The premature demise of public child and adolescent inpatient psychiatric beds - Part II: Challenges and implications

Psychiatric Quarterly

Volumn 77, Issue 4, 2006, Pages 273-291

  Geller, Jeffrey L ^a   Biebel, Kathleen ^a  

^a UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

Author keywords

Child adolescent psychiatry; Inpatient availability

Indexed keywords

ACADEMIC FAILURE; ADOLESCENT; ARTICLE; CHILD; CHILD PSYCHIATRY; COST BENEFIT ANALYSIS; EMOTIONAL DISORDER; EMPLOYMENT; FAMILY FUNCTIONING; HEALTH CARE AVAILABILITY; HIGH RISK PATIENT; HOSPITAL BED; HOSPITAL PATIENT; HUMAN; MANAGED CARE; MEDICAID; MENTAL DISEASE; MENTAL HEALTH CARE; MENTAL HEALTH SERVICE; MENTAL HOSPITAL;

ADOLESCENT; ADOLESCENT HEALTH SERVICES; ADULT; CHILD; CHILD HEALTH SERVICES; CHILD, PRESCHOOL; DIAGNOSIS, DUAL (PSYCHIATRY); DRUG THERAPY; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HOSPITAL BED CAPACITY; HOSPITALIZATION; HUMANS; MEDICAID; MENTAL DISORDERS; MENTAL HEALTH SERVICES; PSYCHIATRIC DEPARTMENT, HOSPITAL; PSYCHOTROPIC DRUGS; PUBLIC HEALTH ADMINISTRATION; SUBSTANCE-RELATED DISORDERS; SUICIDE; UNITED STATES;

EID: 33751358102     PISSN: 00332720     EISSN: 15736709     Source Type: Journal    
DOI: 10.1007/s11126-006-9013-z     Document Type: Article

References (135)

