While research regarding the effectiveness of the wraparound process is steadily mounting, little is known about how this service delivery model works and for whom. Using data gathered on 176 youth who participated in the wraparound process, the authors examine client and service factors associated with outcomes. Bivariate logistic regression…

A 4-year study of 27 system-of-care sites designed to provides mental health services to children and adolescents, found that despite many changes in each local service system, no site was able to fully implement all 16 key attributes comprising an ideal system-of-care model (including sites with previous system-building experience). (Contains…

This article provides estimates of emotional and behavioral problems in children and their service utilization patterns. A model for the study of children's help-seeking pathways is offered and used to review the empirical support for variables associated with help-seeking, primarily help-seeking of formal mental health services. (DB)

The Vanderbilt School-Based Counseling Program in Nashville, Tennessee, increases access to mental health services for children from socioeconomically disadvantaged backgrounds via a primary care model delivering on-site services. Possible interventions include psychotherapy, parent skill training, behavioral and psychiatric consultation to staff…