Discusses the potential of self-help/mutual-aid groups as a way to reduce the demand for professional substance-abuse treatment and proposes a model that combines the two approaches for cost-effective and therapeutically effective networks of services. (SLD)

The purpose of the present study is to investigate differential attrition rates in terms of both demographic characteristics and initial levels of child functioning of participants in North Carolina's system of care evaluation. Participants included 303 families (78 dropped out of the study, a 26% attrition rate). Families dropped out of the…

University counseling centers have been in a constant state of transition since their inception. Many variables, including economics, the social and political climate on and off campus, staff interests, and changing consumer needs have driven the direction of the modern counseling center. Throughout the more than 70 years that university…

This practice parameter presents recommendations for the mental health assessment and treatment of youths in juvenile detention and correctional facilities. Mental and substance-related disorders are significant public health problems affecting youths in juvenile justice settings. Sufficient time is necessary to conduct a comprehensive diagnostic…

There is a documented need for reliable and valid Spanish-translated child mental health assessment tools. Although the psychometric properties of some of the more commonly used Spanish translations have been demonstrated, many instruments that were developed, tested, and normed in English are being Spanish-translated and used without further…

Significant mental health problems can and do occur in young children. In some cases, these problems can have serious consequences for early learning, social competence, and lifelong health. Furthermore, the foundations of many mental health problems that endure through adulthood are established early in life through the interaction of genetic…

Mental health consumer-run organizations are alternatives to mainstream mental health services, and they have the dual focus of supporting members and creating systems change. The existing literature suggests that these organizations have beneficial impacts on social support, community integration, personal empowerment, subjective quality of life,…

Background: Although many children with mental health problems are in contact with primary health care services, few receive appropriate help. Methods: Using a pathways to care model, this paper systematically reviews the literature relating to access to services. It separates out the various stages of help-seeking: parental perception of…

Objective: To survey teachers' beliefs about mental health service needs in inner city elementary schools. Method: A total of 119 teachers from six elementary schools in a major city in the midwestern United States were surveyed to assess their beliefs about the major mental health problems facing their schools, the major barriers to surmounting…

This brochure highlights 95 Texas laws that were passed in the 1995 legislative session and have particular impact on the 3.5 million Texans with disabilities. Major issues addressed in these laws include telecommunications, employment, health insurance and services, transportation, and education. Each bill listing includes a brief descriptive…

This publication contains the reports of two major public advisory bodies which studied and conducted hearings on mental health needs of the elderly and developed recommendations for public policy to address these needs. The first report reviews current mental health needs and considers the projected needs for dealing with emotional stress during…

Pharmaceutical education of the future should focus on (1) liberal education to give pharmacists versatility in the face of advancing technology and research; (2) problem-solving skills in the profession; (3) mental disease and wellness as major health care issues; (4) maintenance of competent teaching and research faculty. (MSE)

Relates the experiences of a non-Indian psychiatrist as she became part of the mental health team in an urban Indian health care center. Reflects on the evolution of her varied roles and the importance of cultural sensitivity. Includes three case examples of American Indian psychotherapy patients. (Author/SV)

A literature review describes evaluation activities in mental health services in financial, programmatic/clinical, and new constituency areas. Expanding reimbursement for alternative mental health services is offered as a way of developing a formal structure to ensure better utilization of evaluation results. (SLD)

Presents a reaction to Cooper and Gottlieb's (this issue) article titled, "Ethical Issues with Managed Care: Challenges Facing Counseling Psychology." Examines the ethical problems giving rise to managed care, the ethical character of therapy goals, and the social ethical question of balancing the good of individuals with the good of society.…