1. United States Department of Health and Human Services. Mental health: A report of the surgeon general. Rockville, MD, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, 1999.
2. National Mental Health Association. Can't Make the Grade. Alexandria, VA, Author, 2003.
3. Cuffe SP, McKeown RE, Addy CL, et al: Family and psychosocial risk factors in a longitudinal epidemiological study of adolescents. Journal of the American Academy of Child and Adolescent Psychiatry 44:121-129, 2005.
4. Greenbaum PE, Dedrick RF, Friedman RM, et al: National Adolescent and Child Treatment Study (NACTS): Outcomes for children with serious emotional and behavioral disturbance. Journal of Emotional and Behavioral Disorders 4(3):130-146, 1996.
5. Boodman SG: Going to extremes. Experts question rise in pediatric diagnosis of bipolar illness, a serious mood disorder. Washington Post p. HE01, February 15, 2005.
6. Weisbrot DM, Carlson GA: Is it ADHD? Mania? Autism? What to do if no diagnosis fits. Current Psychiatry 4(2):21-28, 2005.
7. Cornsweet C: A review of research on hospital treatment of children and adolescents. Bulletin of the Menninger Clinic 54(1):64-78, 1990.
8. Center for Mental Health Services. Annual report to Congress on the evaluation of the comprehensive community mental health services for children and their families program, 1999. Atlanta, GA, ORC Macro, 1999.
9. Kamradt B: Funding mental health services for youth in the juvenile justice system: Challenges and opportunities. Research and Program Brief. National Center for Mental Health and Juvenile Justice, December 2002.
10. Cocozza JJ, Skowyra KR: Youth with mental health disorders: Issues and emerging responses. Juvenile Justice 7(1):3-13, 2000.
11. Goldstrom I, Jaiquan F, Henderson M, et al: The availability of mental health services to young people in juvenile justice facilities: A national survey, in Mental Health, United States, 2000, Edited by Manderscheid RW, Henderson MJ, Rockville, MD, U.S. Department of Health and Human Services, Center for Mental Health Services, 2001.
12. United States House of Representatives Committee on Government Reform. Incarceration of youth who are waiting for community mental health services in the United States. U.S. House of Representatives, Minority Staff Special Investigations Division, July 2004.
13. Rosenblatt JA, Rosenblatt A, Biggs EE: Criminal behavior and emotional disorder: Comparing youth served by the mental health and juvenile justice system. Journal of Behavioral Health Services and Research 27(2):221-237, 2000.
14. Results from the 2002 National Survey on Drug Use and Health: National findings. Rockville, MD, Office of Applied Studies, NHSDA Series H-22, DHHS Publication No. SMA 03-3836, 2003.
15. Kessler RC, McGonagle KA, Zhao S, et al: Lifetime and 12-month prevalence of DSM-III-F psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry 51:819, 1994.
16. Lipschitz DS, Rasmusson AM, Walter A, et al: Posttraumatic stress disorder and substance use in inner-city adolescent girls. Journal of Nervous and Mental Disease 191:714-721, 2003.
17. Boseley S: Cannabis linked to mental illness risk. Guardian, 2004. Retrieved December 21, 2004, from http://www.guardian.co.uk/uk news/story/0,3604,1364259,00.html
18. Danielson CK, Overholser JC, Butt ZA: Association of substance abuse and depression among adolescent psychiatric inpatients. Canadian Journal of Psychiatry 48:762-764, 2003.
19. Pepper B: Blamed and ashamed: The treatment experiences of youth with co-occurring substance abuse and mental health disorders and their families, n.d. Retrieved January 5, 2005, from http://www.mentalhealth.samhsa.gov/ publications/allpubs/KEN02-0129/pepper.asp.
20. Scallet LJ: Managing care for mental illness: Paradox and pitfalls. Managed Care Quarterly 4(3):93-99, 1996.
21. Greenfield B, Larson C, Hechtman L, et al: A rapid-response outpatient model for reducing hospitalization rates among suicidal adolescents. Psychiatric Services 53:1574-1579, 2002.
22. Joe S, Marcus SC: Trends by race and gender in suicide attempts among U.S. adolescents, 1991-2001. Psychiatric Services 54:454, 2003.
23. Brinkman-Sull DC, Overholser JC, Silverman E: Risk of future suicide attempts in adolescent psychiatric inpatients at 18-month follow-up. Suicide and Life-Threatening Behavior 30:327-340, 2000.
24. DeLeo D, Evans R: International suicide rates and prevention strategies. Cambridge, MA, Hogrefe & Huber Publishers, Inc, 2004.
25. Hall RCW, Platt DE: Suicide risk assessment: A review of risk factors for suicide in 100 patients who made severe suicide attempts. Psychosomatics 40:18-27, 1999.
