Linking Mental Health and After School Systems for Children in Urban Poverty: Preventing Problems, Promoting Possibilities

  • Stacy L. Frazier
  • Elise Cappella
  • Marc S. Atkins
Original Paper
First Online:
Received:
Accepted:

Abstract

The current mental health system is failing to meet the extensive needs of children living in urban poverty. After school programs, whose mission includes children’s socialization, peer relations, and adaptive functioning, are uniquely positioned to support and promote children’s healthy development. We propose that public sector mental health resources can be reallocated to support after school settings, and we offer specific examples and recommendations from an ongoing federally funded program of research to illustrate how mental health consultation can support publicly funded after school programs. In light of the increase in resources of urban, poor communities, consultation to publicly funded after school programs can contribute to the mental health goals of keeping children safe and supervised, promoting their healthy development through academically and socially enriching activities, and identifying children in need of more intensive mental health services.

Keywords

Children’s mental health services After school programs Poverty 
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References

  1. Aber, J. L., Jones, S. M., Brown, J. L., Chaundry, N., & Samples, F. (1998). Resolving conflict creatively: Evaluating the developmental effects of a school-based violence prevention program in neighborhood and classroom context. Development and Psychopathology, 10, 187–213.PubMedCrossRefGoogle Scholar
  2. Adelman, H. S., & Taylor, L. (1999). Mental health in schools and system restructuring. Clinical Psychology Review, 19, 137–163.PubMedCrossRefGoogle Scholar
  3. Annie E. Casey Foundation (2002). End games: The challenge of sustainability. NY: Author.Google Scholar
  4. Armbruster, P., & Lichtman, J. (1999). Are school based mental health services effective? Evidence from 36 inner city schools. Community Mental Health Journal, 35, 493–504.PubMedCrossRefGoogle Scholar
  5. Atkins, M. S., Frazier, S. L., Adil, J. A., & Talbott, E. (2003) School mental health in urban communities. In: M. Weist, S. Evans & N. Tashman (Eds.), Handbook of school mental health (pp. 165–178). New York: Kluwer Academic/Plenum Publishers.Google Scholar
  6. Atkins, M. S., Graczyk, P. A., Frazier, S. L., & Abdul-Adil, J. (2003). Toward a new model for promoting urban children’s mental health: Accessible, effective, and sustainable school-based mental health services. School Psychology Review, 32, 503–514.Google Scholar
  7. Atkins, M. S., McKay, M. M., Arvanitis, P., London, L., Madison, S., Costigan, C., Haney, P., Zevenbergen, A., Hess, L., Bennett, D., & Webster, D. (1998). An ecological model for school-based mental health services for urban low-income aggressive children. Journal of Behavioral Health Services & Research, 25, 64–75.CrossRefGoogle Scholar
  8. Barrish, H. H., Saunders, M., & Wolf, M. M. (1969). Good behavior game: Effects of individual contingencies for group consequences on disruptive behavior in a classroom. Journal of Applied Behavior Analysis, 2, 119–124.PubMedCrossRefGoogle Scholar
  9. Bell, C., & McKay, M. (2004). Constructing a children’s mental health infrastructure using community psychiatry principles. The Journal of Legal Medicine, 25, 5–22.PubMedCrossRefGoogle Scholar
  10. Bouffard, S., & Little, P. M. D. (2003). Out-of-school time evaluation snapshot: A review of activity implementation in out-of-school time programs (Harvard Family Research Project, 2). Harvard University, Cambridge, MA.Google Scholar
  11. Bradley, R. H., & Corwyn, R. F. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53, 371–399.PubMedCrossRefGoogle Scholar
