: footnote'>[7] U.S. Centers for Disease Control (CDC), National Institutes on Mental Health (NIMH), American Academy of Child and Adolescent Psychiatry (AACAP).

[8] These varying prevalence rates are the result of methodological differences between research studies.

[9] Weist, Mark; Golda Ginsburg and Micheal Shafer.  1999.  Progress In Adolescent Mental Health.  Adolescent Medicine: State of the Art Reviews vol. 10, No. 1.

[10] The Surgeon General’s Report: Mental Health: A Report of the Surgeon General.  1999.  DHHS.  Available on-line at http://www.surgeongeneral.gov/library/mentalhealth.

[11] American Academy of Child and Adolescent Psychiatry.  http://www.aacap.org/about/index.htm

[12] A 1999 NIMH study also found that nearly 21% of United States children and adolescents aged 9 to 17 had a diagnosable mental or addictive disorder that caused at least some impairment.

[13] More on this can be found at the CDC website, www.cdc.gov

[14] http://www.cdc.gov/hrqol/findings.htm

[15] The World Health Report.  2001.  Geneval: World Health Organization.

[16] Desjarlais, Robert; L. Eisenberg, B. Good, A. Kleinman.  1995.  World Mental Health: Problems and Priorities in Low Income Countries.  New York: Oxford University Press. 

[17] The World Health Report.  2001.  Geneva: World Health Organization.  Page 16.

[18] Surgeon General’s Report.  1999.  Page 3.

[19] World Health Report.  2001.  Page 1.

[20] This is available at www.rcpsych.ac.uk

[21] However, diagnosing and recognizing mental illness in adolescents is often difficult to do.  Further, even when adolescents are properly diagnosed, many adolescents fall through the cracks of treatment because of their “in-between status” – not eligible for children’s services, yet not old enough for adult services.  Further, adolescents have different needs than children or adults, requiring specific care geared towards them specifically.  The age cut-off point for Children and Adolescent Mental Health Services (CAMHS) varies in different services and states across the country.  The cut-off point ranges from 14 to 19 years, with few services dealing adequately with the 16-21 age group.  Further, studies show that children who get caught in the public mental health system are underserved and have a much higher dependence on the adult system later in life.  This problem can be avoided if these other components listed are in place.

[22] Overholser, James and Anthony Spirito.  2003.  Evaluating and Treating Adolescent Suicide Attempts. U.S.A.: Elsevier Science.

[23] Information on this is available at www.opm.gov/pressrel/1999/health.htm. 

[24] Mayo Foundation for Medical Education Research.  2003.  Can be found by searching www.google.com/unclesam keywords mental health providers.

[25] Lay persons can access portions of this journal at http://www.aacap.org/clinical.

[26] Examples of the Ohio Department of Mental Health Best Practices and Initiatives can be found at htt://www.mh.state.oh.us/bpexamples.html.

[27] 2002.  Adolescent Substance Abuse: A Public Health Priority.  Physician Leadership on National Drug Policy.  Center for Alcohol and Addiction Studies.  Providence: Brown University.

[28] World Health Report.  2001.  Page 3.

[29] Surgeon General’s Report.  1999.  Page 14.

[30] World Health Report.  2001.  Page 8.

[31] World Health Report.  2001.  Page 10.

[32] This web page can be found at http://www.aacap.org/publications/factsfam/index.htm.