Early childhood disruptive behaviors are common mental health problems among American youth, and if poorly-managed, pose costly psychological and societal burdens. Outcomes accountability systems in clinical practice are vital opportunities to optimize early intervention for common mental health problems; however, such systems seem rare. A scoping…

Background: Youth mental health rates of depression and anxiety continue to climb. Schools have a role to play to support youth mental health but often struggle to navigate community expectations. Methods: Focus groups (n = 17) were conducted with over 100 participants to understand community perceptions on the role of schools. Results: Three…

This study tested an integrated package for high-quality school mental health (SMH) services involving quality assessment and improvement, family engagement and empowerment, modular evidence-based practice, and implementation support. Within a two-year randomized controlled trial, 35 clinicians, who provided services to 529 students and their…

Many evaluations of programs tend to show few outcomes. One solution to this has been an increasing prominence of the movement that requires programs to implement evidence-based interventions (EBIs). But in a complex world with complex organizations and complex interventions, many challenges have arisen to the implementation of EBIs with fidelity…

The Policy-Advocacy-Leadership (PAL) column is developed to initiate and facilitate important dialogue about health care and educational policy, and develop and share the knowledge, tools, and resources that enable all of us to be effective advocates for our clients and our practice and leaders in our practice settings and profession. In this…

Nearly all private, government and non-governmental organizations that receive government funding to run social or health promotion programs in the United States are required to conduct program evaluations and to report findings to the funding agency. Reports are usually due at the end of a funding cycle and they may or may not have an influence…

Saturating the Canadian landscape are media and health industry discourses representing childhood physical "(in)activity" and "obesity" as being at "epidemic" proportion. Increasingly identified as a focus of concern within such representations is the school setting, simultaneously positioned both as a cause of…

Objectives: This article provides an introduction to the October 2011 special issue of the "Journal of School Health" on "Healthier Students Are Better Learners." Methods: Literature was reviewed and synthesized to identify health problems affecting school-aged youth that are highly prevalent, disproportionately affect urban minority youth,…

Background: Although models such as the coordinated school health program (CSHP) are widely available to address student health needs, school professionals have been unconvinced that scarce resources should be allocated to improving student health. Concern that attention may be diverted from meeting academic accountability goals is often seen as a…

Oversight is defined in a broad manner, encompassing a wide variety of mechanisms within the mental health field. Implications for mental health practice brought out by these descriptions of mechanisms are discussed to illustrate the utility of them in better understanding oversight practices. (Author/LMO)

The authors present the argument that evaluation as currently practiced is failing the needs of the social sector, if the goal is to help organizations achieve their mission. Three case studies are presented in which evaluation played a key role in the development of a learning culture within the organization. Each case highlights the positive…

School-based health centers (SBHCs) provide physical and mental health services on school campuses to improve student health status, and thereby potentially facilitate student academic success. With a growing emphasis on school accountability and the simultaneous dwindling of resources at the federal, state, and local levels, SBHCs face increasing…

Advantages and disadvantages to various methods of assuring quality and accountability in community mental health centers are discussed. Examples are external structure review, peer monitoring, and site visitation. (LAB)

Premature application of quantitative indicators formerly used for individual assessment and research to bureaucratic decision making can produce side effects that are dysfunctional in nature. In order to illustrate this phenomenon, the author reviews a general literature and utilizes examples form mental health care. (Author/BW)

A study determined the levels of treatment satisfaction among community mental health services recipients and if perceptions of treatment satisfaction were the same for both the recipients and the providers. The recipients, mothers of children treated at the unit, were satisfied with the treatment, but the providers perceived their satisfaction as…