In recent years, the mental health community has made great strides in understanding more about the delivery of mental health services, improving efficiency and quality in services, and also about how to build strengths and resilience in the face of lifes stresses. This volume adds to the knowledge base so that the important task of system change and expansion of service availability can proceed. Through a knowledge exchange process, this volume seeks to highlight the challenges in the field of mental health and respond with useful information. Chapters include: (1) Where is Mental Health Likely to Be a Century Hence? (Ronald W. Manderscheid, Marilyn J. Henderson); (2) Mental Health Policy in 20th-Century America (Gerald N. Grob); (3) Decision Support 2000+: A New Information System for Mental Health (Marilyn J. Henderson, Sarah L. Minden; Ronald W. Manderscheid); (4) Information Needs: A Consumer and Family Perspective (Laura Van Tosh); (5) Psychiatric Epidemiology: Recent Advances and Future Directions (Ronald C. Kessler, Elizabeth J. Costello, Kathleen Ries Merikangas, T. Bedirhan Ustun); (6) Status of National Accountability Efforts at the Millennium (Ronald W. Manderscheid, Marilyn J. Henderson, David Y. Brown); (7) Mental Health Policy at the Millennium: Challenges and Opportunities (David Mechanic); (8) The Mental Health Economy and Mental Health Economics (Richard G. Frank, Thomas McGuire); (9) The Promise and Reality of Managed Behavioral Care (E. Clarke Ross); (10) Co-occurring Addictive and Mental Disorders (Fred C. Osher); (11) Adult Mental Health Services in the 21st Century (Mark S. Salzer, Michael Blank, Aileen Rothbard, Trevor Hadley); (12) Pharmacoepidemiology of Methylphenidate and Other Medications for the Treatment of ADHD (Julie Magno Zito); (13) Refugee Mental Health: Issues for the New Millenium (James Jaranson, Susan Forbes Martin, Solvig Ekblad); (14) Highlights of Organized mental Health Services in 1998 and Major National and State Trends (Ronald W. Manderscheid, And Others); (15) Persons Treated in Specialty Mental Health Care Programs, United States, 1997 (Laura J. Milazzo-Sayre, And Others); (16) State Mental Health Agency Controlled Expenditures and Revenues for Mental Health Services, FY 1981 to FY 1997 (Ted Lutterman, Michael Hogan); (17) The 16-State Indicator Pilot Grant Project: Selected Performance Indicators and Implications for Policy- and Decisionmaking (Olinda Gonzalez, And Others); (18) The Availability of Mental Health Services to Young People in Juvenile Justice Facilities: A National Survey (Ingrid Goldstrom, Fan Jaiquan, Marilyn Henderson, Alisa Male, Ronald W. Manderscheid); (19) Estimates of Mental and Emotional Problems, Functional Impairments, and Associated Disability Outsomes for the U.S. Child Population in Households (Lisa J. Colpe); and (20) Mental Health Practitioners and Trainees (Joyce West, And Others). (Contains over 500 references, 64 tables, and 4 appendixes.) (GCP)