Improving Behavioral Health Services for Children and Their Families

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Improving Behavioral Health Services for Children
and Their Families
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Center for Innovative PracticesInitiatives

• Multi-systemic Therapy
• Intensive Home Based Treatment- IHBT
• Integrated Co-Occurring Treatment
• Behavioral Health Services to Juvenile Offenders
  Advisory Group
• Resilience
• Evaluation and Research Support
• Access to Better Care
• Wrap Around

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ABC Motivation

• Untreated mental health disorders lead to higher
  rates of juvenile incarcerations, school dropout,
  family dysfunction, drug abuse and
  unemployment. - June, 2004 American Academy of
  Pediatrics Policy Statement -

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Our Goal

• To provide the most effective, accessible and
  timely behavioral health care for ALL children,
  adolescents and families in their own homes, in
  their own communities and in their own schools.

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Child/Adolescent Behavioral Health Problems Are
Serious

• The major driver of school failure
• The major challenge in Ohios child welfare
  system
• A leading cause of death among teens via suicide
• A major challenge in juvenile justice, especially
  in communities

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DSM-IV Diagnoses Axis I(July 1, 2000 June
30, 2002)KSU data from MH-JJ Projects
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We Need Better Care

• Only half of the 240,000 Ohio children who need
  mental health treatment receive it.
• Ohio Department of Mental Health
• Only 1/3 of the 68,000 youth aged 12-17 with a
  drug or alcohol problem receive the treatment the
  need.
• The Ohio Department of Alcohol and Drug
  Addiction Services

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ABC Early Identification Recommendations

• Expand low cost, proven effective parent training
  and education (Incredible Years, Positive
  Parenting Program)
• Identify young children developing behavioral
  problems and intervene early (Help Me Grow, Early
  Childhood Mental Health)
• Expand Columbia Teen Screen pilots for
  suicide/behavioral risk
• Expand effective school/behavioral health
  partnerships including Care Teams

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ABC Treatment Recommendations

• Update Family and Children First approach
• Provide flexible funding to incentivize community
  based alternatives and remove barriers to
  intersystem collaboration
• Modify statute to require collaboration
• One Child/One Family Centered Plan approach
• Shared responsibility for reviewing out of home
  placements
• Begin to expand behavioral health capacity
  targeted to children in foster care, juvenile
  justice

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06-07 achievements

• Successfully impacted the 06-07 state budget by
  increasing and/or realigning 50 million dollars
  over the two years
• Targeted funds at all levels Prevention Early
  Intervention and Treatment
• Targeted funds for youth with serious behavioral
  health issues and juvenile justice involvement
• Reinforced local collaboration as the process for
  accessing and allocating funds

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Sustaining and Building for 08-09

• Right-sizing and integrating the systems
  resources
• Decisions by data clinical, economic, systemic
• Multi-system Outcomes driven
• Going to scale with priority for evidence based
  and promising practices
• A Medicaid menu and reimbursement system that
  meets todays needs

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Sustaining and Building for 08-09

• Redirecting funds from services that are not
  effective
• Family strength approach and engagement
• Parent/family advocacy component
• Framed as good public health practice
• Strengthen research and evaluation activities

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Directors and Leadership ChallengesMay Retreat
Planning

• How to use transformation resources to support
  implementation of ABC
• What are the expected measurable outcomes of ABC2
• Status review on already funded ABC related
  activities, including BluePrints
• Role of reinvestment and refinancing strategies
• Role of data
• Target outcomes for a BH system for youth and
  their families
• What it takes to go to scale
• Medicaid menu to support family focused
  interventions

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For More Information

• Contact Gayle Channing Tenenbaum
• [phone] or gtenenb_at_aol.com
• Or visit
• www.pcsao.org

Identify and intervene early with childrens
behavioral health care needs Untreated mental
health disorders lead to higher rates of juvenile
incarcerations, school dropout, family
dysfunction, drug abuse and unemployment. -
June, 2004 American Academy of Pediatrics Policy
Statement -