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Children's Mental Health Service
Delivery System
In 1969, Congress ordered a report on the status of children's mental
health in the United States. This report came as a result of a larger
study conducted on adults with mental illness. The Joint Commission
on the Mental Health of Children submitted the report entitled, "Crisis
in Children's Mental Health," to Congress. The report indicated that
the fragmentation of a national response for children with mental health
needs resulted in a "non-system" (L. Southern, personal communication,
November 14, 2000). The children's mental health service system is
evolving from a "non-system" into more of a system of care. For a more
thorough look at the historical perspective of children's mental health
policy issues, see Appendix
A.
Figure 7-10 represents eight major components of a system of care
that is needed in a community (VanDenBerg, 2000, May). In Travis County
we have each of the system of care components. However, these components
are often fragmented or are limited in scope, capacity, and funding.
For a complete listing of local services and providers, Appendix
C is provided from Hotline for Help's information and referral
database.
Source: VanDerBerg, 2000
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MENTAL HEALTH SERVICES
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SUBSTANCE ABUSE SERVICES
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Nonresidential Services
- Prevention
- Early Identification & Intervention
- Assessment
- Outpatient Treatment
- Home-Based Services
- Day Treatment
- Emergency Services
Residential Services
- Therapeutic Foster Care
- Therapeutic Group Care
- Therapeutic Camp Services
- Independent Living Services
- Residential Treatment Services
- Crisis Residential Services
- Inpatient Hospitalization
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Nonresidential Services
- Prevention
- Early Intervention
- Assessment
- Outpatient Services
- Day Treatment
- Ambulatory Detoxification
- Relapse Prevention
Residential Services
- Residential Detoxification
- Community Residential Treatment & Recovery Services
- Inpatient Hospitalization
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EDUCATIONAL SERVICES
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HEALTH SERVICES
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- Assessment & Planning
- Resource Rooms
- Self-Contained Special Education
- Special Schools
- Home-Bound Instruction
- Residential Schools
- Alternative Programs
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- Health Education & Prevention
- Screening & Assessment
- Primary Care
- Acute Care
- Long-Term Care
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SOCIAL SERVICES
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VOCATIONAL SERVICES
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- Protective Services
- Financial Assistance
- Home Aid Services
- Respite Care
- Shelter Services
- Foster Care
- Adoption
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- Career Education
- Vocational Assessment
- Job Survival Skills Training
- Vocational Skills Training
- Work Experiences
- Job Findings, Placement, & Retention Services
- Supported Employment
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RECREATIONAL SERVICES
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OPERATIONAL SERVICES
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- Relationships with Significant Others
- After-School Programs
- Summer Camps
- Special Recreational Projects
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- Case Management
- Juvenile Justice Services
- Family Support & Self-Help Groups
- Advocacy
- Transportation, Legal Services, & Volunteer Programs
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Source: VanDenBerg, 2000
Table 7-24 describes the specific functions utilized in a system of
care approach. At present in Travis County there is no complete study
on capacity of the entire system or empirical data on what capacity
should be. However, "Best Practices" (see Best Practice section later
in this report) are being researched and implemented. To better inventory
Travis County's available resources, decrease duplication, and emphasize
best practices, it is recommended that a community capacity, needs,
and gaps study be conducted in order to plan for the future.
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Description of Children's Mental Health
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