Part one presents the case for school-based mental health services in terms of low utilization of community-based clinics and the high dropout rate among adolescents attending clinics. Part two discusses lessons learned from delivering psychotherapy services in mainstream and special schools to tackle mental health problems presented by troubled…

This study examined the degree to which local systems of care in Vermont shared responsibility for children and adolescents and four service delivery outcomes over a 4-year period. Results indicated that greater caseload integration is associated with less referral for residential treatment and higher rates of incarceration. (Contains references.)…

This article examines some problems associated with assessing students with emotional or behavioral disorders (EBD) for special education eligibility. Major issues include over-identification of students as EBD and the continuing overrepresentation of students of minority ethnicity. Movement away from the traditional norm-referenced approach to…

The current study describes an assessment sequence that may be used to identify individualized, effective, and preferred interventions for severe problem behavior in lieu of relying on a restricted set of treatment options that are assumed to be in the best interest of consumers. The relative effectiveness of functional communication training…

This study determined school-level curricular, assessment, and accountability policies and practices in private and public day treatment and residential schools for elementary-age children with emotional or behavioral disorders (E/BD). A national random sample of 271 (56.45%) principals and 229 (47.70%) teachers responded to a mail survey. No…

This study compared visual analyses with five alternative methods for assessing the magnitude of effect with single subject designs. Each method was successful in detecting intervention effect. When rank ordered, each method was consistent in identifying the participants with the largest effect. We recommend the use of the standard mean difference…

We trained parents to conduct functional analyses (n = 25) and functional communication training (n = 23) in home settings over a four-year period with 25 young children who had developmental and behavioural disorders. For 12 of the children, pre-treatment (baseline) probes and post-treatment stimulus condition probes were conducted to assess…

We combined data from the Office for Standards in Education with those from a large national survey of child and adolescent mental health and developed a simple score that schools or LEAs could use to predict the level of emotional and behavioural difficulties that they are likely to encounter. The final Ford score is based on the rates of free…

Few children can control adult emotions more effectively than passive-aggressive youngsters. Their passive lack of compliance can incite even trained professionals to employ ineffective punitive responses. These responses confirm for the child the unreasonable and hurtful nature of adults. In this Life Space Crisis Intervention, the child makes a…

This article applies The Conflict Cycle (Long & Morse, 1996) to adult reactions. It is a starting point for a training and supervision model that focuses on the feelings and reactions that youth with severe emotional and behavioral problems conjure up in the adults who are trying to help them. Counter-Response[SM] Training was developed by the…

The study assessed prevalence of volatile substance abuse (VSA), and its link to other forms of psychoactive substance use and to other problem behaviours among 14-15 year olds recruited from sixteen secondary schools in south-west London. Lifetime use of volatile substances was reported by 126 young people (6% of the sample) whose mean age of…

The aim of this study was to examine differences in responses to the Caregiver Strain Questionnaire (CGSQ) between African American and White caregivers of children with emotional and behavioral challenges. Significant item- and scale-level differences were detected across groups with African Americans consistently reporting less strain. We…

Background: Patterns of low heart rate, skin conductance and cortisol seem to characterise children with disruptive behaviour disorder (DBD). Until now, the startle paradigm has not been used in DBD children. We investigated whether DBD children, like adult psychopaths, process emotional stimuli in an abnormal way. Method: Twenty-one DBD and 33…

The focus of this research review is to determine what factors increase the likelihood that positive individual and systemic changes occur for children and adolescents following discharge from residential treatment. Residential treatment outcome studies from 1993 to 2003 that fulfilled predetermined criteria were located through 4 on-line…

The current study examined the temporal stability of threat perception abnormalities and anxiety disorder symptoms in non-clinical children. One-hundred-and-thirteen primary school children aged 9 to 13 years completed a self-report measure of anxiety disorder symptoms, and were interviewed individually using an ambiguous story paradigm from which…