Children receiving services for severe emotional and behavioral difficulties are less likely to have parents who are involved in their education and support services. Peer-to-peer family support programs are one approach to increasing the self-efficacy and empowerment of parents' engagement in the treatment of a child's mental health conditions.…

Background: The effectiveness of cognitive-behavioral treatment (CBT) in inner city schools, when delivered by novice CBT clinicians, and compared to usual care (UC), is unknown. Objective: This pilot study addressed this issue by comparing a modular CBT for anxiety disorders to UC in a sample of 32 volunteer youth (mean age 10.28 years, 63%…

Mental health services are underutilized in our society by both adults and children. This finding presents a potential problem for researchers conducting community-based research. Previous studies have demonstrated that community-based researchers frequently do not screen participants for the presence of psychopathology nor do they ascertain…

We illustrate the use of formative and summative assessment in evaluating a therapeutic classroom program for children with serious emotional disturbances. Information was analyzed based on data gathered for clinical decision-making during treatment (formative assessment) and measurement of outcomes at discharge (summative assessment) from a…

This study examined the rate at which juvenile courts refer youthful offenders to mental health care and organizational factors that may account for variation in treatment referral rates. The study was based on 73 juvenile courts in Tennessee. Data sources included secondary, statewide data on youth referred to the courts in 1997 and responses of…

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…

Evaluation of demographic, behavioral, and mental health service utilization data on 662 children in foster care found that 56% had received mental health services. Children who experienced "active" types of maltreatment (such as sexual abuse) were more likely to receive mental health services even when severity of mental health problems…

This article reports factors associated with good versus poor outcomes for 173 young adults referred for mental health services. Participants with good outcomes differed in quality and stability of their living situations, full-time versus part-time employment, peer relationships, goal orientation, successful experiences, stressful experiences,…

This paper discusses the results of a study that investigated the need for services across the continuum of child/adolescent mental health services in Virginia. Specific objectives of the study were to: (1) describe the youth receiving services; (2) determine where and to what extent gaps in services exist; (3) determine the reasons why youth do…

This study examined demographic, clinical, and criminal histories as they related to whether 244 youth (ages 12-18) referred for mental health services at a juvenile corrections facility were repeat or first-time offenders. The population of 244 patients included 144 first-time offenders and 100 repeat offenders. Results of the study found that…

The authors examined heterogeneity in symptom trajectories among youths following psychiatric crises as well as the psychosocial correlates and placement outcomes associated with identified trajectories. Using semiparametric mixture modeling with 156 youths approved for psychiatric hospitalization, the authors identified 5 trajectories based on…

Most studies investigating the decision to seek mental health care have focused on socio-demographic differences in health utilization behavior rather than psychological variables. To evaluate three psychological explanations of help-seeking behavior, i.e., the health belief model, the socio-cultural perspective, and an ego psychological approach,…

This study investigated the findings of a previous study on the effectiveness of the Fort Bragg Child and Adolescent Mental Health Demonstration Project, a program that provided a comprehensive approach to the delivery of mental health and substance abuse services to a population of military-related children residing within the Fort Bragg…

This study used archival data to examine adult charges and court outcomes for 82 individuals who had been treated in public mental health programs as adolescents. Subjects' clinical records from their adolescent day treatment (18 percent), residential (23 percent) or hospital program (58 percent) were reviewed for sociodemographics, clinical…

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…