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National Reports
NOTE: If there is
a link contained within the description of a resource, you
may click on it to download or purchase the item from the
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resources, a hard copy of the item either is available for
copy or loan.
Systems of Care: A Framework for System Reform in
Children's Mental Health
Beth A. Stroul, M.Ed.
2002
This 2002 issue brief re-examines system reform in
children's mental health, clarifies what the system of care
concept is, and explores the continued relevance of the
system of care concept and philosophy as a framework for
reform. Four questions are addressed:
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What kind of system reform is needed for children's
mental health care?
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What is the actual meaning of the system of care
concept?
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Why
should we continue to use the system of care concept
and philosophy as a framework for system reform in
children's mental health?
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How
can we achieve our system reform goals in children's
mental health?
Achieving the Promise: Transforming Mental Health Care
in America
President's New Freedom
Commission on Mental Health
July 2003
The President’s New Freedom Commission on Mental Health
(called the Commission in this report) is a key
component of the New Freedom Initiative. The President
launched the Commission to address the problems in the
current mental health service delivery system that allow
Americans to fall through the system’s cracks. In his charge
to the Commission, the President directed its members to
study the problems and gaps in the mental health system and
make concrete recommendations for immediate improvements
that the Federal government, State governments, local
agencies, as well as public and private health care
providers, can implement. The Commission’s findings confirm
that there are unmet needs and that many barriers impede
care for people with mental illnesses. Mental illnesses are
shockingly common; they affect almost every American family.
It can happen to a child, a brother, a grandparent, or a
co-worker. It can happen to someone from any background —
African American, Alaska Native, Asian American, Hispanic
American, Native American, Pacific Islander, or White
American. It can occur at any stage of life, from childhood
to old age. No community is unaffected by mental illnesses;
no school or workplace is untouched.
Transforming Mental Health Care in America: The
Federal Action Agenda: First Steps
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
July 2005
The work of the New Freedom
Commission on Mental Health is a key component of President
George W. Bush's New Freedom Initiative. In its final report
to the President, the Commission called for nothing short of
fundamental transformation of the mental health care
delivery system in the United States-from one dictated by
outmoded bureaucratic and financial incentives to one driven
by consumer and family needs that focuses on building
resilience and facilitating recovery. The following
Federal Mental Health Action Agenda articulates
specific, actionable objectives for the initiation of a
long-term strategy designed to move the Nation's public and
private mental health service delivery systems toward the
day when all adults with serious mental illnesses and all
children with serious emotional disturbances will live,
work, learn, and participate fully in their communities. A
keystone of the transformation process will be the
protection and respect of the rights of adults with serious
mental illnesses, children with serious emotional
disturbances, and their parents. With respect to children
and adolescents, the New Freedom Commission on Mental Health
and this Federal Mental Health Action Agenda clearly
recognize that parents are the decision-makers in the care
for their children. Therefore, in this document, whenever
the words child or children are used, it is
understood that parents or guardians are the decision-makers
in the process of making choices and decisions for minor
children.
SAMHSA
Mental Health Transformation Trends: A Periodic Briefing
(Federal Partners Ready to Take Action)
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Studies
September/October 2005
This online publication is a briefing designed to keep
mental health partners up to date on emerging issues,
practices and trends as the Nation moves towards a
recovery-oriented, consumer-driven mental health system.
Information provided includes updates on the progress in
transforming the Nation's mental health system at the
federal, state and local levels, information on SAMHSA's
Mental Health Transformation State Incentive Grants as well
as a "resource corner" of additional mental health system
transformation printed materials and websites.
SAMHSA
Mental Health Transformation Trends: A Periodic Briefing (A
New Start in Mental Health)
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Studies
March/April 2005
This online publication is a briefing designed to keep
mental health partners up to date on emerging issues,
practices and trends as the Nation moves towards a
recovery-oriented, consumer-driven mental health system.
Information provided includes updates on the progress in
transforming the Nation's mental health system at the
federal, state and local levels, information on SAMHSA's
Mental Health Transformation State Incentive Grants as well
as a "resource corner" of additional mental health system
transformation printed materials and websites.
SAMHSA
Mental Health Transformation Trends: A Periodic Briefing
(Transformation is Now)
U.S. Department of Health
and Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Studies
May/June 2005
This online publication is a
briefing designed to keep mental health partners up to date
on emerging issues, practices and trends as the Nation moves
towards a recovery-oriented, consumer-driven mental health
system. Information provided includes updates on the
progress in transforming the Nation's mental health system
at the federal, state and local levels, information on
SAMHSA's Mental Health Transformation State Incentive Grants
as well as a "resource corner" of additional mental health
system transformation printed materials and websites.
