New frontiers in building mental, emotional and behavioral health in children and youth: Introduction to the special section.

The passage of the Patient Protection and Affordable Care Act (ACA; 2010) has had tremendous influence on behavioral health in the United States (Alker & Chester, 2015). Shortly after its passage, the editors of this special section became interested in examining the provisions of the ACA related to care for mental, emotional, and behavioral disorders in children and youth and synthesizing their implications in the context of other contemporary trends in children's behavioral health promotion. We first developed a white paper with the goal of increasing our own understanding of these issues and their possible influence on the status quo of designing, implementing, financing, and evaluating behavioral health services for children and their families. From our discussions came the idea of developing a special section in the American Journal of Orthopsychiatry featuring input from researchers who have been exploring these issues and who have tangible and relevant examples of "new frontiers" in building mental, emotional, and behavioral health for children and youth. The result is the current special section, the purpose of which is to highlight the importance of prevention in behavioral health and to explore examples of efforts that have used a broad public health approach to prevention and early intervention in mental, emotional, and substance use disorders in children and youth. Before introducing the seven articles in this special section, we describe in detail our foundational thinking about building mental, emotional, and behavioral health for children and youth, as expressed in our initial white paper on this topic. (PsycINFO Database Record

Editing on the edge in Denver, New Orleans, and Williamston-and soon in Dallas and Lincoln, too.

This editorial provides a farewell from the coeditors of the American Journal of Orthopsychiatry.

Milt Shore: editor and advocate.

This editorial pays tribute to former editor, Milton F. Shore, who has for many years been one of Ortho's most dedicated members.

Consensus statement on group care for children and adolescents: A statement of policy of the American Orthopsychiatric Association.

Group care for children and adolescents is widely used as a rearing environment and sometimes used as a setting in which intensive services can be provided. This consensus statement on group care affirms that children and adolescents have the need and right to grow up in a family with at least 1 committed, stable, and loving adult caregiver. In principle, group care should never be favored over family care. Group care should be used only when it is the least detrimental alternative, when necessary therapeutic mental health services cannot be delivered in a less restrictive setting.

Residential treatment of children and adolescents: past, present, and future.

This paper reviews the history of residential treatment, examines the central concepts that define the therapeutic modality, and shows how those concepts provide means of addressing criticisms that have been raised about it in the past and adapting residential programs to meet challenges facing them in the future.

Mental health and social justice: a vision for the 21st century.

If the American Orthopsychiatric Association is to prosper, it must follow a vision grounded in its historic concern with social justice, relevant to contemporary concerns, and pursued through the expertise of its members. Such a vision may lie in a 3-part agenda: (a) a psychologically-minded analysis of, and advocacy for, human rights: (b) attention to mental health concerns in the work of the Washington Group of international agencies; and (c) advocacy for access by disadvantaged people with mental health problems to a broad array of services and to a climate of respect.

Factors contributing to posttraumatic growth: a proposed structural equation model.

With the current shift to include positive outcomes of trauma, this research was designed to explore factors that allow growth to occur. Structural equation modeling was used to test a model for understanding posttraumatic growth. A sample (N = 174) of bereaved HIV/AIDS caregivers completed questionnaires. Spirituality, social support, and stressors were found to have a positive relationship with growth. Facilitation of posttraumatic growth is crucial to all helping professions.

Pasado, presente y futuro de la higiene mental en España (1972)

No disponible

Masculinity and gender roles among Puerto Rican men: machismo on the U.S. mainland.

The literature on masculinity and gender roles in American life has mostly over-looked Latino men, or has stereotyped them by means of a distorted concept of machismo. A reconceptualization of masculinity and machismo among Puerto Rican men is presented, based on a multidimensional view of their historical and current sociocultural reality. Relevant clinical and social services for Puerto Rican men are discussed and directions for future research are suggested.

Psychiatry and health in low-income populations.

Although mental health problems constitute 8.1% of the global burden of disease (GBD), mental health has been largely missing from the international health agenda. The discrepancy between needs and services is likely to increase in the next millennium. Depression alone is currently the fourth leading cause of disability-adjusted life-years (DALYs) the world over and is projected to become the second leading cause by the year 2020. The nations of the world must make a major commitment to upgrade the quality of mental health services, including early detection and prevention of psychiatric problems in childhood and adolescence; to institute the collection of systematic data on the global burden of alcohol and drug abuse and to develop innovative treatment and preventive measures; and to provide substantial support for research on treatment effectiveness. Because hunger, deprivation, and violence affect women disproportionately, there is a pressing need for coordinated efforts to improve state gender policies (including equal educational opportunity and improved health care for women) and to interdict domestic violence. In the words of Boutros Boutros Ghali, the Secretary General of the United Nations: "Medical and social issues which are often viewed separately must be dealt with as a whole...the priority of mental health must be heightened...development policies must...protect and promote mental health."