In the past, neither the minority individual nor a third world perspective was to be found in the conceptualization or administration of mental health services to minorities. Changes in the emphasis from the Anglo/European focus to a socio-eco-political understanding of people of color were gradual. The final breakthrough came during the l960s…

This paper is addressed to pscyhology graduate students who are considering a practicum experience in a community-oriented agency or institution. It contains several broad generalizations, all of which have notable exceptions. Some of these generalizations are: (1) the medical model still reigns supreme, with people in control of community mental…

This report describes a managed care approach which uses limited risk bundled contracting to provide mental health services for high risk children and youth in Franklin County, Ohio. The project uses flexible allocation of blended dollars to support individualized plans that are strength-based and family-centered and incorporate principles of…

This study examined whether parent reports of their child's service use are more reliable in a family-focused delivery system than in more typical service environments. Data were obtained through the Fort Bragg Evaluation Project, a longitudinal assessment of a managed care model for delivering mental health services to children and adolescents.…

This study examined specific behavioral characteristics of children in four different treatment environments by an Ohio child mental health agency, in order to shed light on placement decisions in relation to levels of care and severity of symptoms. Data were collected from approximately 300 total program admissions above age 5, each quarter, for…

This paper presents principles that should be considered in planning and interpreting studies of outcomes of interventions with children receiving mental health services. Principles to consider when planning outcome studies include recognizing that "outcome" refers to multiple rather than single domains and choosing outcome domains that…

This report discusses the outcomes of a study that investigated whether a self-contained (SC) or pull-out (PO) intervention model was the most effective and most supportive of children's behavioral gains over the course of the entire 1996/1997 year. Data were collected by reviewing the clinical records of children (ages 6-14) who participated in…

This paper evaluates two locally driven, school-based programs in Illinois that use a system of care approach to provide services for children and adolescents with, or who are at risk for, developing emotional or behavioral disturbances. These sites included a mental health early intervention pilot program in an elementary school setting, and a…

This report describes the implementation and first 6 months of data collection of the required performance outcome measures for children receiving mental health services in Florida, as required under Florida's 1994 Government Performance and Accountability Act. This summary is of data received from August 1996 to January 1997 and includes data for…

In the absence of data, pharmacotherapy with benzodiazepines has become the mainstay of anxiety management in the elderly population. However, the use of benzodiazepines in the elderly has many problems. Elderly persons are more sensitive to anti-anxiety medications and are subject to a variety of increased risks, including cognitive impairment,…

Noting that the physical and mental growth of children are influenced by many environmental and familial factors, this paper explores improving the well being of children. The first part of the paper discusses child rearing, emphasizing three fundamental themes: creating an environment where children are born healthy and wanted; helping children…

A Finnish study compared the career development, participation in vocational education, and working life 4 to 5 years after the completion of secondary school education of students with mild mental retardation (n=13) and students with other disabilities (n=72). Results found most of the subjects had completed their studies, however, only 25…

A multidimensional clinical assessment project was conducted on an at-risk adolescent population (n=78) in a public school setting. The focus of the project was on the identification of specific learning disabilities (LD) and attention deficit hyperactivity disorder (ADHD) as they relate to mental health problems and scholastic difficulties.…

The Brief Intervention Program (BIP) is a mental health day program in Melbourne (Australia) for adolescents with severe mental health problems who are at risk for suicide. The 10-week program serves closed groups of 6-8 adolescents aged 13-18 years and has 3 phases: engagement and orientation (week 1), treatment (weeks 2-9), and integration (week…

Out Doors Inc. is a community-managed mental health organization in Victoria (Australia) that provides psychosocial rehabilitation to adults with mental health needs through outdoor adventure and other recreation experiences. This paper focuses on Out Door Inc.'s Going Places Program. The program, which ranges from 1 day to 4 months, is based on…