26. Horesh N, Zalsman G, Apter A: Suicidal behavior and self-disclosure in adolescent psychiatric inpatients. Journal of Nervous and Mental Disease 192:837-842, 2004.
27. Conner KR, Meldrum S, Wieczorek WF, et al: The association of irritability and impulsivity with suicidal ideation among 15- to 20-year-old males. Suicide and Life-Threatening Behavior 34:363-373, 2004.
28. Judge B, Billick SB: Suicidality in adolescence: Review and legal considerations. Behavioral Science and the Law 22:681-695, 2004.
29. Greenhill LL, Waslick B: Management of suicidal behavior in children and adolescents. Psychiatric Clinics of North America 20:641-667, 1997.
30. Rotheram-Borus M. J, Piacentini J, Cantwell C, et al: The 18-month impact of an emergency room intervention for adolescent female suicide attempters. Journal of Consulting and Clinical Psychology 68:1081-1093, 2000.
31. Suominen K, Isometsa E, Martunnen M, et al: Health care contacts before and after attempted suicide among adolescent and young adult versus older suicide attempters. Psychological Medicine 34:313-321, 2004.
32. Enns M, Cox FJ, Inayatulla M: Personality predictors of outcome for adolescents hospitalized for suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry 42:720-727, 2003.
33. American Psychiatric Association. Addressing the mental health needs of America's children, January 2002. Retrieved February 8, 2005, from http://www.psych.org/advocacy_policy/leg_issues/facchildren.cfm.
34. Farmer EMZ, Burns BJ, Phillips SD, et al: Pathways into and through mental health services for children and adolescents. Psychiatric Services 54:60-66, 2003.
35. Najjar F, Welch C, Grapentine WL, et al: Trends in psychotropic drug use in a child psychiatric hospital from 1991-1998. Journal of Child and Adolescent Psychopharmacology 14:87-93, 2004.
36. Arehart-Treichel, J: Rapid rise in psychotropic use becomes global phenomenon. Psychiatric News 39(24):1, 2004.
37. Shireman TI, Olson BM, Dewan NA: Patterns of antidepressant use among children and adolescents. Psychiatric Services 53:1444-1450, 2002.
38. Delate T, Gelenberg AJ, Simmons VA, et al: Trends in the use of antidepressants in a national sample of commercially insured pediatric patients, 1998 to 2002. Psychiatric Services 55:387-391, 2004.
39. American Academy of Child and Adolescent Psychiatry Policy statement. Prescribing psychoactive medications for children and adolescents, 2001. Retrieved December 29, 2004, from http://www.aacap.org/publications/policy/ps41. htm.
40. Safer DJ, Zito JM, dos Reis S: Concomitant psychotropic medication for youth. American Journal of Psychiatry 160:438-449, 2003.
41. Martin A, Leslie D: Psychiatric inpatient, outpatient, and medication utilization and costs among privately insured youths, 1997-2000. American Journal of Psychiatry 160:757-764, 2003.
42. Martin A, Sherwin T, Stubbe D, et al: Use of multiple psychotropic drugs by Medicaid-insured and privately insured children. Psychiatric Services 53:1508, 2002.
43. Martin A, VanHoof T, Stubbe D, et al: Multiple psychotropic pharmacotherapy among child and adolescent enrollees in Connecticut Medicaid managed care. Psychiatric Services 54:72-77, 2003.
44. Bastiaens L: Does residential treatment impact pharmacotherapy in children and adolescents?, 2004. Retrieved January 6, 2005, from http://www.psychiatrictimes.com/p040934.html.
45. Lyons JS, MacIntyre JC, Lee ME, et al: Psychotropic medications prescribing patterns for children and adolescents in New York's public mental health system. Community Mental Health Journal 40:101-118, 2004.
46. Hoagwood K, Jensen PS, Feil M, et al: Medication management of stimulants in pediatric practice settings: A national perspective. Developmental and Behavioral Pediatrics 21:322-331, 2000.
47. FDA black box warning on antidepressants creates concerns for clinicians. Neuropsychiatry 5(9):1, 2004.
48. FDA panel finds evidence of link between antidepressants and youth suicidality, calls for a "black box" warning. Psychiatric Services 55:1192-1193, 2004.
49. FDA reanalyzes data as controversy continues over antidepressant use by children and adolescents. Psychiatric Services 55:598-599, 2004.
50. National Alliance for the Mentally Ill Santa Cruz County. Children psychiatric cases double. Retrieved February 22, 2005, from http://www.namiscc. org/News/index.htm.
51. Kendall T, Pilling S, Whittington CJ: the SSRI's and atypical antidepressants safe and effective for children and adolescents? Current Opinion in Psychiatry 18(1):21-25, 2005.
52. Rosack J: FDA tones down warning on use of antidepressants in children. Psychiatric News 40(5):1, 2005.
