In 2006, the Hawai'i State Department of Health (DOH) received the Strategic Prevention Framework State Incentive Grant (SPF-SIG) from the Substance Abuse and Mental Health Services Administration (SAMHSA) to establish a comprehensive, coordinated, and sustainable substance abuse prevention infrastructure in Hawai'i. The SPF-SIG Project is funded…

Reviews the history of state mental health planning from the federal perspective, discusses some state objectives for comprehensive planning, and presents a participatory model for plan development. Demonstrates how the model can be used to produce a mental health plan that is a viable management tool fulfilling many state objectives. (Author/BH)

Interviews with state mental health authorities revealed that many states are emphasizing program development and funding for the severely acutely and chronically mentally ill while deemphasizing consultation/education, prevention, and evaluation activities. Funding mechanisms are moving toward greater accountability and funding levels are…

Asserts that mental health planning has been limited by conceptual and logistical restraints, causing planning to be isolated from management and ineffectual in describing total system of services required by persons experiencing severe mental illness. Describes application of new ideas and information technologies which can yield enhanced…

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…

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…

This report highlights the major issues discussed during a 2-day workshop on Medicaid funding for community-based mental health services for children and youth with severe emotional disturbances. The report opens with a brief description of the service needs of children and youth with severe emotional disturbances and the system of care that can…

Accountability has become a concern for public mental health programs, including the Hawaii State Mental Health Division which relies on the Multi-State Information System (MSIS) for program planning and evaluation. Accuracy in reporting and agreement in clinical judgment on the MSIS has been assumed but never tested until an analogue study was…

This study, which collected data through interviews and document review, was designed to identify strengths and weaknesses of Minnesota's Comprehensive Children's Mental Health Act (CCMHA) of 1989 and its implementation through December 1990. Three criteria for mental health reform were established for the study, including: care should be…

This study addresses seven components of Public Law 99-457 which relate to mental health intervention to meet the comprehensive early needs of infants and toddlers with, or at risk for, disabilities. The seven components include: the definition of "developmentally delayed"; multidisciplinary evaluation; the individualized family service…

This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

This monograph is based on experiences of the national Child and Adolescent Service System Program (CASSP) and describes a plan for developing and implementing community based systems of care for children and adolescents with serious emotional disorders and their families. It draws on examples from state mental health plans to illustrate planning…

Drawing from a study on mental health delivery systems, this report focuses on issues related to credentialing the mental health continuing education activities of individual workers and the programs themselves. The first of seven sections reviews the current status of sanctioning and credentialing in mental health continuing education by various…

This article presents a framework to be used in studying public policy in children's mental health. It focuses the stages of policy development and implementation, the relationships among different governmental levels, the relationships among different service sectors, and variables affecting the likelihood a policy will achieve its intended…

During the past three decades, there has been an increase in knowledge about early childhood development. Early experiences can function as either risk factors or protective factors for a child's future health and development. This has led to concern about how current health systems contribute to the quality of the earliest experiences of life.…