Skip to main content
Log in

Use of mental health services among severely emotionally disturbed children and adolescents in San Francisco

  • Regular Papers
  • Published:
Journal of Child and Family Studies Aims and scope Submit manuscript

Abstract

This study examined the mental health services available to severely emotionally disturbed children and adolescents in San Francisco. Social, familial, developmental, and clinical data—as well as service use histories—on 192 youths were collected. Results indicated high levels of family dysfunction, physical and sexual abuse, and neglect in the total study population. The study also identified case history and demographic factors that were associated with repeated psychiatric inpatient hospitalizationand high annual rates of change in residential placement. These factors included being male, older, non-English-speaking, and having a history of physical and sexual abuse. The impact of the service system on the lives and course of illness of these youth is discussed and future directions for research are suggested.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Behar, L. (1984). Changing patterns of state responsibility: A case study of North Carolina.Journal of Clinical Child Psychology, 14 188–195.

    Google Scholar 

  • Children's Mental Health Services Act, California Welfare and Institutions Code §§5565.10–5565.40 (1987).

  • Cohen, J., & Cohen, P. (1983).Applied multiple regression/correlation analysis for the analysis for the behavioral sciences (2nd Ed.). Hilsdale, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Coren, H. Z., & McKale, M. A. (1985). Community mental health unraveling: The folly of cost containment.American Journal of Orthopsychiatry, 55 618–619.

    Google Scholar 

  • Dougherty, D. (1988). Children's mental health problems and services: Current federal efforts and policy implications.American Psychologist, 43 808–812.

    Google Scholar 

  • Feltman, R., & Essex, D. (1989).The Ventura Model: Presentation package. (Available from: Randall Feltman, Director, Ventura County Mental Health Services, 300 Hillmont Avenue, Ventura, California 93003.)

  • Hollingshead, A. B., & Redlich, F. C. (1958).Social class and mental illness: A community survey. New York: Wiley.

    Google Scholar 

  • Inouye, D. K. (1988). Children's mental health issues.American Psychologist, 43 813–816.

    Google Scholar 

  • Institute of Medicine (1989).Research on children and adolescents with mental, behavioral, and developmental disorders. National Academy Press: Washington, D.C.

    Google Scholar 

  • Joint Commission on the Mental Health of Children (1970).Crisis in child mental health: Challenge for the 1970's. New York: Harper and Row.

    Google Scholar 

  • Jordan, D. D., & Hernandez, M. (1990). The Ventura Planning Model: A proposal for mental health reform.The Journal of Mental Health Administration, 17 26–47.

    Google Scholar 

  • Julius, S., Lipton, H., Pettifor, J. L., & Smith, S. (1980). Problems in making organizational systems work for children.Canadian Psychology, 21 116–120.

    Google Scholar 

  • Knitzer, J. (1982).Unclaimed children: The failure of public responsibility to children and adolescents in need of mental health services. Washington, D.C.: Children's Defense Fund.

    Google Scholar 

  • National Advisory Mental Health Council (1991).National plan for research on child and adolescent mental disorders. Rockville, MD: National Institute of Mental Health.

    Google Scholar 

  • National Institute of Mental Health (1983).Program announcement: Child and Adolescent Service System Program. Rockville, MD: Author.

    Google Scholar 

  • President's Commission on Mental Health (1978).Report of the President's Commission on Mental Health. Washington, D.C.: Government Printing Office.

    Google Scholar 

  • Rae-Grant, N. I. (1976). Roadblocks and stopgaps: A review of factors obstructing the development of comprehensive child mental health services.Canadian Psychiatric Association Journal, 21 433–441.

    Google Scholar 

  • Saxe, L., Cross, T., & Silverman, N. (1988). Children's mental health: The gap between what we know and what we do.American Psychologist, 43 800–807.

    Google Scholar 

  • Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., & Aluwahlia, S. (1983). A children's global assessment scale (CGAS).Archives of General Psychiatry, 40 1228–1231.

    Google Scholar 

  • Tuma, J. M. (1989). Mental health services for children. The state of the art.American Psychologist, 44 188–199.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Barber, C.C., Rosenblatt, A., Harris, LM. et al. Use of mental health services among severely emotionally disturbed children and adolescents in San Francisco. J Child Fam Stud 1, 183–207 (1992). https://doi.org/10.1007/BF01321285

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01321285

Key words

Navigation