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Serving Children with SED in Urban Systems of Care

Referral Agency Differences in Child Characteristics in Baltimore and the Bronx

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, Johns Hopkins School of Public Health, 624 N. Broadway, Room 803, Baltimore MD 21205, cwalrath{at}jhsph.edu

Mark J. Sharp

New York State Office of Mental Health, Bureau of Children and Families

Michael Zuber

New York State Office of Mental Health

Philip J. Leaf

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, Hopkins Prevention Research Center

Although children with serious emotional disturbances (SED) being served within urban system-of-care settings do indeed share some common characteristics, differences in psychosocial, sociodemographic, life functioning, and behavioral characteristics emerge as a function of their referral source. Using data from the East Baltimore Mental Health Partnership (EBMHP) and the Families Reaching in Ever New Directions (FRIENDS) program in the South Bronx, we explored the characteristic similarities and differences of children being served in community-similar urban systems of care as a function of their referral source. Demographics, family backgrounds, and child and family functioning were collected on 696 children referred into service at either the EBMHP or the FRIENDS program. The analyses indicated that children with SED served within urban systems of care and their families do not share uniform sociodemographic and psychosocial profiles as a function of the agency from which they were referred.The service planning and delivery implications, as well as the theoretical considerations associated with these differences are presented.

Journal of Emotional and Behavioral Disorders, Vol. 9, No. 2, 94-105 (2001)
DOI: 10.1177/106342660100900204


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