One of the major reasons many children do not receive efficient, effective health care is that much of public spending for child health services has been funneled through categorical funding programs. The Child Health Initiative provided an opportunity to learn how different communities would approach improving child health services through…

As mental health policies and systems become subject to legislative and public scrutiny, more information is needed to evaluate such programs in the United States and abroad. A cross-national survey of 42 countries and provinces compared mental health policies, mental health services, awareness of these services, evaluation, and financing. Notable…

Due to the efforts of mental health consumer and advocacy organizations, there now exists a legislated community-based mental health policy for the treatment of children and adolescents with serious emotional disorders and their families. But the implementation of this policy has not met the intended legislative standards. Accordingly, this…

This report addresses the issue of community utilization of resources for the elderly population. A strategy for channeling resources is presented, including: (1) design of a comprehensive aging services administration and delivery plan based on needs assessment data and a service resource inventory; (2) development of a service agencies network…

This report discusses home visiting, identifies six key elements common to programs for infants and toddlers that make effective use of home visiting strategies, and profiles successful home visiting programs. It begins by discussing home visiting services and outcomes of home visiting programs. The six key elements of effective home visiting are…

This document provides a historical framework for better understanding the emergence of community-based family support and education (CBFSE) programs, their place within the larger service delivery system, and their potential for meeting the needs of children and families living in poverty. The paper is organized into five sections. The first…

The nine articles of this special section focus on the role of evaluation in the reform of the mental health system in Washington. The reform process is described from its inception through its design to the dissemination and utilization of evaluation results. The final article considers implications for statewide evaluations. (SLD)

After years of neglect, rural community mental health is becoming a legitimate area of specialization. Although the number of problems readily visible in rural mental health may appear to be inordinate, probabilities are that the difficulties found in rural locales are quantitatively no different than those found in non-rural areas. The…