Richard M. Sarles - Böcker

Barriers to community mental health centers (such as stigma, waiting lists) prevent youth from receiving necessary services. Providing Mental Health Services to Youth Where They Are, identifies the reform that is needed in children's mental health service. As the issues of systems of mental health care have received increased attention, so has the recognition of the benefits of providing services to youth where they are: that is, in natural settings, such as home or school. Principles to include in systems of mental health care for youth are as equally important as actually reaching the youth: involvement of families, school staff, community leaders, and clergy. The development of programs are matched to the developmental, cultural, and other needs of youth in a community so they mesh with existing services. This book describes how these principles play out in school-, home-, and community-based mental health programs for youth.

First published in 1994. The Sheppard and Enoch Pratt Hospital has been treating severely emotionally disturbed adolescents for a number of years. During this time, they have had the opportunity to build upon the principles and techniques of acknowledged experts and leaders, and have gained a great deal of experience and wisdom ourselves. Our treatment teams had the time to deliver intensive, in-depth treatment, which included three weekly individual psychotherapy sessions, three weekly group therapy sessions, daily activity therapy, and intensive milieu program, daily ward meetings, weekly family therapy, and a daily therapeutic school program. The knowledge and principles described in this book are not only applicable to inpatient facilities but also valuable to practitioners in day hospitals, group homes, and outpatient practice.

In the past few years, there has been a major shift in the mental health care of child and adolescents from inpatient care to non-hospital community ambulatory settings. Economic pressures have primarily driven this change in service delivery. Insurance companies and managed care organizations have not only restricted access to hospitalization and limited length of stays but additionally have sharply reduced reimbursements for treatments. State and federal policies for inpatient treatment and reimbursement have followed similar trends. As a result, mental health planners have attempted to develop programs to deal with this trend of restricted inpatient care shifting treatment of children and adolescents to home and community settings. Some of these new programs are well planned and others are hastily planned and implemented. The pitfall to this community approach is that there is a population of chronically disturbed children and adolescents, and highly stressed parents often lacking adequate personal and family resource who may not respond to these new less restrictive, less costly community approaches which potentially may lead to an unsafe and dangerous situation for the child, adolescent, family and the community.With this in mind, the purpose of this book is to provide comprehensive and up-to-date information regarding child and adolescent outpatient, day treatment and community psychiatry. The emphasis of this book is to provide practical knowledge through clinical case illustrations and to explain various strategies in a detailed fashion.

In the past few years, there has been a major shift in the mental health care of child and adolescents from inpatient care to non-hospital community ambulatory settings. Economic pressures have primarily driven this change in service delivery. Insurance companies and managed care organizations have not only restricted access to hospitalization and limited length of stays but additionally have sharply reduced reimbursements for treatments. State and federal policies for inpatient treatment and reimbursement have followed similar trends. As a result, mental health planners have attempted to develop programs to deal with this trend of restricted inpatient care shifting treatment of children and adolescents to home and community settings. Some of these new programs are well planned and others are hastily planned and implemented. The pitfall to this community approach is that there is a population of chronically disturbed children and adolescents, and highly stressed parents often lacking adequate personal and family resource who may not respond to these new less restrictive, less costly community approaches which potentially may lead to an unsafe and dangerous situation for the child, adolescent, family and the community.With this in mind, the purpose of this book is to provide comprehensive and up-to-date information regarding child and adolescent outpatient, day treatment and community psychiatry. The emphasis of this book is to provide practical knowledge through clinical case illustrations and to explain various strategies in a detailed fashion.

First published in 1994. The Sheppard and Enoch Pratt Hospital has been treating severely emotionally disturbed adolescents for a number of years. During this time, they have had the opportunity to build upon the principles and techniques of acknowledged experts and leaders, and have gained a great deal of experience and wisdom ourselves. Our treatment teams had the time to deliver intensive, in-depth treatment, which included three weekly individual psychotherapy sessions, three weekly group therapy sessions, daily activity therapy, and intensive milieu program, daily ward meetings, weekly family therapy, and a daily therapeutic school program. The knowledge and principles described in this book are not only applicable to inpatient facilities but also valuable to practitioners in day hospitals, group homes, and outpatient practice.