This timely volume explains the pitfalls and problems of managed care for those practitioners, especially child clinicians, who wish to take part in it, while mapping out independent financing strategies for those who wish to remain outside the system. Managing Managed Care provides an overview of the managed care marketplace as it currently affects children and families, reviews relevant legal and financial issues, and illustrates with case examples some problems of the system.

The comprehensive coverage in this hugely important and timely handbook makes it invaluable to clinical child, school, and counseling psychologists; clinical social workers; and child psychiatrists. As a textbook for advanced clinical and counseling psychology programs, and a solid reference for the researcher in child/adolescent mental health, its emphasis on flexibility and attention to emerging issues will help readers meet ongoing challenges, as well as advance the field. Its relevance cannot be overstated, as growing numbers of young people have mental health problems requiring intervention, and current policy initiatives identify evidence-based therapies as the most effective and relevant forms of treatment.

This handbook explores ways to unify the study and application of adverse childhood experiences (ACEs) across multiple fields and disciplines, including clinical child and adolescent psychology, school psychology, pediatrics, social work, public health, education, and other health and human services. The book outlines a cohesive framework that organizes critical ACEs concepts throughout individual chapters, highlighting key issues and themes across settings and disciplines as well as gaps in current knowledge. Chapters examine interdisciplinary and collaborative approaches to ACEs and their impact on health and well-being within a specific topic area or setting. In addition, chapters review the foundations and development of the relevant science and provide examples of ACEs research and intervention applications as well as suggestions for continued advancement in this field.  Key areas of coverage include: Definition and measurement of ACEs. Theory and models guiding ACEs research and practice. Applications of ACEs science across settings, including healthcare, mental and behavioral health, schools, justice system, and child welfare system. Applications of ACEs to public health and policy issues. Prevention strategies and policy approaches to ACEs. Handbook of Adverse Childhood Experiences is an essential resource for researchers, professors, and graduate students as well as clinicians and related mental health and medical therapists and professionals in developmental and clinical child and adolescent psychology, school psychology, child and adolescent psychiatry, social work, child and family studies, public health, pediatrics, and all interrelated disciplines.

The comprehensive coverage in this hugely important and timely handbook makes it invaluable to clinical child, school, and counseling psychologists; clinical social workers; and child psychiatrists. As a textbook for advanced clinical and counseling psychology programs, and a solid reference for the researcher in child/adolescent mental health, its emphasis on flexibility and attention to emerging issues will help readers meet ongoing challenges, as well as advance the field. Its relevance cannot be overstated, as growing numbers of young people have mental health problems requiring intervention, and current policy initiatives identify evidence-based therapies as the most effective and relevant forms of treatment.

Social, economic, and theoretical changes in the current clinical landscape are adding up to profound changes in childrena (TM)s services--not the least of which is an expanded need for mental health services. Professionals--novices and veteran clinicians alike--wonder how to fill this demand in the present climate of turf wars, reorganizations, and budget cuts. The Handbook of Mental Health Services for Children, Adolescents, and Families cogently analyzes the issues and provides the answers, from current issues and emerging therapeutic trends to new avenues of treatment. Thoroughly researches and documented buy industry experts, it presents the widest range of mental health services available to youth and their families.

Areas of coverage include:

Specific modalities in service delivery, including in-patient and day treatment facilities, pediatric hospitals, and community mental health centers as well as rural, school, and primary care settings.

Services tailored to special populations, such as adolescent sex offenders, homeless children and their families, children with chronic illness, oppositional teens, abuse situations, and children exposed to traumatic events.

Details on preventative programs for child abuse, substance abuse, STDa (TM)s, and gang violence.

An in-depth examination of the latest developments in childrena (TM)s services, including therapeutic camping and Internet-based treatment.

Approaches and methods for evaluating service organization, delivery, and efficacy.

