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Behavioral / Mental Health Disorders

"It is estimated that one in five children and adolescents have a mental health problem such as, depression, ADHD, and eating disorders, and for as many as six million this may be significant enough to disturb school attendance, home and social conditions."

Despite these startling statistics, the National Institute of Mental Health (NIMH) estimates that fewer than one in five of these children receives treatment, due in part to a lack of affordability, lack of availability of specialists, and stigma. One key point of access for helping these children receive the mental health care they need is the inclusion of mental health services - provided by qualified counselors, psychologists, and social workers - in this nation's schools. Grants through the Children's Mental Health Services program have been instrumental in achieving decreased utilization of inpatient services, improvement in school attendance and lower law enforcement contact for children and adolescents." 1

"The medical home is not just a place, but a process of care that allows for the identification and tracking of children and youth with special health care needs, systematic care coordination, active care planning with families, and explicit co management with specialists...

The national medical home movement is gaining momentum among practitioners. Much of the focus has been on the role of primary care providers. However, this is an ideal time for specialists in a variety of disciplines to examine the concept of planned co management between specialty and primary care. Co management allows for improved “vertical” communication within the health care systems as well as better “horizontal” linkages between health care settings and other key community resources. For specialties like child psychiatry in which access is a problem or in which the demand of clinicians exceeds the supply, co-management offers opportunities for increased efficiency and reduced redundancy. Joint ventures to pilot these concepts are needed."2

General Information
When to Seek Professional Help for Behavior Problems
From the American Academy of Pediatrics

Let's Talk Facts About. . .Childhood Disorders
From the American Psychiatric Association

Bright Futures in Practice: Mental Health provides a vision, a framework, and a practical set of resources and tools to help address the mental and emotional health and wellbeing of all children and adolescents as a critical element of child and adolescent health care. This recognition of the importance of mental health care is especially significant in today’s complex society, in which many of the concerns that families bring to primary care health professionals relate to developmental, psychosocial, or specific mental health issues. To access the early childhood section of this guide click here.

President’s New Freedom Commission on Mental Health
In April 2002 as part of his commitment to eliminate inequality for Americans with disabilities. The President directed the Commission to identify policies that could be implemented by Federal, State and local governments to maximize the utility of existing resources, improve coordination of treatments and services, and promote successful community integration for adults with a serious mental illness and children with a serious emotional disturbance. For more information go to www.mentalhealthcommission.gov/

Resources

The National Federation of Families for Children's Mental Health (FFCMH) published the Family Guide to Systems of Care to inform caregivers and families about how to seek the best care for children with mental health needs. The content and format were determined by families across the country.

The 15 Minute Mental Health Visit - recorded teleconference, June 5, 2008
The AAP Task Force on Mental Health collaborated with the Committee on Psychosocial Aspects of Child and Family Health, Council on Children with Disabilities, Council on Community Pediatrics, Committee on Practice and Ambulatory Medicine, Section on Developmental and Behavioral Pediatrics, and Bright Futures to provide a Web-based teleconference for primary care pediatricians focused on educating pediatricians on how to approach mental health concerns with parents, children, and adolescents in the primary care setting. Speakers Larry Wissow, MD, MPH and Anne Gadomski, MD, MPH discuss the "common factors" approach and present video clips of doctors interviewing simulated patients with mental health problems that are common in the pediatric primary care setting. A panel of experts respond to the video clips and assist in answering participant questions. Length: 62 minutes

Dual Diagnosis Partnership Training Web Site
Through a partnership between the National Association for the Dually Diagnosed and Essential Learning, an online training initiative where behavioral health professionals can take courses and earn continuing education credits through the Internet, has been launched. A variety of courses to promote understanding and the gaining of new skills are being offered, including such new courses as:

    • Autistic learning disabilities approach
    • Dental and oral hygiene for individuals with mental illness
    • Behavior development for people with developmental disabilities
    • Sleep and mental health


newThe Rural Web Portal: Healthy Children and Families:
A new and valuable technical assistance resource for rural and frontier communities working to transform systems for children's behavioral health in rural and frontier areas. An outcome of the National Plan for Rural Behavioral Health, this activity is funded by the SAMHSA/Center for Mental Health Services and represents a collaboration across several technical assistance centers providing TA to children's grant programs initially those funded through SAMHSA/CMHS. 

