The multivariate generalizability of the Role Functioning Scale (RFS), which serves as a replacement for the global ratings of the Social Adjustment Scale, was studied with 396 severely disturbed clients of a public mental-health bureau. Generalizability of single subscales was less than that of the combined subscales. (SLD)

Seven articles focus on child and adolescent mental health services, highlighting major evaluation issues, considering the contribution of evaluation to improvement of these services, and describing efforts to overcome distinctive problems in these areas. Policymakers and providers of services are optimistic about the use of evaluation of program…

A pilot study assessing parent satisfaction with mental health services for children was a disappointment in its low response rate (28%, 15 of 53 questionnaires). However, the questionnaire, the Client Satisfaction Questionnaire, was an easy to use and effective tool that identified some sources of dissatisfaction. (SLD)

Strategies for the adaptation of Head Start for the economic and social conditions of the future involve the linkage of early childhood and family support approaches with community economic development. Such strategies must include a reappraisal of mental health models to ensure the health of children and their families. (SLD)

Describes West Indian culture, including belief systems, family patterns, child-rearing practices, racial mixtures, and geography; and explains the importance of culturally relevant approaches to mental health services. The effective clinician must approach clients with an attitude of cultural relativity. (SLD)

Describes the evolution, implementation, maintenance, and evaluation of comprehensive school-based mental health services in the Dallas, Texas public schools. A collaboration between mental health services, other health services, and the schools established 10 Youth and Family Centers to serve local schools. Benefits and challenges to coordinated…

Proposes a one-stop model of services to be delivered from pediatric outpatient clinics to improve the delivery of services to low-income preschool children and their families. The needs of low-income preschoolers and their mothers, and how these needs are met by this model, are described. (Author/CR)

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…

Based on a sample of 1747 from the Chinese American Psychiatric Epidemiological Study, this report examined perceived barriers to mental health treatment. Two factors emerged, namely "practical barriers", which included cost of treatment, time, knowledge of access, and language, and "cultural barriers" consisting of credibility…

The authors examined changes in mental health services and violence prevention strategies in public high schools since the shootings at Columbine High School. Surveys were mailed to school mental health professionals at public high schools in Colorado. Respondents included school counselors, school psychologists, school social workers, principals,…

Mentally ill offenders represent a substantial proportion of jail and prison inmates. Despite the fact that confining mentally ill offenders can and often will exacerbate their mental illness, the quality of mental health services available to them remains poor and insufficient. Up to date, only a few cities and counties have considered a more…

Children and families impacted by severe mental illness (SMI) have multiple strains that effect family functioning, child safety, and parental rights. Traditional services for children and families struggling with severe mental illness have not achieved success in improving family functioning and keeping families intact. Wraparound is a philosophy…

The article by Fantuzzo, McWayne, and Bulotsky (2003), presenting their conceptualization of a paradigm for conducting applied research in children's mental health, is an intriguing fusion of key principles and recommendations. Their model comes close to meeting the profile of a new research paradigm in children's mental health. The author…

Ringeisen, Henderson, and Hoagwood (2003) present a compelling case that: (a) there is a gap between mental health research and the delivery of mental health services in school settings; (b) in order to bridge this gap, mental health professionals must consider contextual factors at the individual, organization, and state/federal policy levels;…

The demand for mental health services in higher education settings continues to increase and places more pressure on staff, highlighting further the importance of good staff morale in these agencies. This task of bolstering staff morale is often placed primarily on the shoulders of counseling center directors. The present article outlines several…