A Public Health Approach to Children’s Mental Health Services: Possible Solutions to Current Service Inadequacies

Stiffman, Arlene Rubin; Stelk, Wayne; Horwitz, Sarah M.; Evans, Mary; Outlaw, Freida H.; Atkins, Marc S.

doi:10.1007/s10488-009-0259-2

Cited by 69 publications

(39 citation statements)

References 15 publications

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“…The compelling case for a public health framework-and a three-tiered approach in particular-to address the persistent barriers to accessible and effective mental health services has been made before: in the Surgeon General's (2000) report, with further detail and emphasis in the recent Institute of Medicine's report on prevention of youth mental health disorders (Institute of Medicine, 2009), and most recently and succinctly by Stiffman, Stelk, Evans, and Atkins (2010). All of these reports recognize that a shift towards the efficient and effective implementation of a coordinated and comprehensive three-tiered approach to mental health will involve many challenges, including a reallocation of resources (e.g., Kelleher, 2010), a retooling of the workforce (Schoenwald, Ringeisen, Hoagwood, Evans, & Atkins, 2010), and a broader reconceptualization of mental health promotion that includes healthy functioning across domains (e.g., cognitive, social, physical) and settings (e.g., home, school, work; M. Atkins, Hoagwood, Kutash, & Seidman, 2010).…”

Section: Fundingmentioning

confidence: 99%

Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness

Kazdin

Blase

2011

Perspect Psychol Sci

1,147

839

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Psychological interventions to treat mental health issues have developed remarkably in the past few decades. Yet this progress often neglects a central goal-namely, to reduce the burden of mental illness and related conditions. The need for psychological services is enormous, and only a small proportion of individuals in need actually receive treatment. Individual psychotherapy, the dominant model of treatment delivery, is not likely to be able to meet this need. Despite advances, mental health professionals are not likely to reduce the prevalence, incidence, and burden of mental illness without a major shift in intervention research and clinical practice. A portfolio of models of delivery will be needed. We illustrate various models of delivery to convey opportunities provided by technology, special settings and nontraditional service providers, self-help interventions, and the media.

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Section: Fundingmentioning

confidence: 99%

Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness

Kazdin

Blase

2011

Perspect Psychol Sci

1,147

839

View full text Add to dashboard Cite

show abstract

“…For clinical science internships and graduate program directors, the need arises for adding curricular instruction, clinical activities, dissemination and implementation, evaluation, and training-the-trainer experiences in new and creative 52 Atkins et al ways to move the field of clinical science forward in both the primary and the specialty care arenas. Going forward, alternative settings and services are likely to become more prominent venues for mental-health care as attempts are made to overcome barriers to care and to enhance population outcomes (Atkins & Frazier, 2011;Stiffman et al, 2010).…”

Section: Reimagining Internship Training Within the Future Of Clinicamentioning

confidence: 99%

“…Yet many policy decisions have substantial mental-health implications, and psychologists in training for a policy-focused career would benefit greatly from exposure to a broad range of policymaking groups and environments (DeLeon, 1988). Such novel training experiences would allow interns to have greater contact with community stakeholders and public policy leaders to begin to develop an appreciation for public policy decision making to enhance the public-health significance of their research and practice (Stiffman et al, 2010).…”

Section: Policy-focused Experiencesmentioning

confidence: 99%

Reconceptualizing Internship Training Within the Evolving Clinical Science Training Model

Atkins

Strauman

Cyranowski

et al. 2013

Clinical Psychological Science

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Psychological clinical science has made enormous progress both in terms of scientific contributions and as a source of continued development for improving how psychologists are trained for the future. At this crucial juncture, we see not only great challenges but also great opportunities, not the least of which is rethinking and expanding how internship training could be conceptualized within clinical science training. As ongoing changes in the health-care delivery system impel psychological clinical scientists to continue the process of redefining themselves as a field, so have those changes brought into relief the limitations of the traditional internship model. Redefinition and reconceptualization are in order, and this article is intended to encourage and facilitate that process. Three of the authors are currently directors of clinical science internships and the fourth previously served in that role. As we articulate later, we see an opportunity for internship experiences to integrate more seamlessly with graduate training by providing unique training opportunities associated with expanded clinical science career trajectories and identifying proximal and distal measures of training and career success.Among the core goals for clinical science training is the effective integration of science and clinical practice. However, although the clinical science model has done a commendable job of defining and measuring key standards for scientific training (with well-articulated outcomes measures that allow program directors to meet identified training goals in a flexible way), the model has yet to fully meet the challenge of defining, measuring, and incentivizing key clinical practice standards. We propose that the assessment of clinical competence within the clinical science model requires an appreciation for

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“…A public health framework is a new and evolving context for systems of care that is clearly articulated throughout the papers (Stiffman et al 2010). There are multiple definitions and frameworks for a public health approach.…”

Section: Public Health Approachmentioning

confidence: 99%

Advancing Efforts to Improve Children’s Mental Health in America: A Commentary

Blau

Huang

Mallery

2010

Adm Policy Ment Health

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A Public Health Approach to Children’s Mental Health Services: Possible Solutions to Current Service Inadequacies

Cited by 69 publications

References 15 publications

Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness

Rebooting Psychotherapy Research and Practice to Reduce the Burden of Mental Illness

Reconceptualizing Internship Training Within the Evolving Clinical Science Training Model

Advancing Efforts to Improve Children’s Mental Health in America: A Commentary

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