California Public Mental Health Services Children

1
California Public Mental Health Services
Children Youth

• Who is Eligible to Receive Services?
• California Institute for Mental Health
• Sandra Naylor Goodwin, PhD, MSW

2
Who is eligible for services?

• Eligibility for children and youth
• Bronzan-McCorquodale Funds Realignment
• Medi-Cal EPSDT
• Healthy Families Federal SCHIP
• Special Education SED 3632
• Foster Care
• Early MH Initiative Prevention
• Mental Health Services Act (Prop 63)

3
Children and Youth

• Bronzan-McCorquodale Realignment Act WIC 5600.3
• Indigent/Uninsured Some MediCal Match
• Priority-Seriously emotionally disturbed SED
• mental disorder defined in DSM that results in
  age inappropriate behavior 1 or more of the
  following
• impairment in self care, school, family,community
  at risk of or has been removed from home or
  disorder/impairment has been present for 6 months
  or likely to last more than I year

4
Chilren and Youth

• displays psychotic behavior suicide risk
  violence risk
• Meets educationally handicapped criteria
• Primary diagnosis of developmental disability or
  substance abuse excluded
• To the extent resources are available
• System of Care
• Specific target population w/in 5600.3 above
• No funding is available

5
Children and Youth

• Medi-Cal - EPSDT
• Federally mandated program for under 21 to
• provide assessment of mental defect or chronic
  condition
• provide treatment that is medically necessary
  defined as condition that needs correction or
  amelioration
• Provide services needed, even if not in State
  Plan
• Can treat co-occurring substance abuse
• Some youth non-EPSDT MediCal

6
Children and Youth

• Healthy Families - Federal SCHIP
• Children in families w incomes above no cost
  Medi-Cal below 250 FPL
• Private insurance - amenable to short-term care,
  basic benefits
• SED (same criteria as WIC 5600.3)- referred to
  county for comprehensive long term benefits

7
Children and Youth

• Students educationally handicapped due to SED
  (3632)
• Special Ed youth who need mental health treatment
  to benefit from education
• County assess need, participate on IEP, provides
  entitled services
• SEDBecause of emotional disturbance, pupil has
  problemsto learninterpersonal relation-ships
  inapprop feelings/behavior mood or depression
  sx or fears re personal or school

8
Children and Youth

• Foster Care
• If county has fully funded SOC, must be assessed
  treated if medically necessary, to the extent
  resources are available
• May be eligible as Medi-Cal, educationally
  handicapped, or as indigent/uninsured
• Early MH Initiative Prevention
• Limited grants to schools for children w/
  potential school problems or low self-esteem

9
Children and Youth

• Mental Health Services Act (Prop 63)
• Services to severely mentally ill children (WIC
  5600.3) for whom there is no, or not adequate,
  public funding or private insurance
• Services to prevent out of home placement
• County must provide wrap around services unless
  not feasable to do so
• Full Service Partnerships