title: Implementation dilemmas in North Carolina's Willie M. program.
abstract: The state of North Carolina entered into a consent agreement in response to a class-action lawsuit initiated by a class of emotionally or neurologically impaired children who had exhibited assaultive or violent behavior and who had been denied appropriate care and education. The consent agreement stipulates in detail a full range of services appropriate to each child's ability. The Willie M. program represents a dramatic shift in state-level child welfare services, but dilemmas deter the full realization of its potential. These dilemmas are discussed and illustrated.
mesh_terms: D000374:Aggression; D002648:Child; D002651:Child Advocacy / Q000331:legislation & jurisprudence*; D003695:Delivery of Health Care; D006801:Humans; D007373:Interinstitutional Relations; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000331:legislation & jurisprudence*; D009657:North Carolina; D010348:Patient Care Team; D011057:Politics