chapter  9
22 Pages

Culturally Competent Health and Human Services for Emotionally Troubled Children and Youth: Only Through Intensive Case Management

The needs of children and youth with serious emotional difficulty are varied and multitudinous. Institutions designed to serve children and youth along with their families have often struggled with legal mandates, the limited and categorical nature of funding, ethnic and cultural diversity, diverse manifestations of emotional difficulties and in many cases mislabeling, ineffective approaches to treatment that provide too little in the way of the "50-minute hour" and too much in the way of hospitalization (Knitzer, 1982), isolated services and assessments, and a huge gap between level of need and actual service to children and youth.