Surveys leaders from various roles in the managed-care and mental-health professions to identify current and future marketplace trends affecting the clinical practice of mental-health counseling. Identifies training and continuing education needs based upon these interviews. (Author/GCP)

Factors that contribute to resilience provide a framework for demonstrating how mental health professionals can build on strengths in adolescents in a violence reduction program. Article profiles the resilient youth as one who is optimistic, empathetic, has a caring temperament, and can attract friendships. (Author/JDM)

Compares mental health services from Anglo-American and Native perspectives, focusing on the cultural self as a suggested locus for greater credibility and increased use of these services. Recommends cultural competence as a model for community-specific policy for the design and implementation of services to increase the probability of…

A study of 1,015 children with behavior problems investigated the impact of a child's emotional and behavioral problems on the family. Families of youth who first used mental health services when they were ages 10-15 showed significantly higher rates and levels of family impact than families of youth who did not enter services. (Author/CR)

This article examines the relationship between an adolescent with behavior disorders, his family, and the system of care, through a single case analysis. The methodology used to collect the case record and interview data and to analyze and graphically illustrate the data are presented to demonstrate use of qualitative data in program evaluation.…

A method is described for increasing residual degrees of freedom in a community experiment without substantially increasing cost or difficulty by dividing experimental subunits into batches. Theoretical advantages of batch sampling are described and illustrated with data from the Pawtucket Heart Health Program. (SLD)

A former mental health counselor and managed-care case manager provides insights on dealing with managed care organizations. Offers suggestions on how mental health counselors can develop working relationships with case managers, do treatment planning, submit claims forms, and resolve disputes. (Author/JDM)

A study compared 58 patients who were deaf and 168 hearing patients at a facility serving youth with psychological disturbances. All of the children who were deaf and admitted at age 12 or younger had strong or confirmed indications of sexual abuse and 85 percent of the adolescents. Residential facilities are described. (Contains references.)…

Objective: To determine the demographic and psychosocial correlates of physical and sexual abuse among children with autism. Methods: Data collected from 1997 to 2000 through the national evaluation of the Comprehensive Community Mental Health Services for Children and their Families Program on 156 children with autism were used. Data included a…

Although anxiety disorders represent the primary reason children and adolescents are referred for mental health services, children showing symptoms of these disorders are not easily recognized. School-based practitioners are in a unique position to help minimize the risk and prevent the development of anxiety disorders. This article examines the…

This article presents a comprehensive strategy framework for integrating mental health, child welfare, education, substance abuse, and juvenile justice system services. It proposes an infrastructure of information exchange, cross-agency client referrals, a networking protocol, interagency councils, and service integration models. This…

Children of migrant farm working families often live and learn in conditions that conspire against both health and education. At the same time, these children are as capable as any in our nation. Education and health care professionals are frequently in positions to support these capabilities and migrant families can be significant contributors to…

Women recover and heal from traumatic violent experiences in many different ways. This study, which is part of the Franklin County Women and Violence Project, explores the healing experiences of 18 women who have histories of violence, substance abuse, and involvement in the mental health and/or substance abuse treatment system. Ethnographic…

This study examined anger, depression, and stress as related to alcohol consumption, saturated fat intake, and physical activity. Participants were 23 older adults enrolled in either an outpatient or in-residence executive health program. Participants completed (a) a health-risk appraisal assessing medical history and current health habits, (b)…

The Circles of Care initiative emphasized the importance of developing an outcomes measurement plan that was consonant with the model system of care as well as community values and priorities. This analysis suggests that the Circles of Care grantees achieved this key programmatic objective, but that a major constraint was the tendency of funders,…