The utilization rates reported in communities that offer mental-health services to children were compared. In one community, the demonstration site of the Fort Bragg Demonstration Project, a full continuum of services were made available free of charge to residents with maximal availability of services. In the other communities, one of which offered a full continuum of services, Dutchess County, New York, services were provided for a fee and access was restricted. A much larger number of children were admitted to treatment and placed in out-of-home programs in the Fort Bragg Demonstration site, where no substantial difference in outcomes for continuum-treated as opposed to traditionally-treated children was observed. The argument is made that the utilization rates reflect that clinicians who work in communities who rapidly introduce a full continuum of care at no cost to the client are subject to the `Clinician's Illusion', the belief that all troubled children need mental-health treatment and will make no substantial improvements unless treated.
Behar, L.B.
(1995). The Fort Bragg Child and Adolescent Mental Health Demonstration: The implications of its evaluation results. Child, Youth, and Family Services Quarterly, 18, 6-8.
2.
Behar, L.B.
, Bickman, L., Lane, T., Keeton, W.P., & Schwartz, M. (1995). Fort Braff Child and Adolescent Mental Health Demonstration Project. In N. Roberts (Ed.), Model practices in service delivery in child and family mental health. Hillsdale, NJ: Erlbaum.
3.
Bickman, L.
(1995). The Fort Bragg Demonstration Project: A managed continuum of care. The Child, Youth, and Family Services Quarterly, 18, 2-5.
4.
Bickman, L.
(1996a). A continuum of care: More is not always better. American Psychologist, 51, 689-701.
5.
Bickman, L. (Ed.). (1996b). The Fort Bragg Experiment. Journal of Mental Health Administration, 23(1).
6.
Bickman, L.
(1996c). Reinterpreting the Fort Bragg evaluation findings: The message does not change. Journal of Mental Health Administration, 23(1), 137-145.
7.
Bickman, L.
, Bryant, D., & Summerfelt, T.W. (1993). Final report of the quality study of the Fort Bragg Evaluation Project. Nashville, TN: Vanderbilt University Center for Mental Health Policy.
8.
Bickman, L.
, Guthrie, P.R., Foster, E.M., Lambert, E.W., Summerfelt, W.T., Breda, C.S., & Heflinger, C.A. (1994). Final report of the outcome and cost/utilization studies of the Fort Bragg Evaluation Project, Volume I. Nashville, TN: Vanderbilt University Center for Mental Health Policy.
9.
Bickman, L.
, Guthrie, P.R., Foster, E.M., Lambert, E.W., Summerfelt, W.T., Breda, C.S., & Heflinger, C.A. (1995). Managed care in mental health: The Fort Bragg Experiment. New York: Plenum.
10.
Bickman, L.
, Summerfelt, W.T., & Bryant, D. (1996). The quality of services in a children's mental health managed care demonstration. Journal of Mental Health Administration, 23, 30-39.
11.
Budman, S. H.
, & Gurman, A. S. (1983). The practice of brief therapy. Professional Psychology: Research and Practice, 14, 277-292.
12.
Cohen, P.
, & Cohen, J. (1984). The clinician's illusion. Archives of General Psychiatry, 41, 1178-1182.
13.
Cowen, E.L.
, Gesten, E.L., & Weissberg, R.Q. (1980). An interrelated network of preventively oriented school based mental health approaches. In R.H. Price and P. Politzer (Eds.), Evaluation and action in the community context. New York: Academic.
14.
Drotar, D. (Ed.). (1995). Continuum of care: The Fort Bragg Demonstration Project. Child, Youth, and Family Services Quarterly, 18(3).
15.
Friedman, R.M.
, & Burns, B.J. (1996). The evaluation of the Fort Bragg Demonstration Project: An alternative interpretation of the findings. Journal of Mental Health Administration, 23, 128-136.
16.
Glatt, K.N.
(1993). 1993 Annual Report Dutchess County Department of Mental Hygiene. Poughkeepsie, NY: Dutchess County.
17.
Griffin, J.A.
, Cicchetti, D., & Leaf, P.J. (1993). Characteristics of youth identified from a psychiatric case register as first time users of service. Hospital and Community Psychiatry, 44, 62-65.
