Expanding the Base for Child Mental Health Service and Training

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Abstract
A mental health role and professional training situation was developed, spanning the child-related systems of school, pediatric, and mental health clinics. The physician intern's work in the natural setting of the school had three facets, each related to a systems intervention framework, (a) Children were seen for immediate intervention in the school or referred to the intern's pediatric or psychiatric clinic base for specialized evaluation and treatment, (b) Parents, children, and teachers met together in a problem-solving group, (c) Teachers participated in groups encouraging development of support systems. Emphasis was placed on children's pediatric, mental health, and educational needs, stressing early detection, family involvement, and lessening of transactional conflict. Acceptance by school and district personnel was extremely positive. Similar functions can be performed by other pediatric, mental health or educational staff.

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