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February 2008Vol. 9, No. 1States Use CFSR Results to Address Mental Health Care Challenges

Most children in the child welfare system have experienced significant trauma and are in need of effective mental health services. A recent study analyzed findings from the first round of the Federal Child and Family Services Reviews (CFSRs) to determine the extent to which mental health issues are addressed in CFSR Final Reports and Program Improvement Plans (PIPs).

Child and Family Services Reviews, 2001-2004: A Mental Health Analysis includes an overview of the final reports and PIPs of all 50 States, the District of Columbia, and Puerto Rico. The analysis shows that the CFSR process has identified an urgent need for mental health reform. Findings are presented in four sections:

  1. Describes trends related to mental health issues found in the 52 CFSR Final Reports, including service delivery, administration, and management
  2. Describes trends found in the 52 PIPs, including strategies to develop mental health service systems
  3. Summarizes the continuing mental health challenges and opportunities described in the Final Reports and PIPs
  4. Identifies issues for further consideration and study, including cultural competence, provider issues, substance abuse, and family involvement

The study was commissioned by the Administration for Children and Families and the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. The report was authored by Jan McCarthy, Erika Van Buren, and Marisa Irvine of the National Technical Assistance Center for Children's Mental Health at Georgetown University Center for Child and Human Development and the Technical Assistance Partnership for Child and Family Mental Health at the American Institutes for Research. (PDF - 453 KB)