Practice innovations in mental health services to children and families: New directions for Massachusetts∗

Abstract

This research report highlights selected findings that describe the characteristics of excellent, innovative programs for high-risk children and adolescents in Massachusetts. The conclusions reported are based on interviews with administrators and providers at nine sites. A research consortium composed of policy makers, administrators, clinicians, and academic researchers recommended the site selections. The study describes a spectrum of innovative practices used to help youngsters in severe crises. Innovative practice was shaped by a common vision of doing treatment within family and community contexts, and coordinating overall care at all levels of the family's social and professional networks. Topics addressed include an examination of the core values directing these programs, the four distinct subtypes of design, therapeutic approaches, management, and evaluation. Obstacles to innovation are considered in light of current policy and practice limitations. The discussion concludes with a summary of the challenges and future directions for policy makers, funding agencies, program directors, and clinicians committed to addressing the current crisis in mental health care for children and youth.

The Heart of the Matter 2: Integration of Ecosystemic Family Therapy Practices with Systems of Care Mental Health Services for Children and Families

“…In our study (Lightburn et al, 2002), we came to the following conclusion about therapeutic interventions in these programs:…”

“…Lightburn et al (2002) describe clinical dilemmas found in wraparound processes. These include an inability to engage and sustain relationships with families who are extremely isolated; sustain ongoing collaborative relationships with multiple service providers; clarify the nature of therapeutic conversations; provide resources and support independence in families; and terminate families from intensive services.…”

“…This article is based on a study of nine innovative “systems of care” mental health programs for children and families in Massachusetts (Lightburn, Olson, Sessions, & Pulleyblank Coffey, 2002). With a broad pattern of innovation, these programs work to prevent out‐of‐home placement of children by emphasizing the coordination of resources for them and their families.…”