In the current climate of increasing fiscal and clinical accountability, information is required about overall program effectiveness using clinical data. These requests present a challenge for programs utilizing single-subject data due to the use of highly individualized behavior plans and behavioral monitoring. Subsequently, the diversity of the…

Special education for students with emotional and behavioral disorders has a substantial history. The most effective programs feature systematic, databased interventions, continuous assessment and monitoring of progress, specifically matched and multicomponent treatment, provision for guided practice of academic and social skills, programming for…

This paper discusses the results of a study that investigated the effectiveness of the Fort Bragg demonstration project, a program which provided a comprehensive approach to the delivery of mental health and substance abuse services to a population of approximately 48,000 military-related children residing within the Fort Bragg catchment area.…

Using data from three sites, a study examined service use and expenditures under systems-of-care. The sites provided children with a full range of mental health services. Per-child expenditures were high, but for two sites, those expenditures were within the range of expenditures in other innovative attempts at service delivery. (Contains…

Evaluation of the Early Screening Project in a Head Start classroom-wide mental health identification and intervention over a 12- week period found that eight children identified as being at high risk for emotional/behavioral disorders prior to intervention either significantly improved or maintained their pre-intervention functioning. No…

These symposium papers describe various aspects of the Camp Logan, South Carolina, program, a therapeutic summer residential program for children, ages 8-14, who have significant behavior problems. The philosophy and advantages of the therapeutic camping model are discussed, e.g., structure during the summer, controlled though informal…

This paper presents principles that should be considered in planning and interpreting studies of outcomes of interventions with children receiving mental health services. Principles to consider when planning outcome studies include recognizing that "outcome" refers to multiple rather than single domains and choosing outcome domains that…

This report discusses the outcomes of a study that investigated whether a self-contained (SC) or pull-out (PO) intervention model was the most effective and most supportive of children's behavioral gains over the course of the entire 1996/1997 year. Data were collected by reviewing the clinical records of children (ages 6-14) who participated in…

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 introductory article provides an overview of the national evaluation conducted within the original 22 grantee communities funded from 1993 to 1999. The history and underlying foundations of the evaluation are presented. Specific evaluation questions and components are outlined, and issues that evolved out of the evaluation process are…

A survey of 37 system-of-care sites constituting 31 programs for children with serious mental health challenges found high family participation in such activities as modification of questionnaires, collecting data, and reviewing results. Low family participation was reported in the hiring of staff and data processing. Most families were…

A study investigated the outcomes of the Acute Children's Extended Services (ACES) program, a Salt Lake City, Utah, program designed to help children with emotional and behavioral disabilities reintegrate into the community from inpatient or residential care. The study examined outcomes of the ACES program within four domains: access, clinical…

A study compared practice-level variables between two sites that have been implementing system-of-care (SOC) principles for at least 5 years and two traditional service systems. Overall, SOC sites scored significantly higher than non-SOC sites in the child-centered and family-focused, community-based, and cultural competence domains. (Contains…

This conference paper discusses the results of a study that investigated the effects of a mentor service on 30 children with severe emotional disturbances and considered to be at extreme risk for out-of-home placement. The mentors provided regular, consistent, face-to-face and telephone contact with each child for five hours per week. The mentors…

Raises concerns about the failure of mental health service providers to address the psycho-developmental needs of people with mental retardation, especially incarcerated individuals with severe behavior disturbances and both mental illness and mental retardation. A "flight from developmental theory" is seen in most service providers to this…