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Governance and Financing
NOTE: If there is
a link contained within the description of a resource, you
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resources, a hard copy of the item either is available for
copy or loan.
Information regarding available demonstration grant
opportunities under the Deficit Reduction Act
Sylvia B. Perlman and Richard H. Dougherty
August 2006
According to reports issued by the President's New Freedom
Commission on Mental Health and the Institute of Medicine,
the delivery of mental health care in the United States
requires radical improvement and reform. To help identify
promising innovations in behavioral health care, the authors
of this report interviewed experts in the field of mental
health and substance abuse. Based on their suggestions, the
authors selected and described 17 practices—all related to
purchasing and quality improvement—being implemented by
states in behavioral health care. Many of the projects
result from the increasing demands placed on state agencies
to meet needs with a reduced budget, leaving states with
little choice but to increase efficiency and effectiveness.
The innovations fall into six categories: enhancing
consumer-centered care, criminal justice/mental health
collaboration, system integration, the use of performance
incentives, quality improvement, and other promising
practices.
Public Financing of Home and Community Services for
Children and Youth with Serious Emotional Disturbances:
Selected State Strategies
Henry Ireys; Sheila Pires;
Meridith Lee
June 2006
This report describes
important system-of-care principles that have shaped the
services for youth with SEDs, the role of the various
agencies and the financing used by many states. It
identifies and critiques four financing mechanisms: HCBS
waivers, the Medicaid rehabilitation option, case rates for
high risk populations, and provisions in the Tax Equity and
Fiscal Responsibility Act (TEFRA). The paper ends with a
synthesis of research questions and implications for
legislative efforts.
A New Vision of Public Mental Health: A Model Law to
Provide a Right to Mental Health Services and Supports
Bazelon Center for Mental Health Law
January 2002
The public mental health system increasingly rations care in
such a way that people with serious mental illnesses must
"hit bottom" before receiving the services and supports they
need to live successfully in the community. In many
communities, jails and prisons have become the largest
providers of mental health services, and homeless shelters
and nursing homes have become housing of last resort for
people with mental illnesses. While not appearing on the
mental health department's budget line, the costs of care
for people with mental illnesses are borne by these other
systems--and by taxpayers. Clearly, it is fiscally more
prudent, as well as more humane, to address mental health
needs before they reach the point of crisis.
Using Research to Move Forward: A Consensus Conference on
Publicly Funded Managed Care for Children and Adolescents
with Behavioral Health Disorders and Their Families (No
Online Link)
Beth A. Stroul; Sheila A. Pires; & Mary I. Armstrong
September 2003
The
SAMHSA-funded Health Care Reform Tracking Project will
conduct a meeting titled, "Using Research to Move Forward: A
Consensus Conference on Publicly Funded Managed Care for
Children and Adolescents with Behavioral Health Disorders,"
September 29-30, 2003, in Washington, D.C. The Health Care
Reform Tracking Project is a collaborative venture of the
Research and Training Center for Children's Mental Health at
the University of South Florida, the National Technical
Assistance Center for Children's Mental Health at the
University of South Florida, the National Technical
Assistance Center for Children's Mental Health at the
Georgetown University Center for Child and Human
Development, and the Human Service Collaborative, a known
resource for insights into managed care policy and
implementation.
For publication information contact:
Catherine Newman
A Self-Assessment and
Planning Guide: Developing a Comprehensive Financing Plan
Mary I. Armstrong, Ph.D.; Sheila A. Pires, M.P.A.; Jan
McCarthy, M.S.W., Beth A. Stroul, B.A, M.Ed.; Ginny M. Wood,
B.S.; & Karabelle Pizzigata, Ph.D.
2006
This self-assessment and planning guide is the first of a
new series from Study 3: Financing Structures and Strategies
to Support Effective Systems of Care, which is being
conducted as apart of The Research and Training Center for
Children's Mental Health at the University of South Florida.
The purpose of the Guide is to aid states, communities,
tribes, territories, and organizations to assess their
current financing structures/strategies; identify outcomes
to achieve; consider a variety of financing strategies; and
to prepare to develop a strategic financing plan. The Guide
is designed to put policymakers and planners one step closer
to developing a comprehensive financing plan to support
effective systems of care.
