We describe cases from the clinical records in the Intensive Mental Health Program to illustrate the diverse presenting problems, intervention strategies, therapeutic process, and outcomes for children receiving services in this school-based, community-oriented treatment model. Cases reflect varying degrees of treatment response and potential…

In order to meet the challenging needs and behaviors of children with Serious Emotional Disorders (SED), a school and community based Intensive Mental Health Program (IMHP) was developed and evaluated. We describe the conceptual framework, treatment principles, and model for service delivery for psychological and educational interventions under…

We describe changes in adaptive functioning for children enrolled in the Intensive Mental Health Program (IMHP), an innovative model for serving children with the most severe forms of SED. Most children show marked improvements in multiple indicators of role performance and symptomatology. Although a high risk, high need group, most children…

Discusses the framework and service components of seven major community services which make up a model system of care for severely emotionally disturbed children and their families. (RJC)

This parameter presents overarching principles and practices for child and adolescent mental health care in community systems of care. Community systems of care are defined broadly as comprising the wide array of child-serving agencies, programs, and practitioners (both public and private), in addition to natural community supports such as…

Describes the successful joint programing efforts of a public school system and community centers for mental health in providing comprehensive educational services to emotionally disturbed students. (Author)

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…

Described is a program in which mental health services coordinated by a physician intern were provided in a New York City school. (CL)

A multidisciplinary team model used at a child and adolescent mental health service in Norfolk (England) was evaluated. Team members represented three different professional backgrounds: practitioners, managers, and planners. Formative evaluation results suggest that it is possible to establish interprofessional teams able to integrate with…

Purpose: We sought to determine whether participants in the Program of All-Inclusive Care for the Elderly (PACE) with an informal caregiver have a higher or lower risk of nursing home admission than those without caregivers. Design and Methods: We performed a secondary data analysis of 3,189 participants aged 55 years or older who were enrolled in…

During a symposium, three presentations described initiatives that exemplify the principles and components of the Ecology of Outcomes. Emphasis is on accountability for achieving measurable outcomes and use of outcome information in program planning and development. Summaries of individual papers are: (1) "The Ecology of Outcomes: System…

This paper critiques current models for evaluation of mental health services provided to children and adolescents with emotional disturbances and offers an alternative model. The most popular model, Donabedian's tripartite model, is described. This model separately evaluates three domains: (1) structure (characteristics of the care providers,…

This paper reports on the University of South Carolina School-Based Mental Health Project, a program which provides mental health services within a public school setting in an effort to maximize the preventive and educational effects of mental health services within schools. The project is also developing a model to serve as a foundation for a…

This document is part of a series of monographs on community-based services for children and adolescents who are severely emotionally disturbed. The series is the product of a national study of community-based service approaches which identified over 200 programs serving emotionally disturbed children and included visits to several programs…

This paper introduces a framework for conceptualizing a system of care for children and youth with severe emotional or behavioral disorders built on a child development perspective. The approach focuses on developmental transitions which all children and youth experience. Such transitions include entry into school, negotiating the challenges…