This monograph describes how an SOC approach, coupled with specialized early psychosis intervention, can create a sustainable infrastructure, significantly decrease the duration of untreated psychosis, and improve service delivery and outcomes for youth and young adults with early signs of psychosis. [This product was made possible, in part, with…

Children with special health care needs (CSHCN) are at risk for school failure when their health needs are not met. Current studies have identified a strong connection between school success and health. This study attempted to determine (a) how schools meet the direct service health needs of children and (b) who provides those services. The study…

Noting that children with special health care needs (CSHCN) make up one of every six children eligible for the State Children's Health Insurance Program (SCHIP), this study examined how SCHIP responded to the needs of children with chronic illnesses and disabilities. This qualitative study was based on the implementation experiences in 18 states.…

The mental health needs and services available in the United States were investigated by the President's Commission on Mental Health. Results indicated that: (1) mental health services are primarily located in urban areas; (2) the needs of racial and cultural minorities, children, adolescents, and older adults are not being met; (3) national…

This executive summary presents specific proposals to improve maternal and child health conditions in the United States. Contents of the summary are organized in 13 chapters. Five overriding concerns in the areas of health and health care are identified in Chapter One. Chapter Two focuses on the reduction of environmental risks; Chapter Three…

This article shares a personal perspective on school mental health through a discussion of the ways that schools currently address mental health, an example of advancing such work through a school district mental health unit, and reflection on some important lessons learned. The article's appendix lists five sample delivery mechanisms and formats.…

This paper discusses how the health care needs of underserved children, particularly urban children, can be met through an ecological model of health care. Ecoprimary care, infant mortality, and the experiences of King/Drew Medical Center in Los Angeles (California), an example of maximization of resources, are described. (SLD)

The Senate Select Committee on Indian Affairs is considering legislation to improve mental health services to American Indians and Alaska Natives. This report is in response to the Committee's request for information on the mental health needs of Indian adolescents and the services available to them. The section on mental health problems among…

Summarizes the private health insurance market, focusing on recent trends. Efforts should be made to preserve the current private health insurance system through comprehensive reforms that reduce cost and shift from public programs; control costs by competition, managed care, and global spending limits; and guarantee coverage for all groups. (SLD)

Reviews evidence on the state of health of the nation's children and youth, identifying common health problems. Findings indicate the need for policies placing priority on the delivery of primary care services and status measures that reflect the interrelationships among health problems and the impairments associated with them. (SLD)

"Data Trends" reports present summaries of research on mental health services for children and adolescents and their families. In the article summarized in this "Data Trends" the authors compare outcomes for two groups of children and adolescents receiving mental health services either under a system of care arrangement, or under more traditional…

This guide is aimed at improving health services for people with developmental disabilities by educating people presently training as health practitioners and persons working in community service programs. It contains information on health care needs of people with developmental disabilities and recommendations for health care practices adapted…

Identifies health risks and other factors that determine the need for health care services among children and adolescents. Recommendations are made to develop reforms through a coordinated care program rather than through competing systems of services. Models for community-based health care monitoring and coordination exist in other industrialized…

This theme issue of a bulletin on family support and children's mental health focuses on managed care and the impact on children who are in need of mental health services. Articles include: "Private Sector Managed Care and Children's Mental Health" (Ira S. Lourie and others); "Just What Is Managed Care?" (Chris Koyanagi);…