This study examined the potential utility of adding items that assessed youths' emotional and behavioral disorders to a commonly used surveillance survey. The goal was to evaluate whether the added items could enhance understanding of youths' involvement in high-risk behaviors. A sample of 3,331 adolescents in Grades 8, 10, and 12 from four…

Within the field of children's mental health, there is increasing emphasis on the idea that young people who experience mental health difficulties should be encouraged to take an active role in shaping not only their own treatment but also mental health services and systems. The terms "empowerment" and, to a lesser extent, "self-efficacy" have…

Many developmental theories that emphasize the importance of developmental task attainment imply that there is a degree of homogeneity in the developmental histories of children with serious disorders. From the perspective of developmental psychopathology, however, children identified as having serious emotional or behavioral disorders are likely…

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.…

The Family Assessment Planning Team Observation Form was used to assess the family friendliness of the admissions treatment team process at an inpatient child and adolescent psychiatric hospital. The overall rating across 35 case presentations was moderately family friendly and showed marginally higher family friendliness than comparable services…

An intervention designed to address barriers to access to children's mental health services for low-income families was implemented in three Oregon counties. Paraprofessionals provided families with information, emotional support, and tangible assistance. Families in the intervention group (n=96) were significantly more likely to initiate…

This introductory article analyzes the challenges facing researchers as they respond to the ideas that guide family-centered services and incorporate these themes into research focused on improving services for children with emotional, behavioral, or mental disorders. The fit between traditional mental health research and family centered services…

A study examined the long-term (3 year) treatment outcomes of all adolescents (n=2,481) who received services in Vermont's statewide systems of care. Recipients of services had substantially elevated rates of incarceration and hospitalization but maternity rates in the treatment groups were not different from other young women. (Contains…

Using data from three sites, a study examined service use and expenditures under systems-of-care. The sites provided children with a full range of mental health services. Per-child expenditures were high, but for two sites, those expenditures were within the range of expenditures in other innovative attempts at service delivery. (Contains…

A study examined juvenile cases processed in an East Coast state between 1992 and 1994 (n=33,423). Findings indicate mental health placements are used rarely relative to other court outcomes (i.e., dismissal, probation, other types of placements), and gender and race significantly influence whether an offender receives this type of treatment.…

This introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

A survey of 37 system-of-care sites constituting 31 programs for children with serious mental health challenges found high family participation in such activities as modification of questionnaires, collecting data, and reviewing results. Low family participation was reported in the hiring of staff and data processing. Most families were…

A 5-year study investigated the relationship of selected variables to engagement (working, attending school, or both) status of 108 formerly incarcerated youth. Participants whose first formal adjudication occurred after 14 and were not gang-involved were more likely to be engaged, as were those who received mental health services. (Contains…

A study compared practice-level variables between two sites that have been implementing system-of-care (SOC) principles for at least 5 years and two traditional service systems. Overall, SOC sites scored significantly higher than non-SOC sites in the child-centered and family-focused, community-based, and cultural competence domains. (Contains…

A study involving 574 children (ages 5-17) who received mental health services examined whether caregiver variables predicted child mental health service utilization patterns, particularly caregiver strain. Results found caregiver strain to be associated with the combination of services used, sequencing of services, gaps in care, and cost of…