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Community Child and Adolescent Psychiatry

A Manual of Clinical Practice and Consultation

Edited by Theodore A. Petti, M.D., M.P.H., and Carlos Salguero, M.D., M.P.H.

  • ISBN 978-1-58562-180-4
  • Item #62180

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Child psychiatrists and psychologists, clinical nurses, social workers, and other mental health practitioners working in the public sector—where limited funds, poverty, social environments, and bureaucracy add to the daily challenges—can now turn to Community Child and Adolescent Psychiatry for approaches and insights to make their work easier and more productive.
Twenty chapters are divided into four main sections, where 31 seasoned clinicians and administrators detail the most useful tasks, strategies, and tactics for child and family-focused community mental health professionals:

  • Multiple facets of public sector agency work with or consultation to community agencies from the major mental health disciplines employed in community settings, differentiating roles and responsibilities and detailing consultation phases, including pitfalls
  • Basic community practice principles and issues commonly faced by public sector professionals, including particular types of agencies and differences between rural and urban practice
  • Contemporary concerns about the impact of a managed care or cost-cutting environment on service delivery, including reimbursement, differentiating consultation from direct service, and the location of a system of care
  • Descriptions of the setting or activity of each community agency, including the qualifications that allow the professional or trainee to enter and work in that system
  • Practicalities of clinical practice or consultation or both in community settings in the current service environment
  • Questions—from differing perspectives—that mental health care practitioners must consider before consulting to or assuming a staff or administrative position in a community agency, different types of demands—and discussion of/for each role

Managed care has forever altered the service system landscape of mental health care in both the private and public sectors. Community Child and Adolescent Psychiatry provides insight into the public system of care and the requisite tools to manage the rapidly changing clinical, political, and administrative landscape.

As a resource guide to the profession, Community Child and Adolescent Psychiatry emphasizes the practical necessities of child psychiatrists and other professionals working with mentally ill youngsters and their families in the practice of community psychiatry and public mental health. Trainees, practitioners, and administrators alike will welcome this indispensable road-map to a higher level of practice in community settings.


  • Contributors
  • Introduction
  • Part I: Principles of Community Practice
  • Chapter 1. Working Within Communities
  • Chapter 2. Public-Sector Dynamics for Child Mental Health
  • Chapter 3. Legal Issues
  • Chapter 4. Practical Aspects of Rural Mental Health Care
  • Part II: The Core Mental Health Professionals
  • Chapter 5. Role of the Child and Adolescent Psychiatrist
  • Chapter 6. Role of the Clinical Child Psychologist
  • Chapter 7. Role of the Child Mental Health Social Worker
  • Chapter 8. Role of the Clinical Nurse
  • Part III: Interdisciplinary Functioning in the Community Setting
  • Chapter 9. Community Mental Health Centers
  • Chapter 10. Schools
  • Chapter 11. School-Based Health Centers
  • Chapter 12. Foster Care Programs
  • Chapter 13. Consultation to Child Care Settings
  • Chapter 14. Day Treatment Centers/ Partial Hospitalization Settings
  • Chapter 15. Chemical Dependence Programs
  • Chapter 16. Community Residential Care Programs
  • Chapter 17. Working With Advocacy Groups
  • Part IV: Outcomes and Future Directions
  • Chapter 18. Transitions From Institutional to Community Systems of Care
  • Chapter 19. Innovative Community Intervention Programs
  • Chapter 20. Future Directions
  • Index

About the Authors

Theodore A. Petti, M.D., M.P.H., is Professor of Psychiatry and Director, Division of Child and Adolescent Psychiatry, at the Robert Wood Johnson Medical School and University Behavioral Health Care/University of Medicine and Dentistry of New Jersey.

Carlos Salguero, M.D., M.P.H., F.A.P.A., is Medical Director of the Village for Families and Children in Hartford, Connecticut and Associate Clinical Professor of Pediatrics and Psychiatry at Yale Child Study Center in New Haven, Connecticut.

Drs. Petti and Salguero have provided a practical guide for providing services. They cover clinical, ethical, administrative, and other problems likely to emerge and how they can be prevented or surmounted. This is a superb contribution that takes community work to new heights and will palpably improve the lives of children, adolescents, and families.—Alan E. Kazdin, Ph.D., Director, Child Study Center, Yale University School of Medicine, John M. Musser Professor of Psychology and Child Psychiatry, New Haven, Connecticut

This comprehensive text is designed to help those professionals who serve children and adolescents in community-based settings. Serving children with mental illnesses and emotional challenges is always vexing given the number of distinct service systems that interact with these individuals and their families. Additionally, to be successful requires cooperation among these systems and the wide range of professionals involved in the life of the child. The power of this book lies in its practicality. Covered are the important tasks and functions of the core professional disciplines, the role of the key service providers and settings that shape the lives of children, all with an emphasis on the tasks necessary to create child and family centered services that work.—W. Patrick Sullivan, Professor, Indiana University School of Social Work

The strengths of this book will appeal to any professional engaged in community-based mental health services for children and youth. . .. The emphasis on consultation is the greatest asset of the manual.—PsycCRITIQUES, 2/1/2007

Community Child and Adolescent Psychiatry: A Manual of Clinical Practice and Consultation needs to be read and digested by every professional engaged in clinical services in community ages and schools and should be required reading in every child and adolescent psychiatry residency training program. This book is a gem, loaded with critical information, laced with excellent clinical and administrative vignettes, enhanced by pertinent yet concise bibliographies, and written in a practical readable, non-cookbook fashion.—Journal of Clinical Psychiatry, 2/1/2007

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