Identifies via questionnaire data major health risks and problems. Emphasizes the responsibilities of schools in helping students develop effective health attitudes and habits. Recommends strategies for improving health education programs. (JD)

Besides more traditional state agency setting, rehabilitation professionals may be found in community mental health centers, mental hospitals, and community residential settings. Suggests modification of certain state agency practices in order to allow counselors to work more effectively with clients. (Author)

Describes the mental health problem among the poor whose rural or cultural attitudes and values often prevent their seeking or receiving services. Describes federal involvement in mental health since 1946, including legislation, presidential policy, currently proposed bills, and budget items. Discusses state and local administration of federal…

Certain characteristics of schools make them adequate to the task of primary prevention of behavior disorders. Current preventative efforts center on two strategies: modification of school environments and competence building. Implications for school psychologists are discussed. (Author/MH)

Describes the role of mental health and educational consultants working with a five-year-old selectively mute child in Head Start. Describes strategies implemented in the interdisciplinary work with the teachers, parent, speech therapist, and child. Suggests that the more flexible and adaptive the consultant, the more accepted he or she will be…

Provides tips for children's advocates to assure that managed mental health care is implemented in a manner which best meets the needs of children, families, and care providers. Explains managed care through specialized mental health and substance abuse services. Discusses elements necessary for early intervention and the need to address risk…

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…

The special needs of young adults with concurrent mental health and substance abuse problems are discussed. This article presents federal initiatives and research findings, and describes state-of-the-art approaches to treatment and rehabilitation. Strategies for training mental health professionals to diagnose and treat dually disabled persons are…

Reviews the current state of mental health services to children, youth, and families. The development of a continuum of care coordinated across the mental and non-mental health systems that naturally occur in all children's lives may vastly improve mental health services to children, youth, and families. (Author/BJV)

Data were gathered from all state Medicaid programs, 11 health insurance carriers, and 140 firms offering health insurance to employees, concerning coverage of various services needed by young children with disabilities, including ancillary therapies, mental health services, and case management. Results revealed that Medicaid offered the greatest…

Three methods of designating everyday-dysfunction cases in the Colorado Social Health Survey are compared for a sample of 4,745 adults. The clinical judgment approach was chosen as the primary method of identification, with the statistical deviation criterion a backup. The patient criterion group approach was less useful. (SLD)

A survey of 75 student affairs deans, 53 individuals responsible for mental health services, and 30 student representatives in 126 Canadian and U.S. medical schools sought information on personnel, individuals served, location, hours, administration, funding, confidentiality, and administrative referrals. Suggestions for improvement focused on…

The six articles of this special section address the organizational context that shapes utilization of mental health services, the relevance of data elements and results to decision making, and assuring the validity of evaluation results. Theoretical and practical concerns are considered. (SLD)

Describes the Vermont Community Adjustment Tracking System (VT-CATS), which utilizes four behavioral instruments to allow intensive, ongoing, and interpretable behavioral assessment of a service system's most challenging children and adolescents. Also explains the adjustment indicator checklists and the ability of VT-CATS to address agencies'…

Describes the use of a self-determination curriculum for mental-health intervention and primary prevention for Head Start children. The curriculum addresses critical adaptive-skills domains, including social skills, self-evaluation, self-direction, networking or friendship, collaboration or support seeking, problem solving and decision making, and…