Designing Mental Health Services for Children and Adolescents: A Shrewd Investment / Edition 1

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Overview

An exceptional opportunity if being missed. A chance to alleviate suffering and to achieve health care cost reductions for society is available, but is being ignored. There is an explosion of new knowledge about the emotional and intellectual development of children, and the causes and treatment of psychiatric disorders of children and adolescents. Research from diverse disciplines such as the developmental neurosciences, psychoanalysis, psychopharmacology, developmental psychology, and genetics propels us forward,. However, the effects of this new knowledge reach children and adolscents slowly, or not at all. The long history of neglect of the mental health of children and adolescents is now exaggurated by sudden, disruptive economic and political influences on mental health services for children and adolescents in most countries.

Prevention and treatment of emotional and intellectual problems in childhood and adolescence have vastly improved, but utilization of these advantages lags behind. This disappointing incongruity stimulates a need to document our knowledge about these services and systems and to make it more broadly available. This is the primary aim of this new volume by a team of distinguished contributors. It reviews the causes and prevalences of psychiatric disorders in children and adolescents, the problem of health care financing for these services, the underutilization of these services, our current understanding of the outcomes of treatment, and the new models for both treatment and prevention. The book also provides a survey of current mental health services and sytems for children and adolescents in countries across the world.

Information drawnfrom these multiple perspectives is has been used by a group of international experts to develop the Venice Declaration, providing specific guidelines for families, clinicians, administrators, and policy-makers who are concerned with the development of children and adolescents, and are committed to a more efficient economic approach to mental health services.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: John K. Larson, MD (Rush University Medical Center)
Description: This book is the product of the Venice International Working Group of 43 international clinicians, educators, and researchers. Organized by the International Association for Child and Adolescent Psychiatry and Allied Professionals, the Venice group began meeting in 1996 to discuss the mounting problems associated with changes in mental health systems and services for children and adolescents around the world.
Purpose: This volume, a highly political undertaking, presents a strong case for increasing funding for research and the treatment of psychiatric illness in this age group.
Audience: The targeted audience primarily consists of child and adolescent clinicians, administrators, and policymakers.
Features: The book is divided into seven sections. The first section provides an excellent overview of developmental psychopathology and the prevalence of psychiatric disorders in childhood and adolescence. The second section is concerned with costs and the economics of mental healthcare. The third section deals with outcome measurement. Sections four and five describe a number of model programs. Section six is a summary and section seven contains conclusions and recommendations of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP). Each chapter concludes with an excellent bibliography. As might be expected, the diversity of authorship results in a variety of sometimes conflicting viewpoints, however this is not distracting and only tends to add breadth to this impressive effort.
Assessment: This volume is an extremely successful effort to provide the reader with a broad but detailed overview of the international state of child and adolescent psychiatric services. It has special relevance in our current deliberations regarding the impact of managed care and cost containment on the delivery of meaningful services to those who trust us. It could serve as the basis for a blueprint for system design well into the 21st century.
From The Critics
Reviewer: John K. Larson, MD (Rush University Medical Center)
Description: This book is the product of the Venice International Working Group of 43 international clinicians, educators, and researchers. Organized by the International Association for Child and Adolescent Psychiatry and Allied Professionals, the Venice group began meeting in 1996 to discuss the mounting problems associated with changes in mental health systems and services for children and adolescents around the world.
Purpose: This volume, a highly political undertaking, presents a strong case for increasing funding for research and the treatment of psychiatric illness in this age group.
Audience: The targeted audience primarily consists of child and adolescent clinicians, administrators, and policymakers.
Features: The book is divided into seven sections. The first section provides an excellent overview of developmental psychopathology and the prevalence of psychiatric disorders in childhood and adolescence. The second section is concerned with costs and the economics of mental healthcare. The third section deals with outcome measurement. Sections four and five describe a number of model programs. Section six is a summary and section seven contains conclusions and recommendations of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP). Each chapter concludes with an excellent bibliography. As might be expected, the diversity of authorship results in a variety of sometimes conflicting viewpoints, however this is not distracting and only tends to add breadth to this impressive effort.
Assessment: This volume is an extremely successful effort to provide the reader with a broad but detailed overview of the international state of child and adolescent psychiatric services. It has special relevance in our current deliberations regarding the impact of managed care and cost containment on the delivery of meaningful services to those who trust us. It could serve as the basis for a blueprint for system design well into the 21st century.
John K. Larson
This book is the product of the Venice International Working Group of 43 international clinicians, educators, and researchers. Organized by the International Association for Child and Adolescent Psychiatry and Allied Professionals, the Venice group began meeting in 1996 to discuss the mounting problems associated with changes in mental health systems and services for children and adolescents around the world. This volume, a highly political undertaking, presents a strong case for increasing funding for research and the treatment of psychiatric illness in this age group. The targeted audience primarily consists of child and adolescent clinicians, administrators, and policymakers. The book is divided into seven sections. The first section provides an excellent overview of developmental psychopathology and the prevalence of psychiatric disorders in childhood and adolescence. The second section is concerned with costs and the economics of mental healthcare. The third section deals with outcome measurement. Sections four and five describe a number of model programs. Section six is a summary and section seven contains conclusions and recommendations of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP). Each chapter concludes with an excellent bibliography. As might be expected, the diversity of authorship results in a variety of sometimes conflicting viewpoints, however this is not distracting and only tends to add breadth to this impressive effort. This volume is an extremely successful effort to provide the reader with a broad but detailed overview of the international state of child and adolescent psychiatric services. It hasspecial relevance in our current deliberations regarding the impact of managed care and cost containment on the delivery of meaningful services to those who trust us. It could serve as the basis for a blueprint for system design well into the 21st century.

