Address the urgent need for individualized, coordinated mental health care with this book-the only one-stop reference for establishing, evaluating, and improving services and systems of care for children and adolescents with mental health challenges and their families. The new cornerstone of the highly respected Systems of Care for Children's Mental Health series, this comprehensive volume helps administrators, program developers, and clinicians from mental health and partner child-serving systems skillfully navigate every key issue they may encounter on the road to effective service delivery. Weaving all the latest research and best practices into a single accessible handbook, more than 60 expert contributors give readers the in-depth, practical knowledge they need to develop comprehensive, community-based, coordinated systems of care for youth with mental health challenges and their families avoid duplication and fragmentation of services across mental health and other child-serving systems develop individualized care plans for children with complex needs and implement the "wraparound " approach to service delivery incorporate evidence-based practices into systems of care use smart financing strategies that make the most of multiple funding streams ensure the full participation of families and youth in service planning and delivery improve services and care coordination across a variety of systems-schools, child welfare, juvenile justice work effectively with youth and families from diverse backgrounds and communities conduct accurate program evaluation and continuous quality improvement use the best professional development strategies to ensure a skilled and dedicated workforce Throughout the book, extended case studies of children, youth, families, and successful programs take readers beyond the abstract and reveal in vivid detail how high-quality services can transform the lives of children and youth-from early
"By far the most comprehensive document for those communities beginning the transformation to a System of Care."
Cenral MA Communities of Care
- Suzanne Hannigan
"Should be required reading . . . offer[s] detailed, current, practical information to guide children's mental health transformation activities."
Director, Public Policy and Advocacy, Children's Board of Hillsborough County, Tampa, Florida
- Amelia T. Petrila
"An indispensable how-to compendium . . . offers wisdom and practical suggestions that will make the challenging work of systems change more understandable."
Former First Lady and Chair, The Carter Center Mental Health Task Force
- Rosalynn Carter
"We know that comprehensive, community-based, coordinated care is the gold standard for children, youth, and families. This handbook provides a practical guide for how to implement quality mental health services in communities across the nation."
16th Surgeon General of the United States
- David Satcher
"As Surgeon General of the United States, I identified the unmet need for children's mental health services as a public health crisis. This excellent handbook provides comprehensive information that begins to address this crisis and build systems of care for children's mental health."
Former Secretary, U. S. Department of Health and Human Services
- The Honorable Tommy G. Thompson
"As Secretary of the U.S. Department of Health and Human Services, our department, through the Substance Abuse and Mental Health Services Administration under the leadership of Charley Curie, invested significant resources in the development of systems of care in communities. This book will help ensure that quality mental health services are provided to children, youth, and families across America."
President and CEO, Mental Health America
- David L. Shern
"We face daunting and persistent challenges in designing effective service systems for children with mental health needs. This volume comprehensively summarizes our experiences with systems of care for children's mental health, providing a 'hands on' perspective on the most vexing and important challenges in designing services that work. We must capitalize on these insights to finish the job of transforming our service systems. Lost opportunities translate to lost lives. One more is too many."
President and CEO, National Council for Community Behavioral Healthcare
- Linda Rosenberg
"Our mission is to keep kids at home, in school and out of trouble. The System of Care Handbook gives the leaders and staff of behavioral health organizations tools to help accomplish our mission. The case studies inspire us, while the programs and services described in the handbook offer interventions for effectively treating and supporting children and their families. Well done and much needed!"
Dr. Blau is a clinical psychologist and chief of the Child, Adolescent and Family Branch of the Center for Mental Health Services. In this role, he provides national leadership for children's mental health and for creating systems of care across the country. Prior to this, Dr. Blau was Bureau Chief of Quality Management and Director of Mental Health at the Connecticut Department of Children and Families and Director of Clinical Services at the Child and Family Agency of Southeastern Connecticut. He also holds a clinical faculty appointment at the Yale Child Study Center.
Dr. Blau was formerly a member of the National Association of State Mental Health Program Director’s Division of Children, Youth and Families, and from July 1, 1998, through June 30, 2000, he was the division’s Chairperson. Dr. Blau has received several awards, including the prestigious Pro Humanitate Literary Award for “literary works that best exemplify the intellectual integrity and moral courage required to transcend political and social barriers to promote best practice in the field of child welfare,” the Connecticut Governor’s Service Award, the Phoebe Bennet Award for outstanding contribution to children’s mental health in Connecticut, and the Making a Difference Award presented by Connecticut’s Federation of Families for Children’s Mental Health. Most recently, he was the recipient of the 2009 Health and Human Services Secretary’s Award for Meritorious Service for his national leadership in children’s mental health.
Dr. Blau has numerous journal publications and has been the editor of several books, including the recently published Handbook of Childhood Behavioral Issues: Evidence-Based Approaches to Prevention and Treatment (Routledge/Taylor and Francis, 2008), Family Influences on Childhood Behavior and Development (Routledge/Taylor and Francis, 2008), and The System of Care Handbook: Transforming Mental Health Services for Children, Youth, and Families (Paul H. Brookes Publishing Co., 2008). He received his Ph.D. from Auburn University (Auburn, Alabama) in 1988.
