Several papers this month examine services provided to children and adolescents. Improving mental health care for this population is a top priority of the U.S. Surgeon General, whose comprehensive report on the needs for care among children and adolescents was released last month (www.surgeongeneral.gov/cmh/childreport.htm). In this issue of the journal, Barbara Dickey, Ph.D., and her colleagues examine patterns and costs of care for children and adolescents before and after Massachusetts implemented a Medicaid managed care carve-out for children's behavioral health services. Their study showed that after the introduction of Medicaid managed care, per-child expenditures were lower, especially for disabled children (page 183). The study by Ping Wu, Ph.D., and his coworkers looks at service use among depressed children and adolescents in a community sample in New York (page 189). Christine Walrath, Ph.D., M.H.S., and associates examine the question of whether children referred for treatment from different systems—school, social service, juvenile justice, and the community mental health systems—had different characteristics on intake to a public-sector treatment program in Baltimore (page 196). Consumer satisfaction with services among children at a child and adolescent state psychiatric hospital in Pennsylvania and their parents is the topic explored by Stuart Kaplan, M.D., and his coauthors (page 202). Finally, the Alcohol & Drug Abuse column offers a perspective on the future direction of substance abuse treatment services for this population (page 147), and Datapoints presents national data on costs for psychotropic medications prescribed to children and adolescents (page 152).