Abstract
Evaluated psychosocial differences between youthreceiving mental health services in Community MentalHealth Centers (CMHCs; n = 79) as compared to youthreceiving services from a program operating in 10 Baltimore schools (n = 186). Racial and genderdifferences were shown, with more African American youthand females in the School than CMHC sample. Multivariateanalyses that controlled for these racial and gender differences failed to revealsignificant effects, indicating comparable functioningon measures of life stress, violence exposure, familysupport, self-concept, and emotional/behavioral problems for youth from the two samples. However,particularly for those with internalizing disturbances,youth in the School sample were less likely to havereceived prior mental health services than youth from the CMHCs. Findings support the conclusion thatschool-based mental health programs are reaching youthwho need mental health services, who otherwise may notreceive them.
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REFERENCES
Achenbach, T.M. (1991). Manual for the Youth Self-Report and 1991 Profile. Burlington, VT: University of Vermont Department of Psychiatry.
Adelman, H.S., & Taylor, L. (1993). School-based mental health: Toward a comprehensive approach. Journal of Mental Health Administration, 20, 32–45.
Barber, C.C., Rosenblatt, A., Harris, L., & Attkinson, C.C. (1992). Use of mental health services among severely emotionally disturbed children and adolescents in San Francisco. Journal of Child and Family Studies, 1, 183–207.
Burns, B.J. (1991). Mental health service use by adolescents in the 1970s and 1980s. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 144–150.
Cohen, P. & Hesselbart, C.S. (1993). Demographic factors in the use of children's mental health services. American Journal of Public Health, 83, 49–52.
Cullinan, D., Epstein, M.H., & Sabornie, E.J. (1992). Selected characteristics of a national sample of seriously emotionally disturbed adolescents. Behavioral Disorders, 17, 273–280.
Dryfoos, J.G. (1994). Full-service schools. San Francisco: Jossey-Bass.
Flaherty, L.T., Weist, M.D., Warner, B.S. (in press). School-based mental health services in theUnited States: History, current models, and needs. Community Mental Health Journal.
Epstein, M.H., Cullinan, D., Quinn, K., & Cumblad, C. (1995). Personal, family, and service use characteristics of young people served by an interagency community-based system of care. Journal of Emotional and Behavioral Disorders, 3(1), 55–64.
Gladstein, J., & Slater, E.J. (1988). Inner city teenagers' exposure to violence: A prevalence study. Maryland Medical Journal, 37, 951–954.
Goodwin, L.D., Goodwin, W.L., & Cantrill, J.L. (1988). The mental health needs of elementary school children. Journal of School Health, 58, 282–287.
Kelleher, K.J., Taylor, J.L., & Rickert, V.I. (1992). Mental health services for rural children and adolescents. Clinical Psychology Review, 12, 841–854.
Lear, J.G., Gleicher, H.B., St. Germaine, A., & Porter, P.J. (1991). Reorganizing health care for adolescents: The experience of the school-based adolescent health care program. Journal of Adolescent Health, 12, 450–458.
Polivko, B.J. & Clark, J.A. (1994). A collaborative system of care for youth with severe emotional disturbances: An evaluation of client characteristics and services. The Journal of Mental Health Administration, 21, 170–184.
Pottick, K.J., Lehman, P., & Micchelli, M. (1992). Of problems and perspectives: Predicting the use of mental health services by parents of urban youth. Children and Youth Services Review, 14, 363–378.
Reynolds, W.E. (1993). Self-report methodology. In T.H. Ollendick & M. Hersen (Eds.), Handbook of child and adolescent assessment. Needham Heights, MA: Allyn & Bacon.
Rosenberg, M. (1965). Society and adolescent self-image. Princeton, NJ: Princeton University Press.
Short, R.J., & Talley, R.C. (1997). Rethinking psychology and the schools: Implications of recent national policy. American Psychologist, 52, 234–240.
Silver, S.E. (1989). A comparison of children with serious emotional disturbance served in residential and school settings. In A. Algarin, R.M. Friedman, A.J. Duchnowski, K.M. Kutash, S.E. Silver, & M.K. Johnson (Eds.), 2nd Annual Conference Proceedings of the Research and Training Center for Children's Mental Health Services and Policy: Building a Research Base. Tampa: Florida Mental Health Institute.
Tirozzi, G.N., & Uro, G. (1997). Education reform in the United States: National policy in support of local efforts for school improvement. American Psychologist, 52, 241–249.
Weist, M.D. (1997). Expanded school mental health services: A national movement in progress. In T.H. Ollendick, & R. Prinz (Eds.), Advances in Clinical Child Psychology, 19, 319–352. New York: Plenum.
Weist, M.D. (1998). Mental health services in schools: Expanding opportunities. In H. Ghuman & R. Sarles (Eds.), Handbook of child and adolescent outpatient, day treatment and community psychiatry (347–358). Philadelphia: Brunner/Mazel.
Weist, M.D., Proescher, E.L., Freedman, A.H., Paskewitz, D.A., & Flaherty, L.T. (1995). School-based health services for urban adolescents: Psychosocial characteristics of clinic users vs nonusers. Journal of Youth & Adolescence, 24, 251–265.
Weist, M.D., Myers, C.P., Warner, B.S., Varghese, S., & Dorsey, N. (1998). A clinically useful screening interview for violence exposure in youth. Manuscript submitted for publication.
Wills, T.A., Vaccaro, D., & McNamara, D. (1992). The role of life events, family support, and competence in adolescent substance use: A test of vulnerability and protective factors. American Journal of Community Psychology, 20, 349–374.
Work, W.C., Cowen, E.L., Parker, G.W., & Wyman, P.A. (1990). Stress resilient children in an urban setting. Journal of Primary Prevention, 11, 3–17.
Zahner, G.E., Pawelkiewicz, W., DiFrancesco, J.J., & Adnopoz, J. (1992). Children's mental health service needs and utilization patterns in an urban community: An epidemiological assessment. Journal of the American Academy of Child and Adolescent Psychiatry, 31, 951–960.
Zeigler-Dendy, C.A. (1989). The invisible children project: Methods and findings. In A. Algarin, R.M. Friedman, A.J. Duchnowski, K.M. Kutash, S.E. Silver, & M.K. Johnson (Eds.), 2nd Annual Conference Proceedings of the Research and Training Center for Children's Mental Health Services and Policy: Building a Research Base. Tampa, Florida Mental Health Institute.
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Weist, M.D., Myers, C.P., Hastings, E. et al. Psychosocial Functioning of Youth Receiving Mental Health Services in the Schools Versus Community Mental Health Centers. Community Ment Health J 35, 69–81 (1999). https://doi.org/10.1023/A:1018700126364
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DOI: https://doi.org/10.1023/A:1018700126364