Trends and shifting ecologies: Part II.
Community-based systems of care offer some promising ecologically based approaches to child psychiatric emergencies. More community-based effectiveness research is needed on child and adolescent mental health crisis services. To meet the needs of real-world children with serious emotional disorders and their families, however, research should include integration of multiple evidence-based modalities (such as psychopharmacology, behavioral, and cognitive approaches) and the effectiveness of single modalities. Funding priorities in mental health systems also should shift significantly to support community-based crisis services over more restrictive approaches that have a less solid evidence base.
Department 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
Andres J
AJ
Pumariega
Nancy C
NC
Winters
D000293:Adolescent; D000296:Adolescent Psychiatry / Q000458:organization & administration*; D019090:Case Management; D002648:Child; D002665:Child Psychiatry / Q000458:organization & administration*; D003156:Community Mental Health Services / Q000458:organization & administration / Q000639:trends; D004637:Emergency Services, Psychiatric / Q000458:organization & administration / Q000639:trends*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D012931:Social Environment; D014481:United States