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Children’s Mental Health: Strategies for providing high quality and cost-effective care

Children’s Mental Health: Strategies for providing high quality and cost-effective care. Family Impact Seminar Legislative Advisory Group. Rep. Jeff Barnhart Rep. Bob England Rep. Rick Glazier Sen. Kay Hagan Sen. Fletcher Hartsell Sen. Vernon Malone Rep. Jean Preston

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Children’s Mental Health: Strategies for providing high quality and cost-effective care

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  1. Children’s Mental Health: Strategies for providing high quality and cost-effective care

  2. Family Impact Seminar Legislative Advisory Group Rep. Jeff Barnhart Rep. Bob England Rep. Rick Glazier Sen. Kay Hagan Sen. Fletcher Hartsell Sen. Vernon Malone Rep. Jean Preston Rep. William Wainwright

  3. Family Impact Seminars • National network of over 20 state Family Impact Seminars • Center for Child and Family Policy at Duke convenes Family Impact Seminars in North Carolina

  4. What makes Family Impact Seminars unique? • Educational and nonadvocacy • Open only to legislators, legislative staff, and executive branch staff • Legislators are involved with selecting seminar topics

  5. Four questions to guide policymakers • How do children’s mental health services affect North Carolina families? 2. How do families contribute to the challenge of providing quality and cost-effective children’s mental health services?

  6. Four questions to guide policymakers 3. How do families affect the quality of treatment and outcomes of children’s mental health services? 4. How can North Carolina families help generate solutions to increase the quality and effectiveness of the state’s children’s mental health services?

  7. Mental Health Services in NC History and Current Challenges • 1979 Willie M.Court Decision • 1980s Fort Bragg Experiment • 1999Supreme Court Olmstead Decision • 2001 North Carolina House Bill 381 • 2006 Shift from Area Programs that provided services to Local Management Entities (LMEs) that manage and oversee services delivered by a network of providers and vendors

  8. Promising Practices from North Carolina LMEs • 30 LMEs cover 100 counties • Center for Child and Family Policy interviewed five LMEs • Significant challenges remain • LMEs are striving to address challenges with innovation

  9. Reflections of LMEs Touted as promising • Systems of Care and Child and Family Teams progress gained through working with schools; day treatment, crisis intervention • Community collaborations with education, juvenile justice • Decreasing out-of-home placement; enhancing Care Review

  10. Reflections of LMEs Challenges to Providing High Quality Services • Sustaining System of Care values • Providing best practices in rural communities • Changing cultural mindsets • Aligning policies with practice

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