Examines the landscape for mental health service delivery to children, including a discussion of the role of federal and state agencies, as well as public and private insurance. The issue brief reviews information on mental health programs, practices and guidelines, and discusses strategies health plans can utilize to improve early identification and treatment for children in primary care.
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Reports and Briefs
State efforts to ensure that Medicaid beneficiaries have access to integrated care, however, are hindered by a fragmented behavioral health system that is administered and regulated by multiple state agencies and levels of government, and by purchasing models that segregate behavioral health services from other Medicaid-covered services.
Examines five promising approaches currently underway in Medicaid to better integrate physical and behavioral health care. They can be arrayed along a continuum that ranges from relatively modest steps to coordinate care between the two systems, to more ambitious efforts to implement a single integrated system of care.
Synthesizes key points from a meeting convened by Grantmakers in Health focused on improving the children’s health care system by better integrating oral and mental health services into primary care. It describes the challenges to an integrated children’s health system and provides examples of how health funders are addressing these problems.
Advances an approach to children’s mental health that applies public health concepts to efforts that support children’s mental health and development. The approach is presented in a conceptual framework comprised of four major elements: values that underlie the entire effort, guiding principles that steer the work, a process that consists of three core public health action steps/functions, and a new model of intervening that provides the range of intervention activities required to implement a comprehensive approach.
Discusses how (1) pediatric primary care clinicians will play an increasingly important role in promoting the social-emotional health of children and providing treatment—or serving as an entry point to specialty treatment—for children and adolescents who have mental health and substance abuse problems and (2) the growth in this role will involve transformational changes in pediatric primary care practice, requiring new knowledge and skills, payment structures, collaborative relationships, office systems, and resources.
Aims to promote a more coordinated approach to meeting children’s developmental needs by proposing the adoption of the SERIES paradigm of developmental screening in which each step—Screening, Early Identification, Referral, Intake, Evaluation, and Services—is seen not as an isolated activity, but rather an integral component of a single process. SERIES challenges all systems serving young children to broaden their focus to include practices that promote shared responsibility for ensuring that each child successfully completes the entire pathway from screening to services.
Describes how partnerships between health care providers and community organizations could have a significant impact on health and developmental outcomes by assisting with early identification, supporting parents, and coordinating needed services in a timely manner.
Links important education and foster care data and discusses three keys to improving educational outcomes: champions, leadership, and collaboration.
Identifies specific, doable approaches to improve access, utilization and quality of care for children and adolescents enrolled in Medicaid. Examples of state successes are offered along with web-based links to resources, tools, and more in-depth.