Few areas of mental health care demonstrate the need for complementary services as much as child and family practice does. With this need firmly inmind, the Handbook encourages creativity and collaboration within practice settings and across agencies. For clinicians, administrators, school practitioners, and advanced-level students, this is a reference certain to have lasting impact on the field.

This volume is the product of a combined effort to find programs of service delivery that demonstrably treat the varieties of mental health problems of children and their families. The Section on Clinical Child Psychology (APA, Clinical Psychology Section I) and the Division of Child, Youth, and Family Services (APA, Division 37) established a task force whose mission was to identify, provide recognition for, and disseminate information on such programs.
Their findings are presented here. The opening chapter and each section overview chapter provide orientations to the program descriptions and examine characteristics of exemplary interventions. The targeted problems include: child abuse and neglect, school adjustment problems, social problem-solving problems, autism and developmental disabilities, conduct disorders and severe emotional problems, children affected by disasters and trauma, children whose parents are divorced, children of teenage parents, family dysfunction and parent-child relationships, oppositional defiant disorder, and attention deficit disorder. Settings for interventions in the model programs include: schools, mental health centers and family guidance clinics, hospitals and pediatric practices, group homes and sheltered workshops, community centers, family homes, summer camps, and coordinated systems of care. The 18 programs described demonstrate the rationale for their interventions, their targeted populations, the type of staff and personnel, various programmatic interventions, aspects of the problems, implementation of interventions, and how the programs have been evaluated.
The needs for improved mental health services remain strong. The supporting organizations and the members of the Task Force intend for the product of this project to be helpful in providing models for meeting those needs.

This volume is the product of a combined effort to find programs of service delivery that demonstrably treat the varieties of mental health problems of children and their families. The Section on Clinical Child Psychology (APA, Clinical Psychology Section I) and the Division of Child, Youth, and Family Services (APA, Division 37) established a task force whose mission was to identify, provide recognition for, and disseminate information on such programs.
Their findings are presented here. The opening chapter and each section overview chapter provide orientations to the program descriptions and examine characteristics of exemplary interventions. The targeted problems include: child abuse and neglect, school adjustment problems, social problem-solving problems, autism and developmental disabilities, conduct disorders and severe emotional problems, children affected by disasters and trauma, children whose parents are divorced, children of teenage parents, family dysfunction and parent-child relationships, oppositional defiant disorder, and attention deficit disorder. Settings for interventions in the model programs include: schools, mental health centers and family guidance clinics, hospitals and pediatric practices, group homes and sheltered workshops, community centers, family homes, summer camps, and coordinated systems of care. The 18 programs described demonstrate the rationale for their interventions, their targeted populations, the type of staff and personnel, various programmatic interventions, aspects of the problems, implementation of interventions, and how the programs have been evaluated.
The needs for improved mental health services remain strong. The supporting organizations and the members of the Task Force intend for the product of this project to be helpful in providing models for meeting those needs.

Over a relatively brief period of time pediatric psychology as an organized field has evolved and expanded as a science and in clinical practice. Reflecting a newer focus on family roles in health and illness, the present volume is relevant to a variety of fields because family issues and pediatric medicine inherently interact with numerous disciplines and approaches. This volume fills the need for a resource indicating research advancements that links pediatric psychology and pediatrics with family issues. The articles -- selected from special issues of Pediatric Psychology -- cover such topics as chronic illnesses and handicapping conditions, failure to thrive, spina bifida, recurrent abdominal pain, and health promotion. These pediatric conditions are considered in terms of concomitant psychosocial effects on parents and siblings, family resources and environment, adjustment and maladjustment, interventions and programming utilizing and assisting families.

