Plan Mission

1
Plan Mission

• To provide for children and families with mental
  health needs
• A new system of effective quality care.
• Accessible, culturally appropriate treatment,
  intervention and prevention services.

2
Plan Mission

• That are
• Delivered in the home and community.
• In the least restrictive and most appropriate and
  consistent manner possible.

3
Key Themes of the Child Plan

• To improve
• Early identification and treatment.
• Access to services and supports.
• LOCAL system of care.
• Community based capacity.
• Family youth involvement.

4
Key Themes of the Child Plan

• To improve
• Provider expertise.
• Resource capacity.
• Quality of care.
• Culturally responsive.

5
Assumptions

• For Children and Families
• To promote health, safety and permanence in home,
  school and community.

6
Assumptions

• Person-Centered Planning
• System of care as an organizing framework.
• Child and family teams.
• Crisis plan.
• Transition plan.

7
Service Array Assumptions

• Services and supports.
• Family involvement.
• Youth involvement.
• Formal and informal.

8
Service Array Assumptions

• Most natural setting.
• Restrictive safe treatment settings.
• Interagency coordination.

9
New Medicaid Service Definitions

• Services and Supports.
• Diagnostic Assessment.
• Community Support.
• Intensive In-Home.

10
Diagnostic Assessment

• Required components
• Intensive clinical functional face-to-face
  evaluation.
• Indicates whether individual meets the target
  population criteria.
• Provides basis for development of person centered
  plan over next 30 days.

11
New Medicaid Service Definitions

• Child and Adolescent Day Treatment.
• Multisystemic Therapy (MST).
• Mobile Crisis Management.
• Inpatient Hospitalization.

12
Diagnostic Assessment

• Elements
• 8 critical elements exploring strengths, concerns
  and needs.
• Example presenting problem, medical history,
  mental health history and recommendations.

13
Community Support

• Service Definition Required Components
• MH SA rehabilitation service support.
• Assists in acquiring skills to live life of
  recovery as independently as possible. Skill
  building to successfully assist in meeting
  social, education, vocational and housing needs.

14
Community Support

• Service Definition and Required Component
• First responder/Crisis response 24/7/365 action
  to be taken by community support worker being
  proactive and prevention-oriented and intervening
  in crisis situation following a previously
  developed crisis plan.

15
Community Support

• Service Definition and Required Component
• Responsible for development revision of PCP.
• Service includes elements of case management.

16
Community Support

• Service Definition and Required Component
• Provides coordination of
• Movement across services of different intensities
  directly to individual and family members.
• Coordination of discharge planning.
• Community reentry.

17
Community Support

• Provider Requirements
• Ability to deliver services in various
  environments, i.e. home, school, jails, homeless
  shelters and street locations.

18
Community Support

• Staffing Requirements
• All paraprofessionals must be supervised by a QP.
• Staff have knowledge skills abilities required
  by population / age group.
• Minimum one year documented experience.

19
Community Support

• Staffing Requirements
• Minimum 20 hours training specific to required
  components of community support service support
  definition including crisis response.

20
Community Support

• Program Requirements
• Individual case load no more than 130.
• Group work not to exceed 18.
• At least 60 of service time is face to face
  providing at least 2 contacts per month.

21
Community Support

• Service Exclusions
• Community Support can be provided to persons
  residing in all MH residential levels.
• Cannot bill Community Support same day as
  Community Support Group or PSR.

22
The concept of family-centered and comprehensive
care is the foundation of all system efforts and
best practice models for children and their
families. Presidents New Freedom Commission, 2002