Ensuring Quality and Accessible Care for Children with Disabilities and Complex Health and Educational Needs Proceedings of a Workshop (2016) / Chapter Skim
Currently Skimming:
6 Early Identification and Interventions for Youth and Adolescents with Serious Behavioral Health Conditions
6 Early Identification and Interventions for Youth and Adolescents with Serious Behavioral Health Conditions
Pages 49-60
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 49... ...
Common reasons for this lack of treatment include problematic access to medical care, incorporating the priorities of families in care decision making, and the transition from child-focused treatment to adult treatment settings. A panel of four speakers looked at several of these disorders, including depression, bipolar disorder, and schizophrenia.
|
From page 50... ...
Between one-quarter and one-half of depressed children will develop a bipolar spectrum disorder within 2 to 5 years, explained Fristad.
|
From page 51... ...
Family psychoeducation and skill building was highest ranked, but no psychosocial treatment attained the highest category. Two randomized controlled trials have been conducted with children at high risk for bipolar spectrum disorders.
|
From page 52... ...
In addition, the combination of interventions produced decreased depressive symptoms in endogenously depressed children, decreased behavioral symptoms in depressed children, and improved executive functioning in children with mood disorders. These studies are small and need to be replicated, said Fristad.
|
From page 53... ...
that combined stage-specific pharmacologic therapy with recovery or resilience oriented or psychotherapy based in cognitive behavioral treatment principles. A family education component engaged family members, and employment and education supports sought to return people to their preferred work or education situations.
|
From page 54... ...
Before the study was conducted, only two states -- Oregon and California -- were delivering this kind of coordinated specialty care treatment program widely. Following the set-aside mental health block grant program, NIMH is projecting that 32 states and 120 clinics will be offering first-episode psychosis treatment programs, although Heinssen said, "I'm anticipating that we'll end up with more than 32." In addition, in October 2015, the Centers for Medicare & Medicaid Services released guidance to state Medicaid directors that endorsed coordinated specialty care, the kind of treatment tested in RAISE, as an evidence-based treatment for firstepisode psychosis.
|
From page 55... ...
The program thus became OnTrackNY, which was described as "an innovative treatment program for adolescents and young adults who recently have had unusual thoughts and behaviors or who have started hearing or seeing things that other people don't. OnTrackNY helps people achieve their goals for school, work, and relationships." The care model consisted of a team-based approach with specific evidence-based components, including case management, supported employment and education, psychotherapy, family education and support, pharmacotherapy, and primary care coordination.
|
From page 56... ...
The program initially was limited to the downstate area to capitalize on the population density and cultural variability in that area and also to facilitate training. Four different types of programs were chosen to host the pilot: a state program, a city program, a private nonprofit program, and a hospital-based program, "because we
|
From page 57... ...
The success of the approach led to several policy advances, including an increase in the Community Mental Health Block Grant Program by $24.8 million, the allocation of funds for first-episode psychosis programs, and new guidance from NIMH and SAMHSA for states regarding effective programs for first-episode psychosis. New York State received support to enhance the participation of youth, focus on reaching more underserved individuals, and address issues of cultural competence such as enhancing the LGBTQ focus and use of social media.
|
From page 58... ...
"If they say, ‘We're going to do it,' it makes it harder not to go forward on the private side." Keeping children on their parents' policy until age 25 and the preexisting conditions provisions in the Affordable Care Act also work in the direction of greater buy-in, he said. A MODEL FOR CHILDREN INVOLVED IN BOTH CHILD WELFARE AND JUVENILE JUSTICE In a population of young people studied by Herz (2014)
|
From page 59... ...
To accomplish these goals, the model seeks to increase information sharing, the family voice in decision making, family and youth engagement, joint assessment and case planning, coordinated case management, behavioral health treatment, presocial bonds, and diversion. The outcomes of this approach are "startlingly good," said Bilchik.
|
From page 60... ...
For example, NIMH has funded eight additional studies that are looking for practical strategies for reducing the duration of untreated psychosis. Besides identifying problems and doing research to solve them, NIMH is "keeping the engagement between the science and policy makers who are already engaged in the problem," he added.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.