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Journal of Emotional and Behavioral Disorders
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Serving Children with Serious Emotional Disturbance in a System of Care

Do Mental Health and Non—Mental Health Agency Referrals Look the Same?

Christine M. Walrath, PhD, MHS

Christine M. Walrath, PhD, MHS, is a research associate in the Department of Mental Hygiene at the Johns Hopkins University School of Hygiene and Public Health and the lead evaluator for the East Baltimore Mental Health Partnership. Address: Christine Walrath, Johns Hopkins School of Public Health, 624 N. Broadway, Room 803, Baltimore, MD 21205.

Kim J. Nickerson, PhD

Kim J. Nickerson, PhD, is an assistant professor in the Department of Mental Hygiene at the Johns Hopkins University School of Hygiene and Public Health and leads the cultural competency training efforts of the East Baltimore Mental Health Partnership.

Raymond L. Crowel, PsyD

Raymond L. Crowel, PsyD, is a research associate in the Department of Mental Hygiene at the Johns Hopkins University School of Hygiene and Public Health and is the project director for the East Baltimore Mental Health Partnership.

Philip J. Leaf, PhD

Philip J. Leaf, PhD, is a professor in the Department of Mental Hygiene at the Johns Hopkins University School of Hygiene and Public Health, the principal investigator of the East Baltimore Mental Health Partnership, and the director of the Johns Hopkins Prevention Research Center.

Children in need of mental health services do not constitute a homogeneous group. Important to this discussion is an examination of the diverse presenting problems and psychosocial histories of children referred by different service agencies. Using data from the East Baltimore Mental Health Partnership (EBMHP), we determined whether and how children referred to the EBMHP from a traditional mental health center differed from children referred to the EBMHP by non—mental health agencies. Data on demography, family background, and child and family functioning were collected on 254 children and their families. The analyses confirmed that children with serious emotional disturbance served in a system of care and their families are not homogeneous. Children and their families differed in terms of their sociodemographic characteristics and psychosocial adjustment depending on their referral source. These differences are discussed in terms of service planning and delivery, as well as theoretical implications.

Journal of Emotional and Behavioral Disorders, Vol. 6, No. 4, 205-213 (1998)
DOI: 10.1177/106342669800600402


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