Community-based mental health services are increasingly challenged by waiting lists for individual counseling. A strengths-based, brief solution-focused counseling (BSFC) model was used to increase the number of clients served while maintaining high-quality services. Clients who participated in BSFC experienced both shorter wait times than did…

At best, mainstream mental health services are often ineffective with Native American clients, and, at worst, they are a vehicle for Western colonization. As such, the authors explore the notion of abandoning the Western therapeutic project and rebuilding the helping process on the basis of indigenous knowledge foundations. To this end, they…

Describes the implementation of a collaborative discharge planning program for a chronic psychiatric population. Emphasizes the importance of good communication between patient and professionals. Presents a case example. Findings suggest more substantial involvement of patients in after-care programs is needed. (Author/JAC)

Describes an approach used by a community mental health district to (1) assess its current services for sexual-minority clients (gay men, lesbians, and bisexuals), (2) develop recommendations for more appropriate staffing and staff development, and (3) implement a plan of community outreach and professional training. (Author/ABB)

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.…