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Trends and shifting ecologies: Part II.

Andres J Pumariega1, Nancy C Winters

  • 1Department of Psychiatry and Behavioral Sciences, James H. Quillen College of Medicine, East Tennessee State University, Box 70567, Johnson City, TN 37614, USA. pumarieg@mail.etsu.edu

Child and Adolescent Psychiatric Clinics of North America
|October 29, 2003
PubMed
Summary

Community-based systems of care show promise for child psychiatric emergencies. Research should focus on integrated, evidence-based treatments and community crisis services for children with serious emotional disorders.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Mental Health Services Research
  • Ecological Psychology

Background:

  • Community-based systems of care present promising, ecologically-based approaches for child psychiatric emergencies.
  • There is a recognized need for more community-based effectiveness research on child and adolescent mental health crisis services.

Observation:

  • Real-world needs of children with serious emotional disorders and their families require integrated evidence-based modalities.
  • Research should evaluate both integrated and single modalities for effectiveness.

Findings:

  • Community-based care models are effective for child psychiatric emergencies.
  • Integration of psychopharmacology, behavioral, and cognitive approaches is effective.
  • Effectiveness of single modalities also needs investigation.

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Implications:

  • Mental health funding should prioritize community-based crisis services.
  • Shift focus from restrictive approaches to community-integrated care models.
  • Enhance research on community-based child and adolescent mental health services.