The Handbook of Child and Adolescent Systems of Care

The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including

• Developmental and cognitive psychology in systems of care (SOCs)
• Social sciences, neurobiology, and prevention in SOC
• The best way to use psychopharmacology
• Family- and community-based interventions
• Culturally diverse populations
• Youth in juvenile justice and child welfare, school-based services
• Partnerships among parents, consumers, and clinicians

Tables and Figures xi

Foreword xiii
Clarice Kestenbau

Preface xv

Acknowledgments xxi

Part One: Conceptual Foundations of Systems of Care

Part Two: Integrating Clinical Modalities Into Systems of Care

Part Three: Working Across Populations and Settings

Part Four: Administration and Evaluation of Systems of Care

The Editors 509

The Contributors 511

Name Index 519

Subject Index 535

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.

More than twenty years ago, the mental health professional began using the medical model to address the needs of children and teenagers. This traditional method centers on diagnosis, focused treatment, and the use of medical facilities and residential programs. Continuing to use this model puts many of our children with serious emotional disorders at risk of falling through the cracks and being lost to their communities.

The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including

• Developmental and cognitive psychology in systems of care (SOCs)
• Social sciences, neurobiology, and prevention in SOC
• The best way to use psychopharmacology
• Family- and community-based interventions
• Culturally diverse populations
• Youth in juvenile justice and child welfare, school-based services
• Partnerships among parents, consumers, and clinicians

The Handbook of Child and Adolescent Systems of Care affirms that pills and pathologizing won't help our children survive and flourish. What is needed is a concentrated, integrated community effort which incorporates mental health treatment and potential problem prevention within educational and social services while strengthening and utilizing the power of the family and the community at large. "I consider the Handbook of Child and Adolescent Systems of Care edited by Drs Andres Pumariega and Nancy Winters, an outstanding contribution for its clarity, depth, and breadth in the topics covered. They have assembled an impressive list of chapter authors, each well known for their expertise in specific areas. The Handbook, while of encyclopedic dimensions, reads well and traverses the span of thought from early efforts in the field to current developments."
—Alberto C. Serrano, professor and vice chair, Child and Adolescent Psychiatry, University of Hawaii John A. Burns School of Medicine Department of Psychiatry

"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 landmark innovations 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

"I consider the Handbook of Child and Adolescent Systems of Care edited by Drs Andres Pumariega and Nancy Winters, an outstanding contribution for its clarity, depth, and breadth in the topics covered. They have assembled an impressive list of chapter authors, each well known for their expertise in specific areas. The Handbook, while of encyclopedic dimensions, reads well and traverses the span of thought from early efforts in the field to current developments."
— Alberto C. Serrano, professor and vice chair, Child and Adolescent Psychiatry, University of Hawaii John A. Burns School of Medicine Department of Psychiatry

"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