Transforming Behavioral Health Care to
Self-Direction: Report of the 2004 Consumer Direction
Initiative Summit
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Studies
2005
This summary of the Summit is intended to provide an
overview of the many issues raised in the working papers
prepared for the Summit and during the meeting itself. The
working papers are listed in the references and are
available on the Web at
http://www.mentalhealth.samhsa.gov/consumersurvivor
under “Featured Publications.” Some of the topics and many
of the themes from the papers have been summarized. In
addition, a summary of the workgroup discussions and their
specific recommendations have been provided. Taken together,
these present the thoughts and perspectives of the
participants and provide a basis for those working to
develop consumer direction initiatives at any level—local,
State, and Federal.
Subcommittee on Acute Care: Background Paper
U.S. Department of Health and Human Services
New Freedom Commission on Mental Health
June 2004
The President’s New Freedom Commission on Mental Health
appointed 15 subcommittees to assist in its review of the
Nation’s mental health service delivery system. The full
Commission appointed a Chair for each subcommittee. Several
other Commissioners served on each subcommittee, and
selected national experts provided advice and support. The
experts prepared initial discussion papers that outlined key
issues and presented preliminary policy options for
consideration by the full subcommittee. The subcommittee
reported to the full Commission only in summary form. On the
basis of this summary, the full Commission reached consensus
on the policy options that were ultimately accepted for
inclusion in the Final Report, Achieving the
Promise: Transforming Mental Health Care in America.
Therefore, this paper is a product of the subcommittee only
and does not necessarily reflect the position of the full
Commission or any agency of the United States Government.
Subcommittee on Housing and Homelessness: Background Paper
U.S. Department of Health and Human Services
New Freedom Commission on Mental Health
June 2004
The President’s New Freedom Commission on Mental Health
appointed 15 subcommittees to assist in its review of the
Nation’s mental health service delivery system. The full
Commission appointed a Chair for each subcommittee. Several
other Commissioners served on each subcommittee, and
selected national experts provided advice and support. The
experts prepared initial discussion papers that outlined key
issues and presented preliminary policy options for
consideration by the full subcommittee. The subcommittee
reported to the full Commission only in summary form. On the
basis of this summary, the full Commission reached consensus
on the policy options that were ultimately accepted for
inclusion in the Final Report, Achieving the
Promise: Transforming Mental Health Care in America.
Therefore, this paper is a product of the subcommittee only
and does not necessarily reflect the position of the full
Commission or any agency of the United States Government.
Subcommittee on Criminal Justice: Background Paper
U.S. Department of Health and
Human Services
New Freedom Commission on Mental Health
June 2004
The President’s New Freedom Commission on Mental Health
appointed 15 subcommittees to assist in its review of the
Nation’s mental health service delivery system. The full
Commission appointed a Chair for each subcommittee. Several
other Commissioners served on each subcommittee, and
selected national experts provided advice and support. The
experts prepared initial discussion papers that outlined key
issues and presented preliminary policy options for
consideration by the full subcommittee. The subcommittee
reported to the full Commission only in summary form. On the
basis of this summary, the full Commission reached consensus
on the policy options that were ultimately accepted for
inclusion in the Final Report, Achieving the
Promise: Transforming Mental Health Care in America.
Therefore, this paper is a product of the subcommittee only
and does not necessarily reflect the position of the full
Commission or any agency of the United States Government.
2000 Annual Report to Congress on the Evaluation of the
Comprehensive Community Mental Health Services for Children
and Their Families Program
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
2000
The report is comprehensive
and involves the grant communities, the children and
families served by the CMHS programs, service providers, and
partner agencies. It also involves non-funded comparison
communities. The number of grantees and participants and
number of components and variety of methodologies
incorporated into the evaluation make it the most extensive
study ever undertaken of a children's mental health services
initiative. The format for reporting findings in the
Executive Summary is to present a brief finding followed by
its corresponding graph. Findings of change over time are
reported as the change occurring among children from the
time of entry into services to subsequent data collection
times.
1999 Annual Report to Congress on the Evaluation of the
Comprehensive Community Mental Health Services for Children
and Their Families Program: Data Highlights
U.S. Department of Health and
Human Services
Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
1999
This report presents data accumulated through August 1999
from 22 grant communities initially funded in either FY 1993
or FY 1994 (Phase I), and from 9 grant communities first
funded in FY 1997 (Phase II). Therefore, this evaluation
report focuses on 31 grant communities that established
systems of care for approximately 40,029 children and their
families. The 14 grant communities first funded in FY 1998
will begin collecting data in FY 2000, and therefore do not
have data to contribute to this report.
Building Bridges: Mental Health Consumers and Primary
Health Care Representatives in Dialogue
U.S. Department of Health and
Human Services Substance Abuse and Mental Health Services
Administration Center for Mental Health Services
2006
This report discusses the findings of a two-day dialogue
meeting between mental health consumers and primary care
representatives including providers, researchers and
policymakers. The participants discussed their experiences,
identified factors that promote and hinder recovery of
persons in general and mental health care systems, and
offered recommendations to address attitudinal and
bureaucratic barriers and to create opportunities for
promoting recovery.