  12. Brooks-Gunn, J., & Duncan, G. J. (1997). The effects of poverty on children. Future of Children, 7, 55–71.PubMedCrossRefGoogle Scholar
  13. Burns, B., Schoenwald, S., Burchard, J., Faw, L., & Santos, A. (1995). Comprehensive community-based interventions for youth with severe emotional disorders: Multisystemic therapy and the wraparound process. Journal of Child and Family Studies, 9, 283–314.CrossRefGoogle Scholar
  14. Cappizzano, J., Tout, K., & Adams, G. (2000). Child care pattern of school-age children with employed mothers. (Occasional Paper. No. 41). Washington, D.C.: The Urban Institute.Google Scholar
  15. Cauce, A. M., Stewart, A., Rodriguez, M. D., Cochran, B., & Ginzler, J. (2003). Overcoming the odds? Adolescent development in the context of urban poverty. In: S.S. Luthar (eds), Resilience and vulnerability: Adaptation in the context of childhood adversities (pp. 343–363). New York: Cambridge University Press.Google Scholar
  16. Dillon, S. (2006). Schools cut back subjects to push reading and math. The New York Times, pp. A1, A22.Google Scholar
  17. Dishion, T. J., & McMahon, R. J. (1998). Parental monitoring and the prevention of child and adolescent problem behavior: A conceptual and empirical formulation. Clinical Child & Family Psychology Review, 1, 61–75.CrossRefGoogle Scholar
  18. Dynarski, M., Moore, M., Mullens, J., Gleason, P., James-Burdumy, S., & Rosenberg, L., et al. (2003). When schools stay open late: The national evaluation of the 21st Century Community Learning Centers program. NJ: Mathematica Policy Research, Princeton.Google Scholar
  19. Elias, M. J., Zins, J. E., Graczyk, P. A., & Weissberg, R. P. (2003). Implementation, sustainability, and scaling up of social-emotional and academic innovations in public schools. School Psychology Review, 32, 313–319.Google Scholar
  20. Elias, M. J., Zins, J. E., Weissberg, R. P., Frey, K. S., Greenberg, M. T., Haynes, N. M., Kessler, R., Schwab-Stone, M. E., & Shriver, T. P. (1997). Promoting social and emotional learning. Alexandria, VA: Association for Supervision and Curriculum Development.Google Scholar
  21. Embry, D. D. (2002). The Good Behavior Game: A best practice candidate as a universal behavioral vaccine. Clinical Child and Family Psychology Review, 5, 273–297.PubMedCrossRefGoogle Scholar
  22. Evans, G. W., & Kantrowitz, E. (2002). Socioeconomic status and health: The potential role of environmental risk exposure. Annual Review of Public Health, 23, 303–31.PubMedCrossRefGoogle Scholar
  23. Fantuzzo, J., & Ginsburg-Block, M. (1998). Reciprocal peer tutoring: Developing and testing effective peer collaborations for elementary school students. In K. Topping, & S. Ehly (Eds.), Peer-assisted learning (pp. 121–144). Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
  24. Fantuzzo, J., Manz, P., Atkins, M., & Meyers, R. (2005). Peer-mediated treatment of socially withdrawn maltreated preschool children: Cultivating natural community resources. Journal of Clinical Child and Adolescent Psychology, 34, 322–327.Google Scholar
  25. Farmer, E., Burns, B., Phillips, S., Angold, A., & Costello, E. (2003). Pathways into and through mental health services for children and adolescents. Psychiatric Services, 54, 60–66.PubMedCrossRefGoogle Scholar
  26. Farrel, A. D., Meyer, A. L., & White, K. S. (2001). Evaluation of Responding in Peaceful and Positive Ways (RIPP): A school-based prevention program for reducing violence among urban adolescents. Journal of Clinical Child Psychology, 30, 451–463.CrossRefGoogle Scholar
  27. Federal Interagency Forum on Child and Family Statistics (2005). America’s children: Key national indicators of well-being 2005. Washington DC: U.S. Government Printing Office.Google Scholar
