues in aptitude-treatment interaction (ATI) research in psychotherapy, including Type II and Type III errors, manipulation checks from both patient and practitioner perspectives, considerations of…

Studied 89 clients in case management program, most of whom were identified as heavy users of acute care and psychiatric emergency rooms. Findings revealed that 50% were adult children of alcoholics and that many had been sexually and physically abused as children or adults. None had been asked about or appropriately treated for these aspects of…

Examined factors associated with service use among 186 urban African American elderly people. Interviews with elders and caregivers indicated that many elders were unaware that older adult services were available, that those elders who were socially isolated and who suffered from poor health used services more, and that most elderly respondents…