DATA MATTERS CORNER
In January 2007, the National Technical Assistance Center for Children’s Mental Health at Georgetown University Center for Child and Human Development launched DATA MATTERS CORNER, an interactive online newsletter designed to enhance the center’s connection and keep readers up to date on the latest in the field of children's mental health.

Promising Approaches for Strengthening the Interface Between Primary and Specialty Pediatric Care- Federal Expert Work Group on Pediatric Subspecialty Capacity
March 2006

Connecting for Children's Sake: Integrating Physical and Mental Health Care in the Medical Home

October 2005
This 2005 Pediatrics for the 21st Century Symposium examined ways in which pediatricians can more efficiently and effectively collaborate with mental health specialists to improve their patients' medical and mental health care. This document includes many examples of successful community-based models from across the country.

The Best Beginning: Partnerships Between Primary Health Care and Mental Health and Substance Abuse Services for Young Children and Their Families,
August 2005
Pediatricians are in a unique position to identify early childhood mental health concerns and family mental health and substance abuse risk factors.  This SAMHSA-funded, web-based resource features eight innovative medical home practices that integrate behavioral health screening for the whole family, facilitate referrals to community services, and offer follow-up care.  This resource describes how the practices use very different approaches to do it, fund it, and the lessons they learned. 

A Compilation of Lessons Learned from the 22 Grantees for the 1997 Comprehensive Community Mental Health Services for Children and their Families Program

State and local NAMIs
Provide support groups for consumers and their family members and friends, share important information and services across the mental health community, and advocate at the state level for improved mental health services.

Children's Mental Health Resource Kit
An estimated one in ten children and adolescents suffers from mental illness severe enough to cause impairment--and half of these young people do not get the services they need. This Children's Defense Fund Children's Mental Health Resource Kit has information on accessing mental health screens and assessments through Medicaid and the Children 's Health Insurance Program (CHIP) programs.

Online Toolkit on Childhood Depression and Anxiety
The Washington State Department of Health Children with Special Health Care Needs Program and the Center for Children with Special Needs have developed a new online toolkit for health care providers, advocacy and community groups, parents, and families. The Childhood and Adolescent Depression and Anxiety Toolkit, which includes Spanish language materials, is available at
www.cshcn.org/resources/mentalhealthtoolkit.cfm.

Mental Health in Children and Adolescents is an electronic guide on recent, high-quality resources in child and adolescent mental health. It addresses the goals outlined in Report of the Surgeon General's Conference on Children's Mental Health: A National Action Agenda and includes links to web sites and electronic publications, journal articles, databases, and electronic newsletters. It is intended for use by health professionals, program administrators, policymakers, educators and families who are interested in this topic.

Web sites/Organizations
American Academy of Pediatrics Mental Health Web Site
http://www.aap.org/commpeds/dochs/mentalhealth/
In 2004, in response to the growing need to address children’s mental health concerns in primary care, the AAP Board of Directors formed the American Academy of Pediatrics (AAP) Task Force on Mental Health (TFOMH). The Task Force is chaired by Jane Meschan Foy, MD, FAAP, and includes 10 AAP members, 5 AAP member consultants, and liaisons representing mental health professional organizations, family organizations, and other professional societies. The task force is responsible for providing feedback and guidance to AAP staff on mental health projects as outlined in the AAP Mental Health Action Plan.

Allendale Association: www.allendale4kids.org/
The Allendale Association is a private, not-for-profit organization dedicated to excellence and innovation in the care, education, treatment and advocacy for troubled children, youth and their families.

American Academy of Child and Adolescent Psychiatry:
www.aacap.org
Information is provided as a public service to aid in the understanding and treatment of the developmental, behavioral, and mental disorders which affect an estimated 7 to 12 million children and adolescents at any given time in the United States. You will find information on child and adolescent psychiatry, fact sheets for parents and caregivers, AACAP membership, current research, practice guidelines, managed care information, awards and fellowship descriptions, meeting information, and much more.

American Psychiatric Association: www.psych.org
The American Psychiatric Association is a medical specialty society recognized world-wide. Its 37,000 U.S. and international member physicians work together to ensure humane care and effective treatment for all persons with mental disorder, including mental retardation and substance-related disorders. It is the voice and conscience of modern psychiatry. Its vision is a society that has available, accessible quality psychiatric diagnosis and treatment.

American Psychological Association: www.apa.org
Based in Washington, DC, the American Psychological Association (APA) is a scientific and professional organization that represents psychology in the United States.

