California Public Mental Health Services – Children & Youth

1. California Public Mental Health Services – Children & Youth Who is Eligible to Receive Services? California Institute for Mental Health Sandra Naylor Goodwin, PhD, MSW

2. Who is eligible for services? • Eligibility for children and youth • Bronzan-McCorquodale Funds “Realignment” • Medi-Cal; EPSDT • Healthy Families – Federal SCHIP • Special Education – SED “3632” • Foster Care • Early MH Initiative Prevention • Mental Health Services Act (Prop 63)

3. Children and Youth • Bronzan-McCorquodale Realignment Act WIC 5600.3 • Indigent/Uninsured & Some MediCal Match • Priority-Seriously emotionally disturbed “SED” • mental disorder defined in DSM that results in age inappropriate behavior & 1 or more of the following: • impairment in self care, school, family,community & at risk of or has been removed from home or disorder/impairment has been present for 6 months or likely to last more than I year

4. Chilren and Youth • displays psychotic behavior; suicide risk; violence risk • Meets educationally handicapped criteria • Primary diagnosis of developmental disability or substance abuse excluded • To the extent resources are available • System of Care • Specific target population w/in 5600.3 above • No funding is available

5. Children and Youth • Medi-Cal - EPSDT • Federally mandated program for under 21 to: • provide assessment of “mental defect or chronic condition” • provide treatment that is “medically necessary” defined as condition that needs “correction or amelioration” • Provide services needed, even if not in State Plan • Can treat co-occurring substance abuse • Some youth non-EPSDT MediCal

6. Children and Youth • Healthy Families - Federal SCHIP • Children in families w incomes above no cost Medi-Cal & below 250% FPL • Private insurance - amenable to short-term care, basic benefits • SED (same criteria as WIC 5600.3)- referred to county for comprehensive long term benefits

7. Children and Youth • Students educationally handicapped due to SED (3632) • Special Ed youth who need mental health treatment to benefit from education • County assess need, participate on IEP, provides entitled services • SED=Because of emotional disturbance, pupil has problems:•to learn•interpersonal relation-ships •inapprop feelings/behavior •mood or depression •sx or fears re: personal or school

8. Children and Youth • Foster Care • If county has fully funded SOC, must be assessed & treated if medically necessary, to the extent resources are available • May be eligible as Medi-Cal, educationally handicapped, or as indigent/uninsured • Early MH Initiative Prevention • Limited # grants to schools for children w/ potential school problems or low self-esteem

9. Children and Youth • Mental Health Services Act (Prop 63) • Services to “severely mentally ill children” (WIC 5600.3) for whom there is no, or not adequate, public funding or private insurance • Services to prevent out of home placement • County must provide “wrap around” services unless not feasable to do so • Full Service Partnerships