Mental Health Services

1
Mental Health Services
ChildrenandYouth
2
Statewide Mental Health SystemMission

• Ensure that people of all ages experiencing
• mental illness can
• better manage their illness
• achieve their personal goals and
• live, work, and participate in their
• community

3
Statewide Mental Health System Values

• We value the strengths and assets of consumers
  and their families and seek to include their
  participation in decision making and policy
  setting.
• We respect and celebrate the cultural and other
  diverse qualities of each consumer.
• We work in partnership with allied community
  providers to deliver quality, individualized
  supports and services.
• We treat people with respect, equality, courtesy
  and fairness.

4
Mental Health Division

• Mission
• The Mental Health Division Administers a Public
  Mental Health System that Promotes Recovery and
  Safety

5
Mental Health Division

• Principles
• Individuals are actively involved in and
  determine the design and implementation of their
  service plan.
• Individuals have access to a system of
  comprehensive and integrated community based
  services.
• Services promote natural and community supports
  including family, friends, and other citizens.
• Services demonstrate respect for rights and
  dignity of all individuals.
• Services incorporate the culture and value system
  of the individual.
• Individual choice, satisfaction, safety, and
  positive outcomes are the focus of services.
• Individuals are offered the support and services
  necessary to be successful where they live, work,
  and play.
• Services are designed to foster communities where
  all members are included, respected, and valued.

6
Legislature/Fed Gov
DSHS
MAA
MHD
DASA
DDD
CA
JRA
other
other
MHD
ESH
WSH
CLIP
RSN
7
Seriously Emotionally Disturbed (SED)
A Child who is experiencing a mental disorder
that is clearly interfering with the childs
functioning in family, school, or with peers AND
8

• Who meets at least one of the following criteria
• Has undergone inpatient treatment or placement
  outside of the home related to mental disorder
  with the last two years
• Has undergone involuntary treatment under
  chapter 71.34 RCW with in the last two years
• Is currently served by Juvenile justice, child
  protection/welfare, special education or
  developmental disabilities
• Is at risk of escalation maladjustment due to
• Chronic family dysfunction involving a mentally
  ill or inadequate caretaker
• Changes in custodial adult
• Going to, residing in or returning from any
  placement outside of the home
• Subject to repeated physical abuse or neglect
• Drug or alcohol abuse or
• Homelessness

9
Accessing Public MH Services

• CSO
• Regional Support Network/CMHA
• Who determines medical necessity for public
  mental health services
• Hospital (may be first in system to become aware
  of need for services)

10
Medical necessity or Medically necessary - A
term for describing a requested service which is
reasonably calculated to prevent, diagnose,
correct, cure, alleviate or prevent the worsening
of conditions in the recipient that endanger
life, or cause suffering or pain, or result in
illness or infirmity, or threaten to cause or
aggravate a handicap, or cause or physical
deformity or malfunction, and there is no other
equally effective, more conservative or
substantially less costly course of treatment
available or suitable for the person requesting
service. For the purpose of this chapter course
of treatment may include mere observation or,
where appropriate no treatment at
all. Additionally, the individual must be
determined to have a mental illness covered by
Washington State for public mental health
services. The individuals impairment(s) and
corresponding need(s) must be the result of a
mental illness. The intervention is deemed to be
reasonably necessary to improve, stabilize or
prevent deterioration of functioning resulting
from the presence of a mental illness. The
individual is expected to benefit from the
intervention. Any other formal or informal
system or support can not address the
individuals unmet need.
11
RSN/CMHA Services

• Comprehensive Assessment
• Individualized Services e.g.
• Individual and group therapy
• Med management
• Crisis intervention
• Stabilization
• Community psychiatric inpatient hospitalization
• Childrens long-term residential

12
Comprehensive Assessment and Service Plan

• Individual Strengths and Needs
• Other Formal System Involvement
• Community Supports (informal system)
• Natural Support
• Medications
• Necessary treatment (therapies, case management)

13
Individualized Services

• Each person has a unique combination of strengths
  and needs
• Services should be designed to
• utilize strengths
• meet needs
• In the least restrictive manner

14
Service Plans should ...

• Include a mix of formal services
• and informal supports
• Include age appropriate normal activities
• Be provided in a natural environment

15
Family Voice and Participation

• Assessments based on family strengths and needs
• Families should be included in the entire
  planning and treatment process
• Parent Support Groups Available
• SAFE - WA
• Parent steering committee
• local groups

16
Considerations for Adolescents

• Youth who are thirteen and older can request
  mental health services without the consent of
  their parents
• Youth who are thirteen or older and who are a
  danger to themselves or others, and refuse
  treatment may be involuntarily detained and
  hospitalized.

17
Access to Publicly FundedCommunity Psychiatric
Hospital

• Need is due to acuity of mental illness
• RSN (or designee) authorization prior to
  admission
• Short-term stay (e.g. Fairfax, Lourdes)

18
Access to Long Term Inpatient Care

• If less restrictive services and supports are not
  appropriate and if extended inpatient care is
  recommended
• referral is made by the RSN for certification of
  admission by the Childrens Long term Inpatient
  Program Administration

19
Funding Sources
Needed to receive Federal
20
Children (0-17 years)Community Outpatient
Services
21
39 Counties Grouped into 14 RSNs