Chapter 3

Child and Adolescent Services in a Community Mental Health Center: Transition, Organization, and Staffing Issues

Eileen Hastings, R.N.C., L.C.S.W.C., Marsha Gorth, L.C.S.W.C., and Harinder S. Ghuman, M.D.

INTRODUCTION

Despite a growing awareness that traditional (office-based, by appointment) outpatient mental health services are not the treatment of choice for many of the increasing numbers of seriously emotionally disturbed (SED) children, they remain the primary psychiatric treatment delivered to this population. SED children are presented with multiple and complex problems that cannot be addressed adequately without intervening in the many systems in which the child lives. Since the 1980s, with the establishment of the Child and ...

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