  28. Flannery, D. J., Williams, L. L., & Vazsonyi, A. T. (1999). Who are they with and what are they doing? Delinquent behavior, substance use, and early adolescents’ after-school time. American Journal of Orthopsychiatry, 69, 247–253.PubMedCrossRefGoogle Scholar
  29. Glisson, C., & James, L. R. (2002). The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior, 23, 767–794.CrossRefGoogle Scholar
  30. Glisson, C., & Schoenwald, S. K. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children's mental health treatments. Mental Health Services Research, 7, 243–259.PubMedCrossRefGoogle Scholar
  31. Gottfredson, D. C., Gerstenblith, S. A., Soule, D. A., Womer, S. C., & Lu, S. (2004). Do after school programs reduce delinquency? Prevention Science, 5, 253–266.PubMedCrossRefGoogle Scholar
  32. Gottfredson, D. C., & Gottfredson, G. D. (2002). Quality of school-based prevention programs: Results from a national survey. Journal of Research in Crime and Delinquency, 39, 3–35.CrossRefGoogle Scholar
  33. Greenberg, M. T., Weissberg, R. P., O’Brien, M. U., Zins, J. E., Fredericks, L., & Resnik, H., et al. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58, 466–474.PubMedCrossRefGoogle Scholar
  34. Griffin, J. A., Cicchetti, D., & Leaf, P. J. (1993). Characteristics of youths identified from a psychiatric case register as first-time users of services. Hospital and Community Psychiatry, 44, 62–65.PubMedGoogle Scholar
  35. Halpern, R. (1992). The role of after-school programs in the lives on inner city children: A study of the Urban Youth Network. Child Welfare, 71, 215–230.PubMedGoogle Scholar
  36. Halpern, R. (1999). After-school programs for low-income children: promise and challenges. The Future of Children, 9, 81–95.PubMedCrossRefGoogle Scholar
  37. Harrison, M. E., McKay, M. M, & Bannon, W. M. Jr. (2004). Inner-city child mental health service use: The real question is why youth and families do not use services. Community Mental Health Journal, 40, 119–131.PubMedCrossRefGoogle Scholar
  38. Hemmelgarn, A. L., Glisson, C., & James, L. R. (2006). Organizational Culture and Climate: Implications for Services and Interventions Research. Clinical Psychology: Science and Practice, 13, 73–89.CrossRefGoogle Scholar
  39. Hoagwood, K., Burns, B. J., & Weisz, J. R. (2002). A profitable conjunction: From science to service in children’s mental health. In: B. Burns, & K. Hoagwood (Eds.), Community treatment for youth: Evidence-based interventions for severe emotional and behavioral disorders (pp. 327–338). New York: Oxford.Google Scholar
  40. Hoagwood, K., Jensen, P. S., Petti, T., & Burns, B. J. (1996). Outcomes of mental health care for children and adolescents: I. A comprehensive conceptual model. Journal of American Academy of Child and Adolescent Psychiatry, 35, 1055–1063.CrossRefGoogle Scholar
  41. Hoagwood, K., & Johnson, J. (2003). School psychology: A public health perspective I. Prevention, populations, and systems change. Journal of School Psychology, 41, 23–38.Google Scholar
  42. Jarrett, R. L. (1999). Successful parenting in high-risk neighborhoods. Future of Children, 9, 45–50.PubMedCrossRefGoogle Scholar
  43. Kaiser Commission on Medicaid and the Uninsured (June, 2000). Health insurance coverage and access to care among African Americans. Washington, DC: Author.Google Scholar
  44. Kataoka, S. H., Zhang, L., & Wells, K. B. (2002). Unmet need for mental health care among US children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159, 1548–1555.PubMedCrossRefGoogle Scholar
  45. Kazdin, A. E. (1996) Problem solving and parent management in treating aggressive and antisocial behavior. In: E.D. Hibbs, & P.S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (pp. 377–408). Washington DC: American Psychological Association.CrossRefGoogle Scholar