American Academy of Pediatrics Child Health Topics:
www.aap.org/topics.html
Browse through health topics such as: Behavioral and Mental Health, Community Health, Diseases and Conditions, Family Health, Healthy Development, Navigating the Health Care System, Populations with Unique Health Care Needs. Direct link to Behavioral/Mental Health information from the AAP: www.aap.org/healthtopics/behavmenthlth.cfm

Bazelon Center for Mental Health Law: www.bazelon.org
The Judge David L. Bazelon Center for Mental Health Law is a nonprofit legal advocacy organization based in Washington D.C. Known until 1993 as the Mental Health Law Project, our name today honors the federal appeals court judge whose landmark decisions pioneered the field of mental health law. Our advocacy is based on the principle that every individual is entitled to choice and dignity.

Behavioral Healthcare and Telehealth Resources on the Web
www.umdnj.edu/psyevnts/pointers.html
Professional behavioral health resources, including international conferences, congresses, scientific meetings, seminars and training workshops of over 4,500 organizations worldwide dealing with mental health.

CDC Mental Health Work Group: www.cdc.gov/mentalhealth/
The CDC Mental Health Work Group Web site includes basic public health information on mental health

Center for Effective Collaboration and Practice:
cecp.air.org/promisingpractices/

It is the mission of the Center for Effective Collaboration and Practice to support and promote a reoriented national preparedness to foster the development and the adjustment of children with or at risk of developing serious emotional disturbance. To achieve that goal, the Center is dedicated to a policy of collaboration at Federal, state, and local levels that contributes to and facilitates the production, exchange, and use of knowledge about effective practices.

Center for Mental Health Services: www.mentalhealth.org
CMHS leads Federal efforts to treat mental illnesses by promoting mental health and by preventing the development or worsening of mental illness when possible.

Conduct Disorders: www.conductdisorders.com/
ConductDisorders.com is a companion site to our wonderful Parent Message Board...that is worth more than many years of paid therapy.

Council for Children with Behavioral Disorders (CCBD): www.ccbd.net/
The Council for Children with Behavioral Disorders (CCBD) is the official division of the Council for Exceptional Children (CEC) committed to promoting and facilitating the education and general welfare of children and youth with emotional or behavioral disorders.

Depression and Co-Occurring Illness Fact Sheet; What is Depression?: www.depressionscreening.org
The depression screening web site is sponsored by the National Mental Health Association (NMHA) as part of NMHA's Campaign for America's Mental Health. The mission of this web site is to educate people about clinical depression, offer a confidential way for people to get screened for symptoms of the illness, and guide people toward appropriate professional help if necessary.

The Federation of Families for Children's Mental Health: www.ffcmh.org
The Federation of Families for Children's Mental Health serves, with humility and determination, to provide and sustain leadership for a broad and deep nation-wide network of family-run organizations.

HANDS Screening Tool for National Depression Screening Day: mentalhealthscreening.org
Screening for Mental Health, Inc. (formerly the National Mental Illness Screening Project) is a nonprofit organization developed to coordinate nationwide mental health screening programs and to ensure cooperation, professionalism, and accountability in mental illness screenings.

Mental Health InfoSource:www.mhsource.com/

National Alliance for the Mentally Ill: www.nami.org
The National Alliance for the Mentally Ill (NAMI) is a nonprofit, grassroots, self-help, support and advocacy organization of consumers, families, and friends of people with severe mental illnesses, such as schizophrenia, major depression, bipolar disorder, obsessive-compulsive disorder, and anxiety disorders.

National Association of School Psychologists: www.nasponline.org
The mission of the National Association of School Psychologists (NASP) is to promote educationally and psychologically healthy environments for all children and youth by implementing research-based, effective programs that prevent problems, enhance independence, and promote optimal learning. This is accomplished through state-of-the-art research and training, advocacy, ongoing program evaluation, and caring professional service.

National Institute for Mental Health: www.nimh.nih.gov
The mission of the National Institute of Mental Health (NIMH) is to diminish the burden of mental illness through research. This public health mandate demands that we harness powerful scientific tools to achieve better understanding, treatment and, eventually prevention of mental illness.

National Mental Health and Education Center: www.naspcenter.org
The National Mental Health and Education Center for Children and Families, a public service of the National Association of School Psychologists, is an information and action network to foster best practices in education and mental health for children and families. The Center works to provide support for children and families and improve the professional training and practices of school psychologists and pupil service providers.