Hewitt B. Rusty Clark, Ph.D., received his doctoral degree in developmental and child psychology from the University of Kansas in 1972. He is a professor in the Department of Child and Family Studies of the Louis de la Parte Florida Mental Health Institute at the University of South Florida. His research interests and grants focus on evaluating the effectiveness of 1) individualized planning and intervention processes for children with emotional and behavioral difficulties and their families, 2) after-care services for juvenile offenders, and 3) the transition of youth and young adults into employment, educational opportunities, and independent living. Dr. Clark came to the University of South Florida after directing a comprehensive mental health program for families in Nevada, where he was affiliated with the University of Nevada. Over the course of his professional career, Dr.Clark has developed and researched various innovative programs and has published extensively, wit 3 books and more than 80 publications to his credit. He has served as President of the Florida Association for Behavior Analysis and continues to chair the Florida Peer Review Committee, which monitors the quality of treatment programs in developmental disabilities and mental health. Dr. Clark serves on various boards of editors for professional journals and consults nationally and internationally. He was a guest professor at Philipps University in Marburg, Germany, and has presented a series of invited addresses and workshops at conferences in Israel, Peru, Scotland, and Sweden. When Dr. Clark is not conducting research and workshops or teaching, consulting, and developing programs on his topics of professional interest, he enjoys his avocation of sailing the Gulf of Mexico and other seas.
Series Preface ix
Editorial Advisory Board xi
About the Editors xiii
About the Contributors xv
Foreword: The Fantastic Voyage Ira S. Lourie, M.D. xxix
Foreword: Finding a Balance in Systems of Care Samantha Jo Broderick, M.S.W. xxxi
Foreword: Family-Driven Systems of Care Sandra A. Spencer xxxiii
Systems of Care: A Strategy to Transform Children's Mental Health Care Beth A. Stroul Gary M. Blau Diane L. Sondheimer 3
Evaluation Results and Systems of Care: A Review Brigitte Manteuffel Robert L. Stephens Freda Brashears Anna Krivelyova Sylvia Kay Fisher 25
Integrating the Components into an Effective System of Care: A Framework for Putting the Pieces Together Sharon Hodges Robert M. Friedman Mario Hernandez 71
Building Systems of Care
Building Systems of Care: Critical Processes and Structures Sheila A. Pires 97
Individualized Services in Systems of Care: The Wraparound Process Janet S. Walker Eric J. Bruns Marlene Penn 127
Implementing Evidence-Based Practices within Systems of Care Christine Walrath Karen A. Blase Patrick J. Kanary 155
Financing Strategies for Systems of Care Sheila A. Pires Beth A. Stroul Mary Armstrong Jan McCarthy Karabelle A. Pizzigati Ginny Wood Holly Echo-Hawk 181
Sustaining Systems of Care Beth A. Stroul Brigitte Manteuffel 213
Recommended Practice Examples: The System Level
Partnerships with Families for Family-Driven Systems of Care Trina W. Osher Marlene Penn Sandra A. Spencer 249
Partnerships with Youth for Youth-Guided Systems of Care Marlene Matarese Myrna Carpenter Charles Huffine Stephanie Lane Kayla Paulson 275
Cultural and Linguistic Competence and Eliminating Disparities Mareasa R. Isaacs Vivian Hopkins Jackson Regenia Hicks Ed K.S. Wang 301
Evaluation and Continuous Quality Improvement Angela Sheehan Brigitte Manteuffel Chris Stormann Teresa King 329
Monitoring Fidelity to System of Care Principles in Service Delivery Mario Hernandez Keren S. Vergon John Mayo 359
Social Marketing Maria J. Rodriguez Lisa Rubenstein Barbara Huff 381
Recommended Practice Examples: The Service Delivery Level
Strengths-Based, Individualized Services in Systems of Care Knute Rotto Janet S. McIntyre Celia Serkin 401
Improving Services Through Evidence-Based Practice Elements Jason Schiffman Christina M. Donkervoet 437
Services for High-Risk Populations in Systems of Care Bruce Kamradt Stephen A. Gilbertson Margaret Jefferson 469
Services for Young Children and Their Families in Systems of Care Deborah F. Perry Roxane K. Kaufmann Sarah Hoover Claudia Zundel 491
Services for Youth in Transition to Adulthood in Systems of Care Hewitt B. "Rusty" Clark Nicole Deschenes DeDe Sieler Melanie E. Green Gwendolyn White Diane L. Sondheimer 517
School-Based Mental Health Services in Systems of Care Krista Kutash Albert J. Duchnowski Vestena Robbins Sandra Keenan 545
Services for Youth in the Juvenile Justice System in Systems of Care Joseph J. Cocozza Kathleen R. Skowyra Joyce L. Burrell Timothy P. Dollard Jacqueline P. Scales 573
Services for Youth in the Child Welfare System and Their Families in Systems of Care Jan McCarthy Frank Rider Caraleen M. Fawcett Steve Sparks 595
Services for Youth and Their Families in Culturally Diverse Communities Mareasa R. Isaacs Larke Nahme Huang Mario Hernandez Holly Echo-Hawk Ignacio David Acevedo-Polakovich Ken Martinez 619
Future Directions for Systems of Care
Workforce Implications: Issues and Strategies for Workforce Development Joan M. Dodge Larke Nahme Huang 643
Policy Implications: New Directions in Child and Adolescent Mental Health Sybil K. Goldman Beth A. Stroul Larke Nahme Huang Chris Koyanagi 663
Research and Evaluation Implications: Using Research and Evaluation to Strengthen Systems of Care Robert M. Friedman Nathaniel Israel 689