The introduction of the concept of managed care into mental and physical health care appears to be a juggernaut of unparalleled impact. The two extremes of thought about this impact are (I) that managed care is a villainous foe to be resisted in order to bring back the earlier halcyon years of independence in practice decisions with greater reimbursement for psychologists' services or (2) that managed care is a laudatory attempt to restrain health care costs that are out of control and spiraling upward by rooting out mismanagement and reversing financial incentives to provide unnecessary care. The former view calls managed health care such names as "mangled care" and distributes bumper stickers stating "Just Say No to HMOs. " The latter view points to the slowdown of increases in health care expenditures and the enhancement of health care affordability and appropriateness for greater numbers of persons resulting from managed care cost-containment strategies and service review procedures. Mental or behavioral health care has been as strongly impacted as medical care under managed care. Where managed care has forced practitioners' attention to validated procedures and to examining previous wasteful practices, we ap plaud the movement. Where managed care has had adverse impact, we think there needs to be greater public, legal, and regulatory attention to its excesses and abuses."

A number of factors converged to prompt this volume at this particular time. For several years, supervisors in predoctoral and internship programs have noted the need for a compendium of selected articles to illustrate the range of research and practice of pediatric psychology. Although the field is still relatively young, the many new pediatric psychologists in recent years might benefit from a perspective on the history and development of the psychological concepts, the organizational home in the Society of Pediatric Psychology (Section V of the Division of Clinical Psychology of the Ameri can Psychological Association), and its publication archive, Journalof Pe diatric Psychology. Such "classics" help capture the richness and excitement that portrays the field. Noting the continuing need for resources to serve the specialty, the Ex ecutive Committee of the Society of Pediatric Psychologyauthorized the spon sorship of publication of the HandbookofPediatric Psychology (Routh, 1988) as a synthesis of the field by expert chapter authors. The Society then ap pointed a committee led by C. Eugene Walker and Annette M. La Greca to develop a series of biennial volumes entitled Advancesin Pediatric Psychology. A number of discussions among the editorial board of the Journal and with Plenum Publishing Corporation, the Journal's publisher, recognized the value of articles carefully selected to exemplify how pediatric psychology is done."

The comprehensive coverage in this hugely important and timely handbook makes it invaluable to clinical child, school, and counseling psychologists; clinical social workers; and child psychiatrists. As a textbook for advanced clinical and counseling psychology programs, and a solid reference for the researcher in child/adolescent mental health, its emphasis on flexibility and attention to emerging issues will help readers meet ongoing challenges, as well as advance the field. Its relevance cannot be overstated, as growing numbers of young people have mental health problems requiring intervention, and current policy initiatives identify evidence-based therapies as the most effective and relevant forms of treatment.

Over a relatively brief period of time pediatric psychology as an organized field has evolved and expanded as a science and in clinical practice. Reflecting a newer focus on family roles in health and illness, the present volume is relevant to a variety of fields because family issues and pediatric medicine inherently interact with numerous disciplines and approaches. This volume fills the need for a resource indicating research advancements that links pediatric psychology and pediatrics with family issues. The articles -- selected from special issues of Pediatric Psychology -- cover such topics as chronic illnesses and handicapping conditions, failure to thrive, spina bifida, recurrent abdominal pain, and health promotion. These pediatric conditions are considered in terms of concomitant psychosocial effects on parents and siblings, family resources and environment, adjustment and maladjustment, interventions and programming utilizing and assisting families.

