This article reviews recent changes in the mental health system's response to children and adolescents with serious emotional disabilities, emphasizing developments in service delivery and service demonstration research and evaluation efforts. The role of research is examined in terms of its critical importance in improving the system of care for…

This article presents a description of the Child and Adolescent Services Assessment, a self- and parent-report instrument designed to assess use of mental health services by children, ages 8 to 18. The article provides information on interviewer training, coding of data, and psychometric data on clinical samples, and presents a case study.…

Two elementary schools were studied over two years of a schoolwide program to improve service delivery to students with behavior problems. Program components included an advisory committee, schoolwide organizational practices, schoolwide classroom management intervention, and individual behavioral interventions. Target students displayed improved…

A consultation program to improve services to middle school students with attention deficit/hyperactivity disorder was presented in 57 school districts. Although districts varied as to types of project services accessed, most chose general inservice programs to disseminate information to teachers, as well as individualized behavioral consultation…

This article examines how researchers can apply analytical and methodological tools traditionally used in health policy analysis to study the multiple levels of systems-of-care impacts for students with emotional and behavior disorders. Where possible, results from existing systems-of-care education studies illustrate how these analyses and…

Rethinking and expanding the theory of change underlying systems of care are recommended to support development of the knowledge base for understanding what systems of care can be expected to accomplish. Three domains of knowledge are presented as necessary to understanding the relationship between systems-level change and services. (Contains…