To positively affect psychiatrically disabled clients, rehabilitation practitioners require the ability to diagnose and increase client skills, to maintain one's personal effectiveness, and to coordinate one's efforts with the other persons involved in the comprehensive rehabilitation effort. Training programs need to be comprehensive and…

Various concepts of culture related to ethnicity, language use, values, material goods, and rituals have influenced development of culturally competent mental health programs. Describes how understanding of culture's complexity influences assessment of Hispanic clients at three inpatient bilingual/bicultural psychiatric programs in New York City.…

A model of evaluation is presented that allows direct service agencies in mental health and substance abuse areas to evaluate their programs cost effectively and appropriately. The approach emphasizes research partnerships as potentially valuable ways for self-help group members to explore their own practices through communication and critical…

Describes a nationally recognized service program that delivers integrated mental health and substance abuse services to children and youth with a wide range of problems. The model incorporates elements of primary and secondary prevention and community outreach into service delivery. Program components are discussed in detail. (RJM)

Increasing deinstitutionalization of the mentally disabled has instigated research on neighborhood receptivity to this group. Investigates the contribution of neighborhood types and individual characteristics in predicting responses of residents in a midwestern Canadian city. Supporters of neighborhood community mental health facilities outnumber…

The effectiveness of a teacher-implemented psychological health program designed to improve students' test coping skills in the classroom was tested using 497 Israeli fifth and sixth graders. The cognitive training program significantly improved performance on three cognitive measures, although it negligibly affected test anxiety scores. (SLD)

Describes a participatory research project among the Sikuani Indians of Colombia that uncovered solutions to a failing government-imposed health program. Discusses promoting community involvement in and control of its own health care, integrating traditional and modern medical practices, and adapting national health dictums to local circumstances.…

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)