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Children’s Mental Health

Children’s Mental Health. Services Overview Fall Prevention Provider Meeting. What is Mental Health?. Mental health is an integral and essential component of health. The WHO constitution states:

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Children’s Mental Health

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  1. Children’s Mental Health Services Overview Fall Prevention Provider Meeting

  2. What is Mental Health? Mental health is an integral and essential component of health. The WHO constitution states: • "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." An important consequence of this definition is that mental health is described as more than the absence of mental disorders or disabilities.

  3. What is Mental Health? Mental health is a state of well-being in which an individual realizes: • his or her own abilities, • can cope with the normal stresses of life, • can work productively, and • is able to make a contribution to his or her community. In this positive sense, mental health is the foundation for individual well-being and the effective functioning of a community.

  4. What types of MH problems can children and youth experience? Certain disorders are usually diagnosed in Infancy, Childhood, or Adolescence: • Intellectual Disabilities (formerly referred to as MR) • Learning Disorders • Motor Skills Disorders • Communication Disorders • Pervasive Developmental Disorders & Autism Spectrum Disorders • Attention Disorders • Feeding & Eating Disorders of Infancy or Early Childhood • Tic Disorders • Elimination Disorders • Relational Disorders (RAD, Separation Anxiety, Elective Mutism)

  5. Can Children & Youth have the same disorders as Adults? YES! While certain diagnoses typically have an onset in adulthood, children can suffer from Serious Emotional Disturbance including: • Anxiety • Depression • Thought disorders (like schizophrenia) • Psychosis • Substance Use Disorders • Bipolar Disorders (although often over-diagnosed)

  6. How are Children & Youth needing MH Services identified? Society Children are involved in multiple systems, similar to a set of concentric layers. Anyone within the child’s “layered” systems can identify a MH need and refer the family to MH services. School Family Community

  7. What MH Services are available to children? School-Based MH service providers Traditional culture specific helpers/healers Child Public MH service providers Faith-Based MH service providers Family Private Non-Profit MH service providers Private Practice & “For Profit” MH service providers

  8. How do Children access Public MH services? There are 37 Community MH Centers in Texas, called Local MH Authorities, and 1 Behavioral Health Organization (NorthStar) in the Dallas area. • The following link to the DSHS website provides information on locating mental health services in all Texas counties. http://www.dshs.state.tx.us/mhservices-search/

  9. What Children are eligible for Community MH Center services? DSHS Children’s Mental Health serves: • Children ages 3 through 17, • Who have a diagnosis of mental illness (excluding a single diagnosis of substance abuse, intellectual disabilities, autism or pervasive development disorder), • Who exhibit serious emotional, behavioral or mental disorders and who: • Have a serious functional impairment; or • Are at risk of disruption of a preferred living or child care environment due to psychiatric symptoms; or • Are enrolled in a school system’s special education program because of serious emotional disturbance.

  10. Nature of CMH Services • CMH Services are based on the philosophy and principles associated with Systems of Care • Services are child focused and family driven • Services are based on evidence-based practices • Treatment planning is a collaborative endeavor between the family and the CMH treatment staff • Mental Health services and Substance Abuse Prevention and Treatment services are integral parts of the Systems of Care model

  11. Screening for MH Services Screening: A process where staff from the local mental health authority/community mental health center, talks to the parents (or LAR) and child to gather information to determine if there is a need for a detailed mental health assessment. This can be conducted either face-to-face or over the phone.

  12. Assessment A licensed professional will meet with the parent and child face-to-face to ask questions about: • the child's mental health • emotional and behavioral issues • relationships at home and with friends • health history • development • schoolwork • and other information needed to complete the assessment.

  13. CMH Service Array Outpatient Services include: • Counseling/psychotherapy • Case management • Skills development training • Medication training and support • Family Partner services • Access to a psychiatrist • Flexible funds for non-traditional supports

  14. CMH Service Array Crisis Services include: • Crisis Hot Line • Mobile Crisis Outreach Team • Access to state psychiatric hospital if clinically indicated

  15. Crisis Services A child/adolescent seeking crisis services must meet the definition of a crisis cited in the Community Standards Rule: Crisis: A situation in which because of a mental health condition: • the child/adolescent presents an immediate danger to self or others • the child/adolescent’s mental or physical health is at risk of serious deterioration, or • a child/adolescent believes he/she presents as an immediate danger to self or others

  16. What do I do if I think a child is Suicidal? A.S.K about suicide to Save a Life • Ask the question: • “Are you thinking of killing yourself?” -OR- • “Are you so upset you are thinking of taking your own life?” • -OR- “Are you thinking of suicide?” • Safety & SeekHelp: • Keep the child SAFE do not leave them alone • Know When & How to Refer: • Know the Resources for your town & Refer to a Mental Health Professional

  17. Resources & How to ASK • Moderate RISK: • Take all Signs Seriously • Access Mental Health Services • Call National Line for a referral • PEOPLE who can HELP • School Counselor • Mental Health Professional • Counselor • Social Worker • Faith based Leader • High RISK: • Take Immediate Action • 911, go to ER • Notify Parents/ guardians Resources: • Local Crisis Hotline • MCOT Team • Local Mental Health Authority for your Region • Call National Suicide Prevention Hotline 1-800-273 TALK

  18. LMHASuicide Prevention Coordinator • Each LMHA designates a Suicide Prevention Coordinator to work collaboratively with local staff, LMHA suicide prevention staff statewide, and DSHS’s Suicide Prevention Office to reduce suicide deaths and attempts by: • Develop collaborative relationship local suicide prevention coalition (There are 28 statewide!) • Participating in conference calls with DSHS Suicide Prevention Coordinator • Participating in the development of the local Community Suicide Postvention Protocols (as described by the CDC Postvention Guideline) • Participating in local Community Suicide Postvention Protocols • Participating in local community suicide prevention efforts.

  19. Contact Information • Jenna Heise, Suicide Prevention Officer jenna.heise@dshs.state.tx.us (512) 776-3407 • Michael Hastie, CMH Lead michael.hastie@dshs.state.tx.us (512) 776-3186

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