PMID- 10863986
OWN - NLM
STAT- MEDLINE
DCOM- 20000713
LR  - 20191210
IS  - 0010-3853 (Print)
IS  - 0010-3853 (Linking)
VI  - 35
IP  - 6
DP  - 1999 Dec
TI  - Are school based mental health services effective? Evidence from 36 inner city 
      schools.
PG  - 493-504
AB  - In an effort to bridge the gap between service need and service utilization, an 
      urban based, university-affiliated children's psychiatric outpatient clinic 
      implemented a program which provides mental health services in inner city 
      schools. Since impressions of school and mental health personnel affirmed the 
      effectiveness of such services, an evaluation of this program was conducted, 
      despite the difficulties inherent in implementing research in "naturalistic 
      settings." A clinic sample of children (N = 220) was compared with a sample 
      served in the urban schools (N = 256). The findings revealed that both sets of 
      children showed improvement as indicated by the Children's Global Assessment 
      Scale (C-GAS) and Global Assessment of Functioning Scale (GAF). The improvement 
      was comparable, even though the school children were seen for a slightly shorter 
      period of time (an average of 5 versus 8 months) but had an equally frequent 
      level of service (3 sessions per month in each setting). This finding may have 
      important implications for the managed care environment. These results indicate 
      that school based mental health services show improvement comparable to the 
      clinic-based services, and have the potential for bridging the gap between need 
      and utilization by reaching disadvantaged children who would otherwise not have 
      access to these services.
FAU - Armbruster, P
AU  - Armbruster P
AD  - Child Study Center, Yale University School of Medicine, New Haven, CT 06520-7900, 
      USA.
FAU - Lichtman, J
AU  - Lichtman J
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Community Ment Health J
JT  - Community mental health journal
JID - 0005735
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Child Behavior
MH  - Child, Preschool
MH  - Community Mental Health Services/standards/*statistics & numerical data
MH  - Female
MH  - Health Services Accessibility
MH  - Humans
MH  - Male
MH  - Mental Disorders/therapy
MH  - Outcome Assessment, Health Care
MH  - Poverty
MH  - Program Evaluation
MH  - School Health Services/standards/*statistics & numerical data
MH  - Urban Population
EDAT- 2000/06/23 11:00
MHDA- 2000/07/15 11:00
CRDT- 2000/06/23 11:00
PHST- 2000/06/23 11:00 [pubmed]
PHST- 2000/07/15 11:00 [medline]
PHST- 2000/06/23 11:00 [entrez]
AID - 10.1023/a:1018755100381 [doi]
PST - ppublish
SO  - Community Ment Health J. 1999 Dec;35(6):493-504. doi: 10.1023/a:1018755100381.