"This rich resource for mental health professionals and others who work
with seriously emotionally troubled children and their families distills the most hopeful lessons from two decades of children's mental health reform. It provides multiple perspectives on systems change, balancing principles and clinical insights with compelling lessons from real world efforts that can serve as a map and inspiration for others."
— Jane Knitzer, National Center for Children in Poverty, Columbia
University, and author, "Unclaimed Children"
"Written by the experts in the mental health systems of care field, this book is a must for anyone involved in public sector child and adolescent psychiatry. Authoritative and practical, it is a great primer for those seeking to learn about this evolving mental health area."
— Theodore A. Petti, Arthur B. Richter Professor of Child Psychiatry, Indiana University School of Medicine
"This systems of care handbook presents the conceptualization and implementation of landmarkinnovations in treating children with emotional disturbance and their families. The elimination of 'silos' of care, strength based approach, and family and child involvement are the hallmarks of these creative and effective programs."
— Mary Jane England, M.D., president, Regis College, former president, American Psychiatric Association and the Washington Business Group on Health
Tables and Figures. Foreword (Clarice Kestenbaum). Preface. Acknowledgments. PART ONE: CONCEPTUAL FOUNDATIONS OF SYSTEMS OF CARE. 1 A History of Community Child Mental Health (Ira S. Lourie). 2 Systems of Care: A Framework for Children's Mental Health Care (Beth A. Stroul). 3 Family Advocacy Development in Systems of Care (Charles Huffine, Deborah Anderson). 4 Collaboration Across Disciplines and Among Agencies Within Systems of Care (Mark Chenven, Barbara Brady). 5 Cultural Competence in Systems of Care for Children's Mental Health (Andres J. Pumariega). PART TWO: INTEGRATING CLINICAL MODALITIES INTO SYSTEMS OF CARE. 6 Strengthening the Clinical Perspective (Theodore Fallon, Jr). 7 Pharmacotherapy in Systems of Care for Children's Mental Health (Andres J. Pumariega, Theodore Fallon, Jr). 8 Evidence-Based Community-Based Interventions (Kenneth Rogers). 9 Case Management: The Linchpin of Community-Based Systems of Care (Nancy C. Winters, Elizabeth Terrell). PART THREE: WORKING ACROSS POPULATIONS AND SETTINGS. 10 A Conceptual Framework for an Early Childhood System of Care (Robert L. Klaehn, Jan Martner). 11 Youth in the Juvenile Justice System (William M. Heffron, Andres J. Pumariega, Theodore Fallon, Jr., Debbie R. Carter). 12 School-Based Mental Health Services: A Necessity, Not a Luxury (Gail K. Porter, Glen T. Pearson, Sandra Keenan, Jacquelyn Duval-Harvey). 13 Youth with Comorbid Disorders (Kieran D. O'Malley). 14 Collaboration with Primary Care: Sharing Risks, Goals, and Outcomes in an Integrated System of Care (Katherine E. Grimes). 15 Foster Children in the Child Welfare System (Larry Marx, Marilyn Benoit, Bruce Kamradt). PART FOUR: ADMINISTRATION AND EVALUATION OF SYSTEMS OF CARE. 16 Relationships Between Systems of Care and Federal, State, and Local Governments (Albert A. Zachik, William M. Heffron, Wade Junek, Andres Pumariega, Terry Russell). 17 Systems of Care and Managed Care: Are They Compatible? (Nancy C. Winters, Larry S. Marx, Andres J. Pumariega). 18 Systems of Care Under Legal Mandates (Thomas Vaughan, Andres J. Pumariega, Robert L. Klaehn). 19 Systems of Care Demonstration Projects: Innovation, Evaluation, and Sustainability (E. Wayne Holden, Rolando L. Santiago, Brigitte A. Manteuffel, Robert L. Stephens, Ana Maria Brannan, Robin Soler, Qinghong Liao, Freda Brashears, Susan Zaro). 20 The Role of Outcomes in Systems of Care: Quality Improvement and Program Evaluation (Barbara Friesen, Nancy C. Winters). 21 Training Child and Adolescent Psychiatrists and Child Mental Health Professionals for Systems of Care (Kaye L. McGinty, John M. Diamond, Michael B. Brown, Susan L. McCammon). The Editors. The Contributors. Name Index. Subject Index.
Andres J. Pumariega is professor and director of Child and Adolescent Psychiatry at the James H. Quillen College of Medicine, East Tennessee State University. He is founding former cochair of the Work Group on Systems of Care of the American Academy of Child and Adolescent Psychiatry (AACAP) and the author or coauthor of more than ninety scientific articles, chapters, and monographs on a wide variety of topics including child mental health and cultural competence. He is the coeditor (with Hubert B. Vance) of Clinical Assessment of Child and Adolescent Behavior (John Wiley & Sons, 2001). Nancy C. Winters is assistant professor of Child and Adolescent Psychiatry and Pediatrics, and director of the Child and Adolescent Psychiatry Residency Program, at the Oregon Health and Science University. She is the current cochair of the Work Group on Systems of Care of the AACAP.