53. Rosack J: New analysis disputes antidepressant, suicide link. Psychiatric News 40(1):1, 2005.
54. Boy charged in father's slaying in Texas, September 30, 2004. Retrieved January 31, 2005, from http://msnbc.msn.com/id/6140814/.
55. Rejecting zoloft defense, jury finds 15-year-old guilty of murder. Associated Press, 2005.
56. Vedantam S: Fewer kids prescribed drugs for depression. Washington Post p. A08, February 2, 2005.
57. Canada regulators order ADD drug withdrawn. Associated Press, February 10, 2005.
58. Rosack J: U.S. regulators puzzled by Canada's ruling on safety of ADHD drug. Psychiatric News 40(5):2, 2005.
59. Hitti M: New treatment guidelines for bipolar children. WebMD Medical News, 2005. Retrieved March 15, 2005, from http://my.webmd.com/content/article/ 101/10607.htm?printing=true
60. Bipolar illness strikes babies too. Washington Post, February 17, 2005. Retrieved March 19, 2005, from http://www.azcentral.com/health/kids/articles/ 0217bipolar-ON.html
61. Holdsworth MT: Pediatric drug research - the road less traveled. Annals of Pharmacotherapy 37:586-591, 2003.
62. Croonenberghs J, Fegert JM, Findling RL, et al: Risperidone in children with disruptive behavior disorders and sub-average intelligence: A 1-year, open-label study of 504 patients. Journal of the American Academy of Child and Adolescent Psychiatry 44:64-72, 2005.
63. Friedman RM, Kutash K, Duchnowski AJ: The population of concern: Defining the issues, in Children's Mental Health: Creating systems of care in a changing society (pp. 69-96), Edited by Stroul BA. Baltimore, Paul H. Brooks Publishing Company, 1996.
64. Pottick KJ, McAlpine DD, Andelman RB: Changing patterns of psychiatric inpatient care for children and adolescents in general hospitals, 1988-1995. American Journal of Psychiatry 157:1267-1273, 2000.
65. Canino GJ, Bird HJ, Rubio-Stipec M, et al: Children of parents with psychiatric disorder in the community. Journal of the American Academy of Child and Adolescent Psychiatry 29(5):398-406, 1990.
66. Oyserman D, Mowbray CT, Meares PA, et al: Parenting among mothers with a serious mental illness. American Journal of Orthopsychiatric 70(3):296-315, 2000.
67. Friedman RM, Katz-Leavy JW, Manderscheid RW, et al: Prevalence of serious emotional disturbance in children and adolescents. Rockville, MD, U.S. Department of Health and Human Services, 1996.
68. Biebel K, Nicholson J, Williams V, et al: The responsiveness of state mental health authorities to parents with mental illness. Administration and Policy in Mental Health 32(1):31-48, 2004.
69. Barocas R, Seifer R, Sameroff AJ: Defining environmental risk: Multiple dimensions of psychological vulnerability. American Journal of Community Psychology 13:433-447, 1985.
70. Sameroff AJ, Seifer R: Familial risk and child competence. Child Development 54:1254-1268, 1983.
71. Weintraub S, Neal JM: Social behavior of children at risk for schizophrenia, in Children at Risk for Schizophrenia: A longitudinal perspective (pp. 243-263), Edited by Watt N, Anthony EJ, Wynne LC, Rolf JE. New York, Cambridge University Press, 1984.
72. Stoep AV, Davis M, Collins D: Transition: A time of developmental and institutional clashes, in Transition to Adulthood, Edited by Clark HB, Davis M. Baltimore, Paul H. Brooks, 2000.
73. Lefley HP: Family burden and family stigma in major mental illness. American Psychologist 44(3):556-560, 1989.
74. Semansky RM, Koyanagi C: Obtaining child mental health services through Medicaid: The experience of parents in two states. Psychiatric Services 55:24-25, 2004.
75. McElroy E: The beat of a different drummer. in Families of the Mentally Ill: Coping and adaptation. Lefley HP, Edited by Hatfield AB, New York, Guilford Press, 1987.
76. Angold A, Erkanli A, Farmer E, et al: Psychiatric disorder, impairment, and service use in rural African American and white youth. Archives of General Psychiatry 59:893-901, 2002.
77. Cuffe SP, Waller JL, Addy CL, et al: A longitudinal study of adolescents mental health service use. Journal of Behavioral Services and Research 28(1):1-11, 2001.
78. Kodjo CM, Auiner P: Predictors for emotionally distressed adolescents to receive mental health care. Journal of Adolescent Health 35:368-373, 2004.
79. Mandell DS, Boothroyd RA, Stiles PG: Children's use of mental health services in different Medicaid insurance plans. Journal of Behavioral Health Services and Research 30(2):228-237, 2003.
80. Dalton R, Muller B, Forman MA: The psychiatric hospitalization of children: An overview. Child Psychiatry and Human Development 19:231-244, 1988.
81. Kruzich JM, Jivanjee P, Robinson A, et al: Family caregivers' perceptions of barriers to and supports of participation in their children's out-of-home treatment. Psychiatric Services 54:1513-1518, 2003.
