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The Handbook of Child and Adolescent Systems of Care: The New Community Psychiatry

ISBN: 978-0-7879-6239-5
576 pages
February 2003, Jossey-Bass
The Handbook of Child and Adolescent Systems of Care: The New Community Psychiatry (0787962392) cover image


The Handbook of Child and Adolescent Systems of Care is a groundbreaking volume that presents the latest thinking in the field of child and adolescent psychiatry written by a stellar panel of child and adolescent psychiatrists. The Handbook shows that the best way to help at-risk children is not in isolated doctor and patient treatment rooms but with community-based systems of care (SOC) that incorporate an interagency integration of services based on a client-centered and family empowering orientation. This important resource offers psychiatrists, psychologists, social workers, counselors, pediatricians, nurses, educators, lawyers and judges, politicians, child advocates, parents, and families a guide to this dynamic new theory and practice. Comprehensive in scope, The Handbook of Child and Adolescent Systems of Care includes vital information on a wide variety of topics including
  • Developmental and cognitive psychology in systems of care (SOCs)
  • Social sciences, neurobiology, and prevention in SOC
  • The best way to use psychopharmacology
  • Family- and community-based interventions
  • Culturally diverse populations
  • Youth in juvenile justice and child welfare, school-based services
  • Partnerships among parents, consumers, and clinicians
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Table of Contents

Tables and Figures.

Foreword (Clarice Kestenbaum).




1 A History of Community Child Mental Health (Ira S. Lourie).

2 Systems of Care: A Framework for Children's Mental Health Care (Beth A. Stroul).

3 Family Advocacy Development in Systems of Care (Charles Huffine, Deborah Anderson).

4 Collaboration Across Disciplines and Among Agencies Within Systems of Care (Mark Chenven, Barbara Brady).

5 Cultural Competence in Systems of Care for Children's Mental Health (Andres J. Pumariega).


6 Strengthening the Clinical Perspective (Theodore Fallon, Jr).

7 Pharmacotherapy in Systems of Care for Children's Mental Health (Andres J. Pumariega, Theodore Fallon, Jr).

8 Evidence-Based Community-Based Interventions (Kenneth Rogers).

9 Case Management: The Linchpin of Community-Based Systems of Care (Nancy C. Winters, Elizabeth Terrell).


10 A Conceptual Framework for an Early Childhood System of Care (Robert L. Klaehn, Jan Martner).

11 Youth in the Juvenile Justice System (William M. Heffron, Andres J. Pumariega, Theodore Fallon, Jr., Debbie R. Carter).

12 School-Based Mental Health Services: A Necessity, Not a Luxury (Gail K. Porter, Glen T. Pearson, Sandra Keenan, Jacquelyn Duval-Harvey).

13 Youth with Comorbid Disorders (Kieran D. O'Malley).

14 Collaboration with Primary Care: Sharing Risks, Goals, and Outcomes in an Integrated System of Care (Katherine E. Grimes).

15 Foster Children in the Child Welfare System (Larry Marx, Marilyn Benoit, Bruce Kamradt).


16 Relationships Between Systems of Care and Federal, State, and Local Governments (Albert A. Zachik, William M. Heffron, Wade Junek, Andres Pumariega, Terry Russell).

17 Systems of Care and Managed Care: Are They Compatible? (Nancy C. Winters, Larry S. Marx, Andres J. Pumariega).

18 Systems of Care Under Legal Mandates (Thomas Vaughan, Andres J. Pumariega, Robert L. Klaehn).

19 Systems of Care Demonstration Projects: Innovation, Evaluation, and Sustainability (E. Wayne Holden, Rolando L. Santiago, Brigitte A. Manteuffel, Robert L. Stephens, Ana Maria Brannan, Robin Soler, Qinghong Liao, Freda Brashears, Susan Zaro).

20 The Role of Outcomes in Systems of Care: Quality Improvement and Program Evaluation (Barbara Friesen, Nancy C. Winters).

21 Training Child and Adolescent Psychiatrists and Child Mental Health Professionals for Systems of Care (Kaye L. McGinty, John M. Diamond, Michael B. Brown, Susan L. McCammon).

The Editors.

The Contributors.

Name Index.

Subject Index.

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Author Information

Andres J. Pumariega is professor and director of Child and Adolescent Psychiatry at the James H. Quillen College of Medicine, East Tennessee State University. He is founding former cochair of the Work Group on Systems of Care of the American Academy of Child and Adolescent Psychiatry (AACAP) and the author or coauthor of more than ninety scientific articles, chapters, and monographs on a wide variety of topics including child mental health and cultural competence. He is the coeditor (with Hubert B. Vance) of Clinical Assessment of Child and Adolescent Behavior (John Wiley & Sons, 2001).

Nancy C. Winters is assistant professor of Child and Adolescent Psychiatry and Pediatrics, and director of the Child and Adolescent Psychiatry Residency Program, at the Oregon Health and Science University. She is the current cochair of the Work Group on Systems of Care of the AACAP.

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"I consider the Handbook of Child and Adolescent Systems of Care edited by Drs Andres Pumariega and Nancy Winters, an outstanding contribution for its clarity, depth, and breadth in the topics covered. They have assembled an impressive list of chapter authors, each well known for their expertise in specific areas. The Handbook, while of encyclopedic dimensions, reads well and traverses the span of thought from early efforts in the field to current developments."
— Alberto C. Serrano, professor and vice chair, Child and Adolescent Psychiatry, University of Hawaii John A. Burns School of Medicine Department of Psychiatry

"This rich resource for mental health professionals and others who work
with seriously emotionally troubled children and their families distills the most hopeful lessons from two decades of children's mental health reform. It provides multiple perspectives on systems change, balancing principles and clinical insights with compelling lessons from real world efforts that can serve as a map and inspiration for others."
— Jane Knitzer, National Center for Children in Poverty, Columbia
University, and author, Unclaimed Children

"Written by the experts in the mental health systems of care field, this book is a must for anyone involved in public sector child and adolescent psychiatry. Authoritative and practical, it is a great primer for those seeking to learn about this evolving mental health area."
— Theodore A. Petti, Arthur B. Richter Professor of Child Psychiatry, Indiana University School of Medicine

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