4 Stars! from Doody
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Product Details

Table of Contents

Contributors
Preface and Dedication
Introduction
The Genesis and Prevalence of Developmental Psychopathology: Defining the Need for Mental Health Services for Children and Adolescents
1 Developmental Psychopathology and Child Mental Health Services: Risk and Protective Factors in Children, Families, and Society 3
2 The Scope and Prevalence of Psychiatric Disorders in Childhood and Adolescence 15
The Costs of Developmental Psychopathology: Financing, Management, and Quality of Care of Mental Health Services for Children and Adolescents
3 Trends in Cost Management for Healthcare Services; Managed Care in the 1990s 29
4 The Consequences of Changes in Mental Health Systems for Individual Children and Families 43
5 Quality and Economics: The Concept of Equity in Times of Limited Resources 49
6 A Shrewd Investment: The Economics of Mental Healthcare for Children and Adolescents 59
The Utilization and Outcomes of Current Treatments for Developmental Psychopathology
7 Survey of the Utilization of Psychiatric Services for Children and Adolescents in Germany 83
8 Issues in the Evaluation of Systems of Mental Health Services: A Perspective and Recent Developments 95
9 Evaluating Community-Based Mental Health Services for Children with Serious Mental Illness: Toward a New Paradigm of Systems of Care 105
Models of Treatment and Preventive Interventions for Developmental Psychopathology
10 The Mental Health System for Children and Adolescents: Issues in the Definition and Evaluation of Treatments and Services 125
11 Research Priorities for the Improvement of Mental Health Services for Children and Adolescents: A Social Work Perspective 147
12 Treatment Outcomes: Psychoanalytic Psychotherapy 167
13 Prevention Research in Child and Adolescent Psychiatry 183
14 A Framework for Preventive Intervention: Parental Awareness of Developmental Problems and Early Diagnosis in Child and Adolescent Psychopathology 193
15 The Mental Health Team in the Daycare Center: The Role of the Child and Adolescent Psychiatrist 205
16 Can Home Treatment Replace Impatient Treatment of Child and Adolescent Psychiatric Disorders? 213
17 Mental Health Services for Infants and Young Children 219
18 Designing Mental Health Services for Adolescents 231
19 Designing Mental Healthcare Systems: Implications for the Training of Future Clinicians 237
International Models of Mental Health Systems for Children and Adolescents: What is the Reality When We Put Principles into Practice?
20 Child and Adolescent Psychiatry in France 245
21 Approaches to the Development of Mental Health Systems for Children in the Nordic Countries 251
22 Structure and Organization of Services for Children and Adolescents with Psychiatric Disorders in Germany 269
23 Mental Health Services for Children and Adolescents in the United Kingdom 277
24 International Perspectives on the Economics of Mental Healthcare for Children and Adolescents: Economic Policies and the Swedish Experience 291
25 Mental Health Reform: The Israeli Experience 295
26 Managed Care: How Is It Managing in the United States? 305
27 Challenges in Providing Mental Health Services for Children and Adolescents in India 321
28 The Economics of Mental Healthcare in the Context of Rapid Political Change in Hungary 335
29 The Current Status of Mental Healthcare for Children in Russia 355
30 Planning Mental Health Services for Children and Adolescents in Brazil 361
31 The Impact of Changes in Healthcare Systems on Psychiatric Care for Children and Adolescents in Hong Kong 371
32 Transitions for Mental Health Services for Children and Adolescents: The Polish Experience 377
33 Strategies for Responding to the Needs of Adolescents in Romania 385
Summary: Reconciling Evolving Economic Strategies and the Needs of Children in 21st Century Systems of Care
34 Designing Mental Health Services and Systems for Children and Adolescents: Observations and Recommendations 397
Recommendations of the International Association for Child and Adolescent Psychiatry and Allied Professions (IACAPAP)
35 Mental Health Services and Systems for Children and Adolescents 443
Declaration of Venice: Principles for Organizing Mental Health Systems for Children and Adolescents (1996) 461
Index 463
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