82. Burris RA: Plan shapes up to move mentally ill patients from Columbia, S.C. facility. The State, January 9, 2005.
83. Lutterman T, Hollen V, Shaw R: Funding Sources and Expenditures of State Mental Health Agencies: (Fiscal Year 2002) . Alexandria, VA, NASMHPD Research Institute, 2004.
84. Reorganizing state health agencies to meet changing needs. Washington, DC, National Governors Association, 2003.
85. Finkelstein JB: Medicaid reform may be too late for some states. 2005. Retrieved March 25, 2005, from http://www.ama-assn.org/amednews/2005/03/21/ gusb0321.htm.
86. 2005 state budgets threaten Medicaid and SCHIP safety nets. Psychiatric Services 55:1330-1331, 2004.
87. Bazelon Center for Mental Health Law. Making sense of Medicaid for children with serious and emotional disturbance. Washington, DC, Author, 1999.
88. Shera W: Managed care and people with severe mental illness: Challenges and opportunities for social work. Health and Social Work 21(3):196-206, 1996.
89. Callahan JJ, Merrick EL: Designing public sector managed care systems, in Managed Mental Health Care in the Public Sector: A survival manual (pp. 45-58), Edited by Minkoff K, Pollack D. Amsterdam, Netherlands, Harwood Academic Publishers, 1997.
90. Geller JL: Mental Health Services for the future: Managed care, unmanaged care, mismanaged care. In: Humane Managed Care? Edited by Schamess G, Lightburn A, Washington, DC, NASW, 1998.
91. Howell EM, Buck JA, Teich JL: Mental health benefits under SCHIP. Health Affairs 19(6):291-297, 2000.
92. Mental health service costs offset by savings in other public sectors, March 25, 2005. Retrieved March 25, 2005, from http://live.psu.edu/index.php? sec=v5&story=11080&pf=1.
93. Grob GN: The mad among us. Cambridge, MA, Harvard University Press, 1994.
94. Deutsch A: The shame of the states. New York, Harcourt, Brace & Co, 1948.
95. Scharer K, Jones DS: Child psychiatric hospitalization: The last resort. Issues in Mental Health Nursing 25:79-101, 2004.
96. Sharky J: Bedlam. Greed, profiteering, and fraud in a mental health system gone crazy. New York, St. Martin's Press, 1994.
97. Kiesler CA: Mental health policy and the psychiatric inpatient care of children. Applied and Preventive Psychology 2:91-99, 1993.
98. Pottick K, Hansell S, Gutterman E, et al: Factors associated with inpatient and outpatient treatment of children and adolescents with serious mental illness. Journal of the American Academy of Child and Adolescent Psychiatry 34:425-433, 1995.
99. Bickman L: A continuum of care. More is not always better. American Psychologist 51:689-701, 1996.
100. Heflinger CA, Simpkins CG, Foster EM: Modeling child and adolescent psychiatric hospital utilization: A framework for examining predictors of service use. Children's Services: Social Policy, Research, and Practice 5:151-171, 2002
101. Lyons JS, Kisiel CL, Dulcan M, et al: Crisis assessment and psychiatric hospitalization of children and adolescents in state custody. Journal of Child and Family Studies 6:311-320, 1997.
102. Strauss G, Chassin M, Lock J: Can experts agree on when to hospitalize adolescents? Journal of the American Academy of Child and Adolescent Psychiatry 34:418-424, 1995.
103. Arnold EM, Goldston DB, Ruggiero A, et al: Rates and predictors of rehospitalization among formerly hospitalized adolescents. Psychiatric Services 54:994-997, 2003.
104. Bladder JC: Symptoms, family, and service predictors of children's psychiatric Rehospitalization within one year of discharge. Journal of the American Academy of Child and Adolescent Psychiatry 43:440-451, 2004.
105. Romansky JB, Lyons JS, Lehner RK, et al: Factors related to psychiatric hospital readmission among children and adolescents in state custody. Psychiatric Services 54:356-362, 2003.
106. Hoger C, Zieger H, Presting G, et al: Predictors of length of stay in inpatient child and adolescent psychiatry: Failure to validate an evidence-based model. European Child and Adolescent Psychiatry 11:281-288, 2002.
107. Mayes SD, Calhoun SL, Krecko VF, et al: Outcome following child psychiatric hospitalization. Journal of Behavioral Health Services and Research 28:96-103, 2001.
108. Sourander A, Piha J: Three-year follow-up of child psychiatric inpatient treatment. European Child and Adolescent Psychiatry 7:153-162, 1998.
109. Donovan A, Siegel L, Zera G, et al: Seclusion and restraint reform: An initiative by a child and adolescent psychiatric hospital. Psychiatric Services 54:958-959, 2003.
110. Kaplan S, Busner J, Chibnail J, et al: Consumer satisfaction at a child and adolescent stale psychiatric hospitals. Psychiatric Services 52:202-206, 2001.
