ERIC Number: ED466332
Record Type: Non-Journal
Publication Date: 1998
Reference Count: N/A
Delivering Mental Health Services to Children and Adolescents with Serious Mental Illness in Frontier Areas: Parent and Provider Views. Letter to the Field.
Cooper, Sheila; Wagenfeld, Morton O.
Mental health professionals and parents of children and adolescents with serious mental health problems from four contiguous "frontier" counties participated in two separate focus groups about service delivery issues. The four counties met the frontier criterion of low population density, had high poverty rates, and were federally-designated health professional shortage areas. Service providers cited three related problems as most significant: lack of transportation, long waiting lists, and "desperately underserved" kids. Providers listed eight mental health problems of children and adolescents and discussed the extreme shortages of trained staff, alternative sources of care, the role of school counselors, and the high cost of psychotropic medications. Ethnic and cultural differences among the counties resulted in lack of acceptance of service providers in some areas. Providers offered 31 suggestions for improving service delivery. Parents emphasized problems of money, geography, and lack of high-quality services. Some parents voiced anger toward the system, while others were satisfied, citing counseling and medication as most helpful. Parents in more remote areas were most dissatisfied; psychiatrists were a particular target of their anger. While parents and providers agreed on a substantial number of problems, they differed on issues of provider-client communication in ways that suggested a lack of a "shared assumptive world." (SV)
Descriptors: Adolescents, Children, Counselor Client Relationship, Delivery Systems, Geographic Isolation, Mental Disorders, Mental Health Workers, Parent Attitudes, Personnel Needs, Psychiatric Services, Rural Areas
For full text: http://www.wiche.edu/MentalHealth/Frontier/letter17.html.
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.
Authoring Institution: Western Interstate Commission for Higher Education, Boulder, CO.