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Children’s Mental Health Services

Children’s Mental Health Services. Part 1. DSHS Legislative Appropriation Request(s) for Children's Mental Health Services for FY2008-FY2009. BASE REQUEST (Assumes 10% Reduction) Mental Health Services for Children (Goal 2, Objective 2, Strategy 2).

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Children’s Mental Health Services

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  1. Children’s Mental Health Services

  2. Part 1 DSHS Legislative Appropriation Request(s) for Children's Mental Health Services for FY2008-FY2009

  3. BASE REQUEST (Assumes 10% Reduction)Mental Health Services for Children(Goal 2, Objective 2, Strategy 2) Source:Texas Department of State Health Services FY2008-2009 Legislative Appropriations Request, http://www.dshs.state.tx.us/budget/lar/StrategysRequests.pdf, pp. 51-53, Retrieved 10/30/06. Note: Totals subject to rounding error.

  4. RESTORATION OF BASE FUNDINGMental Health Services for Children(Goal 2, Objective 2, Strategy 2) Source:Texas Department of State Health Services FY2008-2009 Legislative Appropriations Request, http://www.dshs.state.tx.us/budget/lar/Exceptstratallocation.pdf, p. 17, Retrieved 10/31/06. Note: Totals subject to rounding error.

  5. EXCEPTIONAL ITEM REQUEST (HHSC)Eliminating the Waiting List for DSHS-Funded Children’s Community Mental Health Services Source: Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06. Note: Totals subject to rounding error.

  6. EXCEPTIONAL ITEM REQUEST (DSHS)Mental Health Community Services (Crisis Redesign) Source:Texas Department of State Health Services FY2008-2009 Legislative Appropriations Request, http://www.dshs.state.tx.us/budget/lar/Exceptstratallocation.pdf, p. 48-50, Retrieved 11/01/06. Note: Totals subject to rounding error.

  7. REQUEST SUMMARYChildren’s Mental Health Services *Not counted in provider performance targets. ** Not necessarily unduplicated.

  8. Part 2 The Projected Number of Children to be Served if the DSHS Legislative Appropriation Requests Are Actually Funded

  9. BASE REQUEST & RESTORATION OF BASE FUNDINGMental Health Services for Children(Goal 2, Objective 2, Strategy 2) Source:Texas Department of State Health Services FY2008-2009 Legislative Appropriations Request, http://www.dshs.state.tx.us/budget/lar/StrategysRequests.pdf, pp. 51-53, Retrieved 10/30/06, and http://www.dshs.state.tx.us/budget/lar/Exceptstratallocation.pdf, p. 17, Retrieved 10/31/06.

  10. EXCEPTIONAL ITEM REQUEST (HHSC):Eliminating the Waiting List for DSHS-Funded Children’s Community Mental Health Services Source: Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06.

  11. EXCEPTIONAL ITEM REQUEST (DSHS)Mental Health Community Services (Crisis Redesign)Mental Health Services for Children (Goal 2, Objective 2, Strategy 2) Sourrce: DSHS Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), Consumers Served with Crisis at Admit, run 9/19/06. Note: Estimates based on number of children served in crisis service package in FY06 adjusted for population growth (1.17% over biennium).

  12. Part 3 The Extent to Which the Appropriation Request(s) in Part 2 Would Properly Serve the Total Number of Children Who Are in Need of Receiving Mental Health Services

  13. PENETRATION RATE:Mental Health Services for Children and Eliminating the Waiting List for DSHS-Funded Children’s Community Mental Health Services Source:Texas Department of State Health Services FY2008-2009 Legislative Appropriations Request, http://www.dshs.state.tx.us/budget/lar/StrategysRequests.pdf, pp. 51-53, Retrieved 10/30/06; Texas Department of State Health Services Waiting List Summary Document Submitted to HHSC, 07/27/06. Note: Estimated Number of Children with Mental Illness in Texas assumes 11.8% of Texas projected population under age 18 from U.S. Census Bureau, http://www.census.gov/population/projections/SummaryTabB1.pdf, Retrieved 10/30/06.

  14. Part 4 The Number of Children Served by DSHS-Funded Community Mental Health Centers and the State Mental Health Hospitals for the Last Two Fiscal Years

  15. NUMBERS ACTUALLY SERVED:DSHS-Funded Community Mental Health Centers and State Mental Health Hospitals NOTE: Although the number of children receiving DSHS-funded community mental health services has been increasing (FY2005-FY2006), the number projected for FY2008-FY2009 in Part 2 is lower based on implementation of the Resiliency and Disease Management model that was designed to provide more intensive services to a slightly reduced population. Source: DSHS-Funded Community Mental Health Centers = DSHS Mental Retardation and Behavioral Health Outpatient Warehouse (MBOW), LBB RDM Served. State Mental Health Hospitals = DSHS Client Assignment and Registration System (CARE), 10/30/06.

  16. Part 5 Putting all this in context

  17. Greater Percentage of Victims of Child Abuse/Neglect (as confirmed by Department of Family and Protective Services in FY2003) with Juvenile Justice Contact Had Criminal History in their Family, Had a Behavior Problem, and/or Had a Substance Abuse Issue > > > Source: DFPS Child Protective Services and TYC client databases, from Ruggiero, K.M., and Mason, M. (2006). The role of behavioral health services among youth in Texas at risk for juvenile justice involvement: Multi-agency data-matching project for the Policy Academy on Co-Occurring Substance Abuse and Mental Health Disorders. Austin, TX.

  18. But Less Than Half Received Behavioral Health Services Funded by the State Source: DFPS Child Protective Services, DSHS Mental Health and Substance Abuse, HHSC Child Medicaid, and TYC client databases, from Ruggiero, K.M., and Mason, M. (2006). The role of behavioral health services among youth in Texas at risk for juvenile justice involvement: Multi-agency data-matching project for the Policy Academy on Co-Occurring Substance Abuse and Mental Health Disorders. Austin, TX.

  19. A Greater Percentage of Victims of Child Abuse/Neglect (as confirmed by DFPS in FY2003) with a Behavior Problem Had an Earlier Disciplinary Problem Identified by TEA — Mostly Student Misconduct Source: FY2003 DFPS-TEA Data-Match, TEA, October 2006.

  20. A Vicious Cycle? Parental Involvement with Criminal Justice System May Become a Parent TEA Earlier Discipline Problem (Student Misconduct) Youth Behavior Problem DFPS Youth Juvenile Justice Contact Youth Substance Abuse Issue

  21. Data-Sharing Implications • Children with serious emotional disturbances (including co-occurring) have the highest rate of school failure, and are at extreme risk for injury, death, employment and housing problems, criminal justice involvement, and increased state costs due to poorer treatment outcomes (Pennell et al., 2003). • Therefore, it is imperative that State agencies create data systems that integrate child data to better understand child outcomes and to identifyintervention points.  • Through the use of a data warehouse, State agencies can provide child data to be matched using tested algorithms to produce the greatest likelihood of integration between datasets.  • Once matched, de-identified data sets can be created to answer questions that unmatched data sets cannot address.

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