This paper provides a description and analysis of the development, implementation, and continuing framework of practice for a model of comprehensive, coordinated maternal and child health programs in which traditional maternal and child health services are provided by a local county health department while family planning and related services are…

This paper discusses the importance of an effective partnership between health services and early childhood programs, and examines ways that leaders in both service systems can cooperate to help caregivers, teachers, and parents raise healthy children. After examining the need for an improved partnership, the historic and contemporary role of a…

Florida's District 12 Veterans Administration (VA) wanted to deliver medical case-management services to veterans not receiving home-based services due to the geographic restrictions of the VA's Hospital-Based Home Care Program. The Florida Department of Health and Rehabilitative Services (HRS) desired to demonstrate the effectiveness of nurse…

This document describes the TEACH (Train the Elderly And their Caregivers at Home) project, a demonstration project developed by Florida's District 12 Veterans Administration and the Florida Department of Health and Rehabilitative Services to reduce Medicaid nursing home expenditures by delaying or avoiding nursing home placement and to provide…

This report from a study group on long-term mental illness (LTMI) examines three components of the vocational rehabilitation process (the client, the counselor, and the programs) and the systems through which the three components interact. The first chapter discusses the history and evolution of the vocational rehabilitation (VR) and mental health…

This document summarizes issues presented by 16 scholars, researchers, and practitioners from the United States and Canada at a conference on refugee children traumatized by war and violence and suggests a service delivery model for these children and their families. A large percentage of the legal and illegal immigrants who have entered the…

The Vanderbilt School-Based Counseling Program in Nashville, Tennessee, increases access to mental health services for children from socioeconomically disadvantaged backgrounds via a primary care model delivering on-site services. Possible interventions include psychotherapy, parent skill training, behavioral and psychiatric consultation to staff…

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…

This paper uses data from a project in South Carolina that provides services to children with severe emotional disturbance (SED) to examine the role of schools in integrated service delivery. This study examined organizations participating in a demonstration project sponsored by the federal Center for Mental Health Services and administered by a…

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…

Proposes a one-stop model of services to be delivered from pediatric outpatient clinics to improve the delivery of services to low-income preschool children and their families. The needs of low-income preschoolers and their mothers, and how these needs are met by this model, are described. (Author/CR)

This report summarizes the findings of a conference that examined the problem of Human Immunodeficiency Virus (HIV) infection and Acquired Immune Deficiency Syndrome (AIDS) among street and homeless youth. Street and homeless youth, by virtue of their circumstances and the behaviors they engage in, are at great risk of becoming infected with HIV,…

Summarizes conference proceedings and provides an overview of the nature and key issues of cut-back management in community mental health services. Discusses leadership and management, leadership strategies and values, the management of organizational resource reduction applied to human services, the process of reorganization, and…

This report is a case study on the process of developing interagency collaboration on behalf of emotionally handicapped children and their families. Based on a process evaluation conducted for the Multnomah (Portland, Oregon) Board of County Commissioners, the case study examines a therapeutic case advocacy project which sought to promote greater…

The paper describes combined public education and community mental health in a preschool educational day treatment program for seriously emotionally disturbed children. The Developmental Therapy model on which the Tacoma, Washington, program is based is described as using five normal developmental stages to facilitate treatment which stresses the…