Research on Child and Adolescent Mental Health

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and advocacy and professional organizations, could be forged to develop incentives for interdisciplinary research training and to create a usable science base that can ultimately address the mental health needs of children and their families. Closing the Gaps and Meeting the Needs of Children and Adolescents A public health effort to improve child and adolescent mental health, supported by taxpayer dollars, is warranted only insofar as it leads to improvements in the quality of care that children and adolescents receive and, thus, improvements in the quality of the lives they lead. The toll that preventable, untreated, or poorly treated mental illness takes on children, adolescents, and their families and society is profound and unacceptable. Over the past 10 years a vast amount of knowledge has been garnered about prevention, identification, treatment, and services for mental illness in children and adolescents. This knowledge can and should be used to improve care. But in the next decade, we must be more exacting. The next generation of child and adolescent mental health science will require a transformation of form, function, and purpose if a true public health model is to be realized and sustained. 86
460 499 520 544 544 591 575 620 621 630 662 775 V. Figures Figure A NIMH <strong>Research</strong> & Training Grants Fiscal Years 1989 - 2000 By Number of Grants All <strong>Research</strong> Child-Related <strong>Research</strong> Contracts and grants transferred to CMHS in1992 not included. Number of Grants 3,500 3011 3,000 2782 2,500 1778 1908 2085 2176 2173 2263 2300 2353 2466 2565 2,000 1,500 1,000 500 0 89 90 91 92 93 94 95 96 97 98 99 00 Fiscal Year Child as % of total: 25.9 26.2 24.9 25.0 25.0 26.1 25.0 26.3 25.2 24.6 23.8 25.7 87
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Blueprint for Change: Resea
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Blueprint for Change: Resea
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Acknowledgments We would like to ac
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Preface May 2001 Dear Dr. Hyman: On
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Finally, those interventions that h
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specialty mental health services, i
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PRIORITY AREA 1: BASIC SCIENCE AND
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solution to which may lie outside t
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P Use of depression screening and e
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5. Integrative approaches to studie
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picture of the benefits of psychoso
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augment clinical interventions to m
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mental health, we recommend that th
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parameters of knowledge, including
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caregiver expectations), quality of
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B. Recent Activities: The Environme
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illnesses, including the processes
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specific intervention, then to inte
Page 39 and 40: II. A Look Forward: Current Emphase
Page 41 and 42: inpatient days per 1,000 population
Page 43 and 44: intervention. Such knowledge is als
Page 45 and 46: play a role, but the actual mechani
Page 47 and 48: P Gender differences and the putati
Page 49 and 50: ehavioral problems and difficulties
Page 51 and 52: school-based interventions to help
Page 53 and 54: engage youth and families and to un
Page 55 and 56: Disorders: Frontiers for Preventive
Page 57 and 58: efforts has yet to take place. Furt
Page 59 and 60: Science Case in Point: Preventive I
Page 61 and 62: development (Kazdin, 2000a). To mak
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Page 69 and 70: Science Case in Point: Multimodal T
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Page 73 and 74: Szapocznik, et al., 1988). A simila
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Page 77 and 78: esearch agenda on clinical interven
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Page 87 and 88: IV. Future Directions for Child and
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Page 93 and 94: Figure C NIMH Child Training Grants
Page 95 and 96: VI. Appendices Research</st
Page 97 and 98: percent of children ages 1 to 5 use
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Page 101 and 102: Table 1: Utilization of Mental Heal
Page 103 and 104: Halfon et al. (1992a, 1992b). Utili
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Page 107 and 108: CALCULATION OF MENTAL HEALTH EXPEND
Page 109 and 110: MENTAL HEALTH EXPENDITURES IN THE E
Page 111 and 112: NEW ESTIMATES OF SERVICE UTILIZATIO
Page 113 and 114: We compared the survey results rega
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Page 117 and 118: inexpensive generic methylphenidate
Page 119 and 120: ACKNOWLEDGMENTS NIMH funded the res
Page 121 and 122: Mathiowetz NA, Dipko SM. A comparis
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Page 125 and 126: esult in Amy’s increased crying a
Page 127 and 128: like Amy. Recent studies investigat
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Page 131 and 132: disorder with strong genetic influe
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Page 135 and 136: control conditions in a sample of P
Page 137 and 138: constellation of symptoms. Addition
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Sanford et al., 1995). Even those a
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and negative cognitions. Cognitive
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Beardslee, W.R., Keller, M.B., Seif
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Cyranowski, J.M., Frank, E., Young,
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Gladstone, T.R., & Kaslow, N.J. (19
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Keating, D.P., & Hertzman, C. (Eds.
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Mufson, L., Weissman, M.M., Moreau,
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Rueter, M.A., Scaramella, L., Walla
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Weissenberger, J., & Rush, J. (1983
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Appendix D NATIONAL ADVISORY MENTAL
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LIAISON REPRESENTATIVE Center for M
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Bronfenbrenner, U. (1979). The Ecol
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Freemantle, N., Harvey, E.L., Wolf,
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Jensen, P.S., Hoagwood, K., & Petti
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McKay, M.M., McCadam, K., & Gonzale
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Pfeiffer, S.I., & Strzelecki, S.C.
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U.S. Public Health Service. (1999).
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NIH Publication Number 01-4985 Prin
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Research on Child and Adolescent Mental Health

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