Childhood psychiatric disorders. Focus on conduct disorders

The high prevalence of child and adolescent psychiatric disorders in general and of aggressive behaviors in particular presents a serious problem. Recent social, economic and demographic trends suggest that the problem is likely to grow in degree of seriousness. It is recommended that the broad social and economic policies that impact on risk factors be evaluated and that greater emphasis be placed upon prevention efforts. These efforts need to particularly strengthen the social, emotional, and economic supports that provide an important protective factor for children and families. Practices in education, employment, health, and human services need to be examined to insure that they provide support. Perhaps the most encouraging development is the growth of children's services councils. There needs to be support for their continuing growth and for the development of more effective partnerships between state and local government. A particular focus should be upon strengthening neighborhoods and local communities, involving schools and school-based services as a source of support for families, and the increasing involvement of local civic and religious groups.