The specialty of clinical child and adolescent psychology has a history that dates back to the turn of the century when the first psychological clinic for children was reportedly established. As it is currently applied, this broad and wide-ranging specialty took organizational shape from the 1960s through the 1990s, and today child and adolescent psychology shares many characteristics and plays a collaborative role other specialties within professional psychology. These include clinical psychology, cognitive and behavioral psychology, school psychology, and clinical health psychology. In this volume, Dr. Finch and his co-authors provide a comprehensive demonstration of the competencies involved in this specialty, extending far beyond the scope of the age of its identified patient population. Offering an evidence-based best practices model of intervention informed by an integration of multiple professional competencies from a range of other specialty areas, this book is an invaluable resource for all those interested in pursuing the clinical child and adolescent specialty practice. Series in Specialty Competencies in Professional Psychology Series Editors Arthur M. Nezu and Christine Maguth Nezu As the field of psychology continues to grow and new specialty areas emerge and achieve recognition, it has become increasingly important to define the standards of professional specialty practice. Developed and conceived in response to this need for practical guidelines, this series presents methods, strategies, and techniques for conducting day-to-day practice in any given psychology specialty. The topical volumes address best practices across the functional and foundational competencies that characterize the various psychology specialties, including clinical psychology, cognitive and behavioral psychology, school psychology, geropsychology, forensic psychology, clinical neuropsychology, couples and family psychology, and more. Functional competencies include common practice activities like assessment and intervention, while foundational competencies represent core knowledge areas such as ethical and legal issues, cultural diversity, and professional identification. In addition to describing these competencies, each volume provides a definition, description, and development timeline of a particular specialty, including its essential and characteristic pattern of activities, as well as its distinctive and unique features. Written by recognized experts in their respective fields, volumes are comprehensive, up-to-date, and accessible. These volumes offer invaluable guidance to not only practicing mental health professionals, but those training for specialty practice as well.

Thousands of practitioners and students have relied on this handbook, now thoroughly revised, for authoritative information on the links between psychological and medical issues from infancy through adolescence. Sponsored by the Society of Pediatric Psychology, the volume explores psychosocial aspects of specific medical problems, as well as issues in managing developmental and behavioral concerns that are frequently seen in pediatric settings. The book describes best practices in training and service delivery and presents evidence-based approaches to intervention with children and families. All chapters have been rigorously peer reviewed by experts in the field. New to This Edition: *Chapters on rural health, the transition to adult medical care, prevention, and disorders of sex development. *Expanded coverage of epigenetics, eHealth applications, cultural and ethnic diversity, spina bifida, and epilepsy. *Many new authors; extensively revised with the latest information on clinical populations, research methods, and interventions. *Chapters on training and professional competencies, quality improvement and cost-effectiveness, and international collaborations. See also Clinical Practice of Pediatric Psychology, edited by Michael C. Roberts, Brandon S. Aylward, and Yelena P. Wu, which uses rich case material to illustrate intervention techniques.

Thousands of practitioners and students have relied on this handbook, now thoroughly revised, for authoritative information on the links between psychological and medical issues from infancy through adolescence. Sponsored by the Society of Pediatric Psychology, the volume explores psychosocial aspects of specific medical problems, as well as issues in managing developmental and behavioral concerns that are frequently seen in pediatric settings. The book describes best practices in training and service delivery and presents evidence-based approaches to intervention with children and families. All chapters have been rigorously peer reviewed by experts in the field. New to This Edition: *Chapters on rural health, the transition to adult medical care, prevention, and disorders of sex development. *Expanded coverage of epigenetics, eHealth applications, cultural and ethnic diversity, spina bifida, and epilepsy. *Many new authors; extensively revised with the latest information on clinical populations, research methods, and interventions. *Chapters on training and professional competencies, quality improvement and cost-effectiveness, and international collaborations. See also Clinical Practice of Pediatric Psychology, edited by Michael C. Roberts, Brandon S. Aylward, and Yelena P. Wu, which uses rich case material to illustrate intervention techniques.

Filled with vivid clinical material, this book describes effective practices for helping children and their families who are coping with chronic and acute health conditions and their treatment. Concise chapters on the psychosocial challenges associated with specific pediatric health conditions are organized around detailed case presentations. Demonstrating procedures for assessment, case conceptualization, brief intervention, and health promotion, the book highlights ways to collaborate successfully with medical providers and families. Chapters also discuss the varied roles that pediatric psychologists play in hospitals, outpatient clinics, primary care, and educational settings. See also Handbook of Pediatric Psychology, Fourth Edition, edited by Michael C. Roberts and Ric G. Steele, which comprehensively examines links between psychological and medical issues from infancy through adolescence.