Unclaimed Children revisited: the status of state children's mental health service systems

UMMS Affiliation

Department of Psychiatry

Publication Date


Document Type



Adolescent; Child; Child Guidance Clinics; Data Collection; Humans; Legislation, Medical; Mental Health Services; Personnel Staffing and Scheduling; Program Evaluation; Public Health Administration; Role; United States


Health Services Research | Mental and Social Health | Psychiatric and Mental Health | Psychiatry | Psychiatry and Psychology


In 1982, Jane Knitzer's Unclaimed Children described continued nationwide failure to provide services for children and adolescents with serious emotional disturbances. Since 1982, there has been considerable change in the philosophy, administration, and operation of services for this population. The current study compared state child and adolescent (C/A) mental health systems to those described in Unclaimed Children. Present findings are based on surveys of State Mental Health Representatives for Children and Youth in 1988/89 and 1993. Results indicated a marked increase in the number of state administrative offices and staff for C/A mental health. Much pertinent legislation had been passed. States developed a target population definition and largely officially embraced the Child and Adolescent Services System Program (CASSP) principles of an ideal system of care. Out-of-state placements were high, and placements on adult wards still existed. Counts of these placements were often unavailable to mental health officials.


J Ment Health Adm. 1995 Spring;22(2):147-66.

Journal/Book/Conference Title

Journal of mental health administration


At the time of publication, Maryann Davis was not yet affiliated with the University of Massachusetts Medical School.

Related Resources

Link to Article in PubMed

PubMed ID