Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color experience high rates of mental health disorders, yet they experience challenges to accessing mental health services. Community health worker (CHW) models of care have potential to promote equitable mental health services among LGBTQ youth. Our aim was to understand how CHW…

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach,…

Reviews dilemmas confronting Comprehensive Community Mental Health movement, documents existent paradigms on various campuses with special reference to program at University of Florida. Outlines campus utilization of College Community Model for training of psychiatric resident. (Author/CJ)

The rapid expansion of community mental health programs calls for exploring the primary task, the nature of inputs and outputs, environmental conditions, and subsystem interactions as they affect a community mental health program. The differences between programs organized according to a medical practice model and a human services model are also…

Consumer satisfaction with mental health services is one of the process objectives inherent in the general goals for community mental health centers funded federally by the National Institute of Mental Health. Programs must demonstrate that patients and other service consumers agree that their needs are being met by existing services and patterns…

Community Based Consultation, a consultation/education model appropriate for use in CMHC's and mental health departments is described. The model is being implemented by a Community Services Team of a rural mental health department. Appropriate strategies, a conceptualization of the community along power dimensions, a decision-making structure for…

This paper provides a model to assist local program planners, administrators, and other decisionmakers in the assessment of local drug abuse conditions and problems. The model presents data on which to base everyday judgments about drug abuse, to plan for drug abuse services, and to allocate limited resources on local levels. Drug abuse indicators…

This article describes an effort to implement and examine dialectical behavior therapy's (DBT) effectiveness in a community mental health setting. Modifications made to address unique aspects of community mental health settings are described. Barriers encountered in implementation of DBT treatment in community mental health settings, such as staff…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…

Proposes a framework for assessing how human service delivery systems function. Identifies factors that influence the ability of agencies to operate as a unified system. Provides an accurate picture of how services are delivered to target populations, and why various systems function as they do. (Author/JAC)

This paper presents the approach used by the Technical Assistance Center (TAC) of the University of Minnesota's Refugee Assistance Program in Mental Health for identifying successful and culturally sensitive mental health service delivery models. It divides these into four categories: the psychiatric model; the community mental health model; the…

Issues are presented which concern today's children, even those growing up under the best of environmental, social, and economic conditions. All will face an increased probability of emotional stress accompanying problems of living, undoubtedly resulting in increased demands upon child mental health services. The history of child mental health…

The rural community mental health center tends to serve a large geographic area, have decentralized service delivery, require its professionals to function as generalists, and coordinate closely with other agencies. The last decade has seen an increasing strain placed on this pattern. As block grant and fee-for-service shifts resulting from the…

Low rates of service to older persons in community mental health programs were investigated in 20 California county government sponsored programs. County administrative officers, mental health advisory board members, directors, clinic supervisors, and clinical staff were surveyed through a mailed questionniare. Levels of awareness of problems of…

Reviewing the research findings and issues which have been generated around the topic of Mexican American underutilization of mental health services, this paper discusses five major concepts: (1) the epidemiological paradox of Mexican American underutilization of services; (2) explanation offered for the paradox; (3) elaboration on the explanation…