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Improving Community-Based Mental Health Care for Children: Translating Knowledge into Action

  • Ann F. GarlandEmail author
  • Rachel Haine-Schlagel
  • Lauren Brookman-Frazee
  • Mary Baker-Ericzen
  • Emily Trask
  • Kya Fawley-King
Original Article

Abstract

There is urgent need for improvement in community-based mental health care for children and families. Multiple studies have documented serious limitations in the effectiveness of “usual care.” Fortunately, many empirically-supported strategies to improve care have been developed, and thus there is now a great deal of knowledge available to address this significant public health problem. The goal of this selective review is to highlight and synthesize that empirically-supported knowledge to stimulate and facilitate the needed translation of knowledge into action. The review provides a sound foundation for constructing improved services by consolidating descriptive data on the status quo in children’s mental health care, as well as evidence for an array of promising strategies to improve (a) Service access and engagement; (b) Delivery of evidence-based practices; and (c) Outcome accountability. A multi-level framework is used to highlight recommended care improvement targets.

Keywords

Child and adolescent services Usual care Improvement strategies 

Notes

Acknowledgments

Preparation of this manuscript was supported by NIMH grants P30-MH-074778 (Landsverk). R01-MH-66070 (Garland), K23-MH-077584 (Brookman-Frazee); K01MH69665 (Baker-Ericzen); and K23-MH080149 (Haine-Schlagel). The authors also thank Len Bickman and the reviewers for helpful input.

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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Ann F. Garland
    • 1
    • 4
    Email author
  • Rachel Haine-Schlagel
    • 2
    • 4
  • Lauren Brookman-Frazee
    • 3
    • 4
  • Mary Baker-Ericzen
    • 4
  • Emily Trask
    • 3
    • 4
  • Kya Fawley-King
    • 3
    • 4
  1. 1.Department of School, Family, and Mental Health ProfessionsSchool of Leadership and Education Sciences, University of San DiegoSan DiegoUSA
  2. 2.Department of PsychologySan Diego State UniversitySan DiegoUSA
  3. 3.Department of PsychiatryUniversity of California, San DiegoSan DiegoUSA
  4. 4.Child and Adolescent Services Research Center at Rady Children’s HospitalSan DiegoUSA

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