111. American Psychiatric Association. Psychiatric hospitalization of children and adolescents. Position statement. Arlington, VA, Author, June 1989.
112. American Academy of Child and Adolescent Psychiatry. Inpatient hospital treatment of children and adolescents, June 1989. Retrieved December 29, 2004, from http://www.aacap.org/publications/policy/ps16.htm.
113. Molidor CE: Treatment of children and adolescents. in Mental Health Policy and Practice Tomorrow, Edited by Watkins TP, Callicut JW, Thousand Oaks, CA, Sage, 1997.
114. Teich JL, Buck JA, Graver L, et al: Utilization of public mental health services by children with serious emotional disturbances. Administration and Policy in Mental Health 30:523-534, 2003.
115. Tsesis AV: Protecting children against unnecessary institutionalization. 39 South Texas Law Review 995, 1998.
116. Stroul BA, Friedman RM: A system of care for children and youth with severe emotional disturbances (rev. ed). Washington, DC, Georgetown University Child Development Center, CASSP Technical Assistance Center, 1986.
117. Dore MM, Wilkinson AN, Sonis WA: Exploring the relationship between a continuum of care and intrusiveness of children's mental health services. Hospital and Community Psychiatry 43:44-48, 1992.
118. Stroul BA, McCormack M, Zaro SM: Measuring outcomes in systems of care. In Children's Mental Health, Edited by Stroul BA, Baltimore, Paul H. Brooks, 1996.
119. Geller JL, Fisher WH: Transitional residences in the linear continuum: Debunking the myth. American Journal of Psychiatry 150:1070-1076, 1993.
120. Huffine C: Current trends in the community treatment of seriously emotionally disturbed youths. Psychiatric Services 53:809-811, 2002.
121. McDermott BM, McKelvey R, Roberts L, et al: Severity of children's psychopathology and impairment and its relationship to treatment setting. Psychiatric Services 53:57-62, 2002.
122. Bickman L, Foster M, Lambert W: Who gets hospitalized in a continuum of care? Journal of the American Academy of Child and Adolescent Psychiatry 35:74-80, 1996.
123. Bickman L, Lambert EW, Andrade AR, et al: The Fort Bragg continuum of care for children and adolescents: Mental health outcome over 5 years. Journal of Consulting and Clinical Psychology 68:710-716, 2000.
124. Bickman L, Summerfelt T, Foster M: Research on systems of care. In Children's Mental Health, Edited by Stroul BA, Baltimore, Paul H. Brooks, 1996.
125. Bickman L, Salzer MS, Lambert EW, et al: Rejoinder to Mordock's critique of the Fort Bragg evaluation project: The sample is generalizable and the outcomes clear. Child Psychiatry and Human Development 29:77-91, 1998.
126. Mordock JB: The Fort Bragg continuum of care demonstration project: The population served was unique and the outcomes are questionable. Child Psychiatry and Human Development 27:241-254, 1997.
127. Mordock JB: You can go anywhere from where you are: A response to the rejoinder. Child Psychiatry and Human Development 29:93-99, 1998.
128. Bickman L, Andrade AR, Lambert EW: Dose response in child and adolescent mental health services. Mental Health Services Research 4:57-70, 2002.
129. Bickman L, Noser L, Summerfelt WT: Long-term effects of a system of care on children and adolescents. Journal of Behavioral Health Services and Research 26:185-202, 1999.
130. Bickman L, Summerfelt WT, Noser K: Comparative outcomes of emotionally disturbed children and adolescents in a system of services and usual care. Psychiatric Services 48:1543-1548, 1997.
131. Evans ME: An experimental study of the effectiveness of intensive in-home crisis services for children and their families: Program outcomes. Journal of Emotional and Behavioral Disorders, 2003. Retrieved January 20, 1005, from http://www.findarticles.com/p/articles/mi_mOFCB/is_2_11/ai_10312005/print
132. Evans ME, Boothroyd RA, Armstrong MI: Development and implementation of an experimental study of the effectiveness of intensive in-home crisis services for children and their families. Journal of Emotional and Behavioral Disorders 5:93-105, 1997.
133. Stroul BA: Serving youth with serious and complex behavioral health needs in managed care systems. Tampa, University of South Florida, 2003.
134. Anderson JA, Wright ER, Kooreman HE, et al: The Dawn Project: A model for responding to the needs of children with emotional and behavioral challenges and their families. Community Mental Health Journal 39:63-74, 2003.
135. Twedt S: Wrapping troubled teens in a blanket of support, 2001. Retrieved March 5, 2005, from http://www.post-gazette.com/headlines/ 20010718juvdayfourmainnat2p2.asp.