For more than 20 years, the system of care philosophy has comprised a central strategy of service reform in children's mental health at the federal, state, tribal, and local levels. System of care terminology has become widely used in many different service sectors but often without a shared understanding of what a system of care is. This…

The Intensive Mental Health Program meets the needs for services in school systems for children with serious emotional disturbances and for training graduate students in clinical applications with a difficult-to-serve population. We address the range of challenges and rewards experienced in the development of the comprehensive intervention…

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…

This paper summarizes the development of the Adolescent Treatment Outcome Module (ATOM) to monitor the outcomes of mental health treatment of adolescents with emotional or behavioral problems. The module is intended to: provide reliable and valid information about outcomes of mental health care; be applicable across severity levels, clinical…

Development of a college mental health service concerned with suicide intervention is described. Primary prevention programs emphasized ties with other agencies to facilitate referrals while secondary prevention programs encouraged psychotherapy and family involvement. (Author/DF)

The organization of the self-help program for adolescents at Mendocino State Hospital is structured to provide a continuing growth experience for its residents through the strategic use of role relationships, status positions and other social reinforcers. (Authors)

A child development team in a children's services unit of a mental health center should: (1) formulate a broad philosophy of treatment for young child clients; (2) evaluate treatment approaches to determine the extent to which they facilitate or conflict with that philosophy; (3) assess inservice training needs to ensure competency-based service…

The report analyzes roles of mental health professionals in implementing Public Law 99-457, the Education of the Handicapped Amendments of 1986, which established the Child and Adolescent Service System Program (CASSP). A December, 1987, conference of administrators, clinicians, policymakers, and parent representatives from federal, state, and…

Discusses the development and preliminary evaluation of an experimental statewide system of services in North Carolina for seriously behaviorally/emotionally disturbed adolescents. The program successfully provides these youngsters with appropriate treatment, education, training, and care suited to their individual needs, including community-based…

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…

The paper deals with a mental health program designed to treat the 2 1/2 to 5 year old Mexican American child with severe emotional or behavioral problems. Components of the program included a mutual agreement with Parent Child Centers (Headstart) in the community; staff who had expertise to evaluate, diagnose, design, and implement an individual…

Identifies some of the variables critical for the success of at least 6 treatment programs serving disturbed children and their families. Variables center around combination of 3 concepts: (1) family-child community orientation; (2) inter-disciplinary approach that revolves around child care worker; (3) community ownership through an invested lay…

Three summaries of papers presented in a symposium examine issues in the wraparound model of providing case management and mental health services to children and adolescents with emotional/behavioral disorders. The papers describe 30 months of participatory program evaluation and simultaneous program development between the University of South…

This paper describes the development of a consumer-based program in rural Essex County (New York) for families with children with emotional disorders. Initially, in-depth, in-home interviews were held with 24 families who had children with serious emotional disturbances concerning their service needs and desires. The following needs were expressed…

This paper reports on efforts underway in New York State to develop the Individualized Needs for Services Assessment (INSA). The INSA is a set of standardized procedures and data definitions to guide assessment of service needs for children with serious emotional disturbances (SED). The INSA procedure for children with SED is designed to be…