Child Welfare and Juvenile Justice: Federal Agencies
Could Play a Stronger Role in Helping States Reduce the
Number of Children Placed Solely to Obtain Mental Health
Services
United States General Accounting Office
Report to Congressional Requesters
April 2003
Recent news articles in over 30 states describe the
difficulty many parents have in accessing mental health
services for their children, and some parents choose to
place their children in the child welfare or juvenile
justice systems in order to obtain the services they need.
GAO was asked to determine: (1) the number and
characteristics of children voluntarily placed in the child
welfare and juvenile justice systems to receive mental
health services, (2) the factors that influence such
placements, and (3) promising state and local practices that
may reduce the need for child welfare and juvenile justice
placements.
Despite guidance issued by the various federal agencies with
responsibilities for serving children with mental illness,
misunderstandings among state and local officials regarding
the roles of the various agencies that provide such services
pose additional challenges to parents seeking such services
for their children. Officials in the states we visited
identified practices that they believe may reduce the need
for some child welfare or juvenile justice placements. These
included finding new ways to reduce the cost of or to fund
mental health services, improving access to mental health
services, and expanding the array of available services. Few
of these practices have been rigorously evaluated.
School Engagement and Youth Who Run Away from Care
Ada Skyles,
Cherly Smithgall, Eboni Howard
2007
In an effort to better understand individual and system
factors that may impact the educational experiences and
choices of youth in care, this paper presents the voices of
a group of youth who ran away from their foster placements
and the perspectives of adults who care for or work with
these youth. Findings reveal missed opportunities in
helping support the educational aspirations of a vulnerable
group of youth--missed opportunities for foster parents and
professionals, for the child welfare and education systems,
and most importantly for the youth themselves. The adults
need to overcome institutional impediments and secure
appropriate support services and educational opportunities
for the youth with whom they work. These supports and
opportunities, coupled with highly motivated and committed
adults, are key factors in increasing the likelihood that
foster youth will have positive academic experiences and
outcomes
SAMHSA National Directory of Drug and Alcohol Abuse
Treatment Programs 2007
Department of Health and Human Services
Substance Abuse and Mental Health Services Administration
2007
The National Directory of Drug and Alcohol Abuse Treatment
Programs –2007 is a listing of Federal, State, and local
government facilities and private facilities that provide
substance abuse treatment services. It includes treatment
facilities that (1) are licensed, certified, or otherwise
approved for inclusion in the Directory by their State
substance abuse agencies, and (2) responded to the 2006
National Survey of Substance Abuse Treatment Services (N-SSATS).
The information about each facility that appears in this
Directory was provided by that facility in response to the
2006 N-SSATS. The N-SSATS is conducted annually by the
Substance Abuse and Mental Health Services Administration (SAMHSA)
This directory is available in hard copy by way of
contacting Elisabeth Wright Burak (501-683-2644) or can be
accessed online from the above link.
The Case for Inclusion 2007
United Cerebral Palsy
Centene Foundation for Quality Healthcare
2007
This is an
analysis of Medicaid for Americans with Intellectual and
Developmental Disabilities.
This report is intended to help advocates and policymakers
understand:
• How their state performs overall in serving individuals
with intellectual and developmental disabilities
• What services and outcomes need attention and
improvement in their state?
• Which states are top performers in key areas, so that
advocates and officials in those top performing states can
be a resource for those desiring to improve?
This report puts into a national context how each individual
state is doing. Advocates should use this information to
educate other advocates, providers, families and
individuals, policymakers and their state administration on
key achievements and areas needing improvement within their
own state. These facts and figures can support policy
reforms and frame debates about resource allocation for this
population. Advocates can also use these facts to prioritize
those areas that need the most immediate attention.
Lastly, advocates can use these facts to support adequate
and necessary ongoing funding and increasing resources in
order to maintain their high quality outcomes, eliminate
waiting lists, and close large institutions.
Elected officials should use this report as a guiding
document on what needs time and attention and, possibly,
additional resources or more inclusive state policies in
order to improve outcomes for individuals with intellectual
and developmental disabilities.
Those within federal and state administrations should use
this report to put their work and accomplishments in context
and to chart the course for the next focus area in the quest
for continuous improvement and improved quality of life. The
state should replicate this data reporting in more detail at
the state and county level to identify areas of excellence
and target critical issues needing attention.
National Technical
Assistance Center on Positive Behavioral Interventions and
Supports (PBIS)
The OSEP-funded National
Technical Assistance Center on Positive Behavior and
Intervention Supports was established to address the
behavioral and discipline systems needed for successful
learning and social development of students. The Center
provides capacity-building information and technical support
about behavioral systems to assist states and districts in
the design of effective schools.
For more information
Dawn
Zekis
DHS Director of Policy and Planning - DHS Lead Staff
Dawn.Zekis@arkansas.gov,
501-683-0173
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