The 2004 California Mental Health Services Act requires large-scale system change in the public mental health system through a shift to recovery-oriented services for diverse populations. This article describes an innovative strategy for workforce recruitment and retention to create and sustain these systemic changes. The California Social Work…

The "Colorado Children's Budget" presents and analyzes investments and spending trends during the past five state fiscal years on services that benefit children. The "Children's Budget" focuses mainly on state investment and spending, with some analysis of federal investments and spending to provide broader context of state…

The "Colorado Children's Budget 2012" examines the state's commitment to investing in the well-being of children. It tallies up Colorado's actual and planned investment during the past five years (Fiscal Year (FY) 2008-2009 through FY 2012-2013) on programs and services in four areas: Early Childhood Learning and Development, K-12…

Early childhood mental health (ECMH) services are relationship-based since infants and young children depend on parents/family/care-takers to provide for their basic survival needs and their social emotional health. ECMH is defined by ZERO TO THREE as the "social, emotional, and behavioral well-being of children birth through five and their…

The latest initiative to address mental health needs of the nation, including those of children and youth, is the President's New Freedom Commission on Mental Health (NFC). The NFC formulated a benchmark of six goals and related recommendations toward which the U.S. should strive, including the recommendation that each state develop a…

Children's access to Medicaid dental services is a long-standing concern. The tragic case of a 12-year-old boy who died from an untreated infected tooth that led to a fatal brain infection renewed attention to this issue. He was enrolled in Medicaid--a joint federal and state program that provides health care coverage, including dental care, for…

Providing health care services for foster children, who frequently have significant health care needs, can be challenging. The Administration for Children and Families (ACF) oversees foster care, but state child welfare agencies are responsible for ensuring that these children receive health care services, which are often financed by Medicaid. In…

To examine alternatives to nursing home care, states have been testing home and community-based services under the Medicaid program. Information on the operations of the state projects will be vital to designing cost-effective alternative services in the future. The General Accounting Office (GAO) reviewed state reports to see if accurate,…

In recent years, concerns have been raised about the adequacy of dental care for low-income children. Attention to this subject became more acute due to the widely publicized case of Deamonte Driver, a 12-year-old boy who died as a result of an untreated infected tooth that led to a fatal brain infection. Deamonte had health coverage through…

This annual report of the Oklahoma Department of Human Services (DHS) is for fiscal year 1990. A introductory overview presents brief program descriptions and trends. Tables describing expenditures for fiscal years 1989 and 1990 by program type and overall DHS program expenditures categorized by federal and state amounts for the years 1937-1990,…

The nine articles of this special section focus on the role of evaluation in the reform of the mental health system in Washington. The reform process is described from its inception through its design to the dissemination and utilization of evaluation results. The final article considers implications for statewide evaluations. (SLD)

Observes that adequate health care is essential to every child's development and achievement. Discusses some of the indicators of child health and the U.S. Surgeon General's goals for childhood health care. Describes means of protecting child health and what the federal and state government role should be. (SG)

The study compared the effectiveness of the Washington State High Priority Infant Tracking Project in maintaining high risk infants in continuing health care, determining health and developmental outcomes, and surveying the use of community resources with other state tracking projects. The project identifies infants during the first 30 days of…

This evaluation report describes programs funded by the Texas Department of Human Resources to develop and implement child abuse and neglect services. Yearly evaluation reports and other related information are included for each of the seven programs funded. In addition to this basic information, the evaluation of the Special Investigative…

The report describes a regionalized system of community based child health centers developed in Iowa to provide coordinated secondary level health services for children with chronic illness and handicapping conditions. The system is based on two principles: (1) Communities will be given the responsibility for determining which health services are…