  46. Knitzer, J., Yoshikawa, H., Cauthen, N., & Aber, L. (2001). Welfare reform, family support, and child development: Perspectives from policy analysis and developmental psychopathology. Development and Psychopathology, 12, 619–632.CrossRefGoogle Scholar
  47. Mahoney, J. L., Lord, H., & Carryl, E. (2005). An ecological analysis of after-school program participation and the development of academic performance and motivational attributes for disadvantaged children. Child Development, 76, 811–825.PubMedCrossRefGoogle Scholar
  48. Marshall, N. L., Coll, C. G., Marx, F., McCartney, K., Keefe, N., & Ruh, J. (1997). After-school time and children’s behavioral adjustment. Merrill-Palmer Quarterly, 43, 497–514.Google Scholar
  49. National Advisory Mental Health Council Workgroup on Child and Adolescent Mental Health Intervention Development and Deployment. (2001). Blueprint for change: Research on child and adolescent mental health. Washington DC: Author,.Google Scholar
  50. National Commission on Children. (1991). Speaking of kids: A national survey of children and parents. Washington, DC: Author.Google Scholar
  51. National Research Council and Institute of Medicine (2003). Working families and growing kids: Caring for children and adolescents. Washington D.C.: The National Academies Press.Google Scholar
  52. Pelham, W. E., Greiner, A., & Gnagy, E. M. (1997). Children’s summer treatment program manual. Buffalo, NY.Google Scholar
  53. Pelham, W. E., Greiner, A., Gnagy, E., Hoza, B., Martin, L., Sams, S., & Wilson, T. (1996). Intensive treatment for ADHD: A model summer treatment program. In M. Roberts (Ed.), Model programs in child and family mental health (pp. 193–213). Mahwah, N.J.: Erlbaum.Google Scholar
  54. Pelham, W. E., Jr., & Hoza, B. (1996). Intensive treatment: A summer treatment program for children with ADHD. In E.D. Hibbs & P. S. Jensen (Eds.), Psychosocial treatments for child and adolescent disorders: Empirically based strategies for clinical practice (pp. 311–340). Washington DC: American Psychological Association.CrossRefGoogle Scholar
  55. Pierce, K. M., Hamm, J. V., & Vandell, D. L. (1999). Experiences in after-school programs and children’s adjustment in first-grade classrooms. Child Development, 70, 756–767.PubMedCrossRefGoogle Scholar
  56. Posner, J. K., & Vandell, D. L. (1994). Low-income children’s after-school care: Are there beneficial effects of after-school programs? Child Development, 65, 440–456.PubMedCrossRefGoogle Scholar
  57. Rappaport, N. (2001). Psychiatric consultation to school-based health centers: Lessons learned in an emerging field. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1473–1475.PubMedCrossRefGoogle Scholar
  58. Riggs, N. R., & Greenberg, M. T. (2004). After-school youth development programs: A developmental-ecological model of current research. Clinical Child and Family Psychology Review, 7, 177–190.PubMedCrossRefGoogle Scholar
  59. Ringeisen, H., Henderson, K., & Hoagwood, K. (2003). Context matters: Schools and the “research to practice gap” in children’s mental health. School Psychology Review, 32, 153–168.Google Scholar
  60. Roffman, J. G., Pagano, M. E., & Hirsch, B. J. (2001). Youth functioning and experiences in inner city after-school programs among age, gender, and race groups. Journal of Child and Family Studies, 10, 85–100.CrossRefGoogle Scholar
  61. Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child & Family Psychology Review, 34, 223–241.CrossRefGoogle Scholar
  62. Rosenthal, R., & Vandell, D. L. (1996). Quality of care at school-aged child-care programs: Regulatable features, observed experiences, child perspectives and parent perspectives. Child Development, 67, 2434–2445.PubMedCrossRefGoogle Scholar
