"Innovative Approaches for Difficult-to-Treat Populations" makes
recommendations for developing and disseminating innovative mental
health services. It is geared toward clinicians, administrators,
and policy-makers struggling to develop both clinically effective
and cost-effective mental health and substance abuse services, and
it focuses on services for individuals who use the highest
proportion of mental health resources and for whom traditional
services have not been effective. These target populations include
youth with serious behavioral and emotional disturbances and adults
with severe and persistent mental illnesses.
The innovative approaches reviewed include diverse treatment
methods for differing clinical populations. These varied approaches
have several common elements: Social-ecological theory frameworks
An emphasis on delivering flexible, comprehensive, pragmatic, and
goal-oriented interventions in persons& rsquo; natural
environments Increased accountability on the part of service
providers The transition from centralized to community-based care
is discussed, and normalizing a patient& rsquo;s daily routine
as an important factor in the success of state-of-the-art community
support programs is emphasized
"Innovative Approaches for Difficult-to-Treat Populations"
offers mental health professionals and students a firsthand look at
the future direction of clinical services. Policy issues necessary
to developing and disseminating progressive treatments are
addressed, including the downsizing of state psychiatric hospitals,
strategies for reforming state mental hospital systems, and ethical
issues in research on child and adolescent mental disorders.
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