18.
Huz, S.
, Evans, M.E., Rahn, D.S., & McNulty, T.L. (1993). Evaluation of intensive case management for children and youth: Third year final report. New York State Office of Mental Health (NYSOMH), Albany, NY: Bureau of Evaluation and Services Research.
19.
John, L.H.
, Offord, D.R., Boyle, M.H., & Racine, Y.A. (1995). Factors predicting use of mental health and social services by children 6-16 years old: Findings from the Ontario Child Health Study. American Journal of Orthopsychiatry, 65, 76-86.
20.
Kazdin, A.E.
, & Bass, D. (1988). Parent, teacher, and hospital staff evaluation of severely disturbed children. American Journal of Orthopsychiatry, 58, 512-523.
21.
McGreevy, M.A.
, & Holtz, R.G. (1987). Evaluation of the N. YS. Office of Mental Health intervention initiative. Phase 2 Report: Organizational models and core service package. NYSOMH, Albany, NY: Bureau of Survey and Evaluation Research.
22.
Mora, G.
, Talmadge, M., Bryant, F.T., & Hayden, B.S. (1969). A residential treatment center moves towards the community mental health model. Child Welfare, 68, 585-629.
23.
Mordock, J.B.
(1990). Funding children's mental health services in an underfunded climate: Collaborative efforts. Journal of Mental Health Administration, 17, 108-114.
24.
Mordock, J.B.
(1996). The real world of the child guidance clinic. Administration and Policy in Mental Health23, 211-230.
25.
Mordock, J.B.
(1997). The Fort Bragg Continuum of Care Demonstration Project: The population served was unique and the outcomes are questionable. Child Psychiatry and Human Development, 27, 241-254.
26.
Mordock, J.B.
(in press). In-home treatments. In J.D. Noshpitz, S.I. Harrison, & S. Eth (Eds.), Handbook of child and adolescent psychiatry. New York: Wiley.
27.
Nagera, H.
, & Benson, R.M. (1980). Normalcy as a syndrome. In J.N. Noshpitz (Ed.), Basic handbook of child psychiatry (pp. 165-172). New York: Basic Books.
28.
New York State Office of Mental Health
(1995). The use of respite care in children's services. Bronx Children's Emergency Services Project Research and Demonstration Update, No. 3 (August).
29.
Palmer, A.J.
, Harper, G., & Rivinus, T.M. (1983). The `Adoption Process' in the inpatient treatment of children and adolescents. Journal of the American Academy of Child Psychiatry, 22, 286-293.
30.
Resnick, R.
(1995). The Fort Bragg Demonstration Project: Lessons learned and implications for psychology. Child, Youth, and Family Services Quarterly, 18, 10-11.
31.
Roberts, M.C.
(1994). Models for service delivery in children's mental health: Common characteristics. Journal of Clinical Child Psychology, 23, 212-219.
32.
Shulman, D.A.
, & Athey, M. (1993). Youth emergency services: A total community effort, a multi-system approach. Child Welfare, 72, 171-179.
33.
Spivack, G.
, & Levine, M. (1964). The Devereux Child Behavior Rating Scales: A study of symptom behaviors in latency aged atypical children. American Journal of Mental Deficiency, 68, 700-717.
34.
United States Congress, Office Technology Assessment
. (1986). Children's mental health: Problems and services - A background paper (OTA-BP-H-33). Washington, DC: US Government Printing Office.
35.
Weisz, J.R.
, Donenberg, G.R., Han, S.S., & Weiss, B. (1995). Bridging the gap between lab and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 1995, 63, 688-701.
36.
Weisz, J.R.
, Weiss, B., & Donenberg, G.R. (1992). The lab versus the clinic: Effects on child and adolescent psychotherapy. American Psychologist, 47, 1578-1586.
37.
Wilson, M.
(1993). DSM-III and the transformation of American psychiatry. American Journal of Psychiatry, 150, 399-410.
38.
(Reprinted from the Journal of Consulting and Clinical Psychology, 1981, 49, 156-167).
