1 / 14

Children’s Mental Health: Systems of Care

Children’s Mental Health: Systems of Care. Glenace E. Edwall, Psy.D., Ph.D., LP Director, Children’s Mental Health Division, DHS. Diagnoses. Neurodevelopmental disorders: ADHD; autism spectrum; tic and movement disorders Other developmental disorders :

forest
Download Presentation

Children’s Mental Health: Systems of Care

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Children’s Mental Health:Systems of Care Glenace E. Edwall, Psy.D., Ph.D., LP Director, Children’s Mental Health Division, DHS

  2. Diagnoses • Neurodevelopmental disorders: • ADHD; autism spectrum; tic and movement disorders • Other developmental disorders: • Attachment; disorders of regulatory function; disorders of relationship • Disorders which overlap adult diagnoses: • Depression and anxiety (with different manifestations than adult); childhood onset of bipolar disorders and schizophrenia; reaction to trauma

  3. Etiology • Cognitive and mood components increasingly understood as biological • Co-morbidities, especially of conduct disorder, more likely environmental • Overlap with Learning Disabilities substantial and contributes to further co-morbidities

  4. Treatment: rapid growth of knowledge about what works • Evidence-Based Practices (EBPs: e.g.MST, PCIT) • Treatment components for specific disorders (Hawaii model) • Medication (e.g. new non stimulant meds for ADHD; cautions re: use of SSRIs)

  5. Developing Systems of Care

  6. Systems of Care • Insights from the 80s: • the need for coordination and collaboration • CASSP (Child and Adolescent Service System Principles) • Minnesota’s response: • Children’s Mental Health Act (1989) and collaborative legislation (1991- 95) • Systems of care research: • supports some outcomes more than others; teaches us what is systematically necessary as well as clinically missing

  7. Current Status of the CMH “System”

  8. Current Status • “System” never created or funded as an entity- piecemeal development • Fragmentation created by disparate funding streams and regulations • Issues identified by the 2002 Minnesota CMH Task Force and current MN Mental Health Action Group (MMHAG)

  9. DHS Priorities for CMH

  10. Earliest Possible Identification • Screening: including the 2003 legislation, work on tool, multiagency early childhood collaboration (MECCSS) • Supporting mental health development in early childhood (ABCD II grant)

  11. Accessto Diagnostic Assessment and Treatment Services • Providing timely access and adequate intensity • New Minnesota Health Care Programs CMH benefit: Children’s Therapeutic Services and Supports (CTSS) • Workforce issues • Integrated Behavioral Health Care Initiative; Rural Health Advisory Council’s Task Force on Mental Health in Primary Care

  12. Service Quality and Efficacy • Training in EBPs and promising practices: the Hawaii model • Developing standards for diagnostic assessments • Developing support for common outcome measures • Determining standards for appropriate Levels of Care

  13. Multiagency Collaboration in CMH

  14. The Role of SIC • Creating a new system of care: role definition • Current and expanded possibilities in • common assessment • common plan of care

More Related