National Mental Health Association: www.nmha.org
The National Mental Health Association (NMHA) is the country's oldest and largest nonprofit organization addressing all aspects of mental health and mental illness.


The National Technical Assistance Center for Children's Mental Health
gucchd.georgetown.edu/programs/ta_center/
The National Technical Assistance Center for Children's Mental Health is dedicated to helping states, tribes, territories, and communities discover, apply, and sustain innovative and collaborative solutions that improve the social, emotional, and behavioral well being of children and families. They offer a variety of activities that include a broad range of training and technical assistance opportunities for states, tribes, territories, and communities to assist in transforming service delivery systems for children with mental health needs and their families.

Pharmacist Support For People With Mental Health Care Needs: www.nmhct.nhs.uk/pharmacy
Here you can find out more about drug treatments that are prescribed for mental health needs, about the Pharmacy that provides information on this website, and a related group of pharmacy and drug-related items.

The Research and Training Center for Children's Mental Health: rtckids.fmhi.usf.edu/
The mission of the Research and Training Center (RTC) is to improve services for children and adolescents with serious emotional disabilities (SED) and their families by strengthening the knowledge base for effective services and systems of care. The Center is seeking to achieve this mission through an integrated set of research, training, and dissemination activities.

Research and Training Center on Family Support and Children's Mental Health: http://www.rtc.pdx.edu/
The Center is dedicated to promoting effective community-based, culturally competent, family-centered services for families and their children who are, or may be affected by mental, emotional or behavioral disorders. This goal is accomplished through collaborative research partnerships with family members, service providers, policy makers, and other concerned persons.

Seguin Services Incorporated: www.seguin.org/
Seguin Services Incorporated is an industry leader providing services and support for adults and children with disabilities.

Start Early Start Smart: www.health.org/promos/sess/txt_technical.html
Casey Family Programs and the Substance Abuse and Mental Health Services Administration are collaborating on this national initiative. (SAMHSA is a federal agency within the U.S. Department of Health and Human Services.) Starting Early Starting Smart (SESS) is a knowledge development application grant which funds the integration of substance abuse and mental health prevention and treatment services in primary care and early childhood sites.

The Substance Abuse and Mental Health Services Administration: www.samhsa.gov
SAMHSA is the Federal agency charged with improving the quality and availability of prevention, treatment, and rehabilitative services in order to reduce illness, death, disability, and cost to society resulting from substance abuse and mental illnesses.

Surgeon General's Office, Mental Health: Report from the Surgeon General: www.surgeongeneral.gov/library/mentalhealth/home.html
This seminal report provides us with an opportunity to dispel the myths and stigma surrounding mental illness.

Technical Assistance Partnership for Child and Family Mental Health: http://www.tapartnership.org/
The mission of the TA Partnership is to support communities in their efforts to successfully develop and implement local systems of care. They assist with developing a broad array of community-based, strength-based services to improve outcomes for children with serious emotional disturbance. They do this through our Resource Specialists, Regional Technical Assistance Coordinators, Consultant Pool, Team Learning Centers, Meetings, Webinars, and Web site. TA is provided mainly through contact at meetings, telephone calls, and e-mail.

Triple P (Positive Parenting Program): www.triplep.net/
The Triple P-Positive Parenting Program is a multi-level, parenting and family support strategy that aims to prevent severe behavioural, emotional and developmental problems in children by enhancing the knowledge, skills and confidence of parents. The program was developed by Professor Matt Sanders and colleagues from the Parenting and Family Support Center in the School of Psychology at The University of Queensland. Triple P incorporates five levels of intervention of increasing strength for parents of children from birth to age 12. Recently the program has been extended to address the concerns of parents of young people aged 12-16.

Triple P America is responsible for:
Distributing Triple P resource materials in the U.S; Contractual training of Triple P with organizations and agencies in the U.S.; Triple P training courses for individual practitioners.

Resource Materials in the U.S.
Practitioners and parents in the U.S. can order Triple P resource materials by going to: www.triplep-america.com

1. Statement for the Record for the U.S. House of Representatives| Committee on Appropriations | Subcommittee on Labor, Health and Human Services and Education. FY 2004 on behalf of the AAP. May 14, 2003

2. Cooley, WC., Improving Care for Children with Chronic Conditions: The Primary Care Medical Home. AACAP News. September/October 2004.

Last Updated March 8, 2007

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