In the wake of a U.S. Justice Department investigation that found widespread use of excessive force by staff at upstate psychiatric care facilities for mentally ill children, this new edition of Child Welfare Watch identifies shortcomings in mental health services and explores possible solutions, including the expansion of alternatives to…

Focuses on the development and implementation of a treatment model for the reintegration of chronically disturbed psychiatric patients into community living. The model operates within the context of an interdisciplinary team structure and has as its central component aggressive outreach and intensive support as determined by the patient's needs.…

A practicum at a crisis intervention center in the middle of a large Canadian city in Ontario was designed to offer crisis intervention, shelter, and non-residential support for runaway and homeless youth, ages 16 to 21, who lived on the streets or in emergency shelters. The practicum provided an opportunity for program staff to develop a…

This document is part of a series of monographs on community-based services for children and adolescents who are severely emotionally disturbed. The series is the product of a national study of community-based service approaches which identified over 200 programs serving emotionally disturbed children and included visits to several programs…

This report from a study group on long-term mental illness (LTMI) examines three components of the vocational rehabilitation process (the client, the counselor, and the programs) and the systems through which the three components interact. The first chapter discusses the history and evolution of the vocational rehabilitation (VR) and mental health…

This report highlights the major issues discussed during a 2-day workshop on Medicaid funding for community-based mental health services for children and youth with severe emotional disturbances. The report opens with a brief description of the service needs of children and youth with severe emotional disturbances and the system of care that can…

A humanistic ideology which emphasizes self-determination, self-reliance, and personal responsibility in decision making, is congruent with the goal of community psychiatry to integrate the ex-institutionalized psychiatric client in the community. The following applications of this ideology in a small community mental health center are described:…

The theme issue of this bulletin is a discussion of youth with emotional disturbances who are in the juvenile justice system and how to meet their needs. Articles include: (1) "Responding to the Mental Health Needs of Youth in the Juvenile Justice System" (Susan Rotenberg); (2) "Prevalence of Mental Disorders among Youth in the…

This report recommends a 10-year plan for changes in services to people with intellectual disabilities in Victoria, Australia. Intended key outcomes of the plan include: increases in the numbers of clients receiving direct residential support in community-based accommodations; reductions in numbers of adult clients resident in large scale…