  63. Rubenstein, M., Patrikakou, E., Weissberg, R., & Armstrong, M. (2000). Enhancing school-family partnerships: A teacher’s guide. Department of Psychology, Chicago: University of Illinois at Chicago.Google Scholar
  64. Seligson, M., Gannett, E., & Cotlin, L. (1992). Before and after-school child care for elementary school children. In: Spodek B., & O. N. Saracho (Eds.), Yearbook in Early Childhood Education (pp. 125–142). New York: Teachers College Press.Google Scholar
  65. Shinn, M. R. (1998). Advanced applications of Curriculum-Based Measurement. New York: Guilford Press.Google Scholar
  66. Skinner, C. H, Neddenriep, C. E., Robinson, S. L., Ervin, R., & Jones, K. (2002). Altering educational environments through positive peer reporting: Prevention and remediation of social problems associated with behavior disorders. Psychology in the Schools, 39, 191–202.CrossRefGoogle Scholar
  67. Snyder, H. N., & Sickmund, M. (1999). Juvenile offenders and victims: 1999 national report. Washington DC: Office of Juvenile Justice and Delinquency Prevention.Google Scholar
  68. Tashman, N. A., Weist, M. D., Acosta, O., Bickham, N. L., Grady, M., Nabors, L., & Waxman, R. (2000). Toward the integration of prevention research and expanded school mental health programs. Children’s Services: Social Policy, Research, & Practice, 3, 97–115.Google Scholar
  69. Tingstrom, D. H., Sterling-Turner, H. E., & Wilczynski, S. M. (2006). The Good Behavior Game: 1969–2002. Behavior Modification, 30, 225–253.PubMedCrossRefGoogle Scholar
  70. U.S. Department of Justice (2003). Youth victimization: Prevalence and implications. Washington DC: Author.Google Scholar
  71. U.S. Public Health Service (2000). Report of the Surgeon General’s conference on children’s mental health: A national action agenda. Washington, DC: Author.Google Scholar
  72. Vandell, D. L., Pierce, K. M., & Lee, D. (2005). Quality of relationships with after-school program staff and child developmental outcomes. Paper presented at the biennial meeting of the Society for Research in Child Development, Atlanta, GE.Google Scholar
  73. Vandell, D. L., Shumow, L., & Posner, J. K. (1997). Children’s after-school programs: Promoting resiliency or vulnerability? In H. I. McCubbin, A. I. Thompson, J. Futrell, L. D. McCubbin (Eds.), Promoting resiliency in families and children at risk: Interdisciplinary perspectives (pp. 1–35). Oaks, CA: Thousand Sage Publications.Google Scholar
  74. Weiss, B., Harris, V., Catron, T., & Han, S. (2003). Efficacy of the RECAP intervention program for children with concurrent internalizing and externalizing problems. Journal of Consulting & Clinical Psychology, 71, 364–374.CrossRefGoogle Scholar
  75. Weist, M. D., Goldstein, A., Morris, L., & Bryant, T. (2003). Integrating expanded school mental health programs and school-based health centers. Psychology in the Schools, 40, 297–308.CrossRefGoogle Scholar
  76. Weisz, J. R., Sandler, I. N., Durlak, J. A., & Anton, B. S. (2005). Promoting and protecting youth mental health through evidence-based prevention and treatment. American Psychologist, 60, 628–648.PubMedCrossRefGoogle Scholar
  77. Wilson, S. J., Lipsey, M. W., & Derzon, J. H. (2003). The effects of school-based intervention programs on aggressive behavior: A meta-analysis. Journal of Consulting & Clinical Psychology, 71, 136–149.CrossRefGoogle Scholar
  78. Wright, J. (2002). Kids as reading helpers: A peer tutoring training manual. http://www.interventioncentral.org.

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Stacy L. Frazier
    • 1
  • Elise Cappella
    • 1
  • Marc S. Atkins
    • 1
  1. 1.Institute for Juvenile Research, Department of Psychiatry (M/C 747)The University of Illinois at ChicagoChicagoUSA

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