Practice innovations in mental health services to children and families: New directions for Massachusetts∗

This study was supported by the generosity of the Massachusetts Department of Mental Health, the Davis Foundation, the Brown Clinical Research Institute, and the Center for Innovative Practice at Smith College School for Social Work. The contributions of Georgina Lucas, the director of the Center for Innovative Practice, are gratefully acknowledged.

Abstract

This research report highlights selected findings that describe the characteristics of excellent, innovative programs for high‐risk children and adolescents in Massachusetts. The conclusions reported are based on interviews with administrators and providers at nine sites. A research consortium composed of policy makers, administrators, clinicians, and academic researchers recommended the site selections. The study describes a spectrum of innovative practices used to help youngsters in severe crises. Innovative practice was shaped by a common vision of doing treatment within family and community contexts, and coordinating overall care at all levels of the family's social and professional networks. Topics addressed include an examination of the core values directing these programs, the four distinct subtypes of design, therapeutic approaches, management, and evaluation. Obstacles to innovation are considered in light of current policy and practice limitations. The discussion concludes with a summary of the challenges and future directions for policy makers, funding agencies, program directors, and clinicians committed to addressing the current crisis in mental health care for children and youth.

Notes

This study was supported by the generosity of the Massachusetts Department of Mental Health, the Davis Foundation, the Brown Clinical Research Institute, and the Center for Innovative Practice at Smith College School for Social Work. The contributions of Georgina Lucas, the director of the Center for Innovative Practice, are gratefully acknowledged.