This book summarizes efforts to develop the knowledge base and practice experience necessary for such systems. By so doing, it aims to foster the further growth of such services around the world. The book evolved from a 1996 conference in Venice organized by the International Association of Child and Adolescent Psychiatry and Allied Professions (IACAPAP). Conference organizers were responding to the opportunity, with the opening up of contacts with former Soviet countries, to develop a wider international child psychiatric community. That opportunity coincided with the challenge presented by the simultaneous retrenchment of services in the West under cost-containment pressures including managed care. Of the 43 authors, 13 come from the United States (including six from the Yale Child Study Center), 19 from Western Europe, five from Central Europe and Russia, two from Latin America, two from Israel, and two from Asia.