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Among 233 youths treated at a community mental health center, 51 were living with their grandparents. Youths who lived with grandparents were more likely to be male, African American, and younger. Frequent psychiatric diagnoses included oppositional defiant disorder, depressive disorders, and anxiety disorders. Common reasons for youths' placement with grandparents included parents' absence, substance abuse, or incarceration; abuse by parents; and death of parents. Caregivers were most often maternal grandmothers, and more than one-third of the grandmothers were age 62 or older. The findings highlight the need to develop treatment interventions for youths who are living with their grandparents and to create public policies to support grandparent caregivers. (Psychi-

A survey was made of the leaders in the Latino community from four East coast cities on the mental health, academic, and behavioral needs of Latino youth, services available to them, and recommendations to better address their needs. Of the 112 Latino leaders recruited, 46 responded to the survey, expressing their views that Latino youth experience significant stress in the United States, present behavioral and academic adjustment problems, and generally have difficulty accessing appropriate services and resources. Programs for these youth were presented as limited in number and lacking in cultural sensitivity. Community leaders endorsed the development of comprehensive and culturally sensitive programs for Latino youth in schools that address their psychosocial and academic needs.

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