A Blueprint for Change: Improving the System Response to
Youth with Mental Health Needs Involved with the Juvenile
Justice System
K. Skowyra
2006
Recognizing this need to
summarize the state of knowledge in the field, the Office
of Juvenile Justice and Delinquency Prevention (OJJDP)
launched its largest investment ever in mental health
research in 2001. The result of this effort is a report
entitled “Blueprint for Change: A Comprehensive Model for
the Identification and Treatment of Youth with Mental
Health Needs in Contact with the Juvenile Justice System” (Skowyra
& Cocozza, in press). This Comprehensive Model, developed
by the National Center for Mental Health and Juvenile
Justice, offers a conceptual and practical framework for
juvenile justice and mental health systems to use when
developing strategies and policies aimed at improving the
mental health services for youth involved with the juvenile
justice system. The model captures the existing activity in
the field, examining the juvenile justice system as a
continuum from intake to re-entry, identifying the best ways
to respond to youth with mental disorders at key points of
contact, and providing recommendations, guidelines, and
examples for how best to do this.
Redefining the Role of Residential Treatment
Maggie Skarich
2006
This paper discusses the
background for rethinking residential and then presents
ideas and considerations for the field, policy makers,
advocates, and other stakeholders to incorporate into their
ongoing work.
Building Bridges Between Residential and
Community-Based Service Delivery Providers, Families, and
Youth
Child Welfare League of America
June 2006
The Substance Abuse and Mental Health Services
Administration (SAMHSA) held a Building Bridges Summit June
14-17, 2006, to better integrate and link residential and
community services and support, thereby creating a clearer
picture of the role residential care plays in a full
continuum of services. Gary M. Blau, Chief, Child,
Adolescent, and Family Branch Center for Mental Health
Services, SAMHSA, was responsible for spearheading the
summit. Participants included residential and
community-based service providers, leaders from national
organizations, and youth and family leaders. CWLA President
and CEO Shay Bilchik, and Lloyd Bullard, Director of
Residential Services and Cultural Competence, participated
in the planning and development of the Building Bridges
Summit. A number of CWLA's public and private member agency
representatives participated in the meeting.
The New
Frontier: Neuroscience Advancements and Their Impact on
Nonprofit Behavioral Health Care Providers
Alliance
for Children and Families
2005
The Robert Wood Johnson Foundation is supporting the
Alliance for Children and Families with a grant for a
project that will focus on how advancements in the
neurosciences, including those in the biotechnology and
bioengineering fields, will impact how nonprofit human
service providers deliver behavioral health services in a
manner that benefits children and families. While discussion
has already begun on these issues within the medical field,
very little attention has been given to the potential for
these advancements to impact nonprofit behavioral health
services. This report is the first effort of a multi-year
project that focuses on exploring how advancements in
neuroscience will impact the abilities of nonprofit human
service providers to organize and deliver behavioral health
services in the future.
Making Sense of Medicaid for Children with Serious Emotional Disturbance
Bazelon Center for Mental Health Law
September 1999
A review of how states provide access to the most effective
community-based services for children on Medicaid who need
mental health care.
JUVJUST . . . A Service of
OJP from OJJDP
U.S. Department of Justice
Office of Juvenile Justice and Delinquency Program
August 2006
JUVJUST, a listserv, is your link to the latest juvenile
justice information from OJJDP and the field. Announcements
are sent when new publications are received or for other
important newsworthy events. The link below provides
subscription information to JUSTJUV, a free e-mail
information resource from OJJDP.
Wraparound Milwaukee
Website
Milwaukee Health and Human Services
Behavioral Health Division
2006
Wraparound Milwaukee is a unique type of managed care
program operated by the Milwaukee County Behavioral Health
Division that is designed to provide comprehensive,
individualized and cost effective care to children with
complex mental health and emotional needs. Wraparound
Milwaukee is a unique type of managed care program operated
by the Milwaukee County Behavioral Health Division that is
designed to provide comprehensive, individualized and cost
effective care to children with complex mental health and
emotional need. Wraparound Milwaukee serves families living
in Milwaukee County who have a child who has serious
emotional or mental health needs, is referred through the
Child Welfare or Juvenile Justice System and is at immediate
risk of placement in a residential treatment center,
juvenile correctional facility or psychiatric hospital.
A
Conceptual Framework for Developing and Implementing
Effective Policy in Children’s Mental Health
Robert M. Friedman, Ph.D.
November 1999
The purpose of
this paper is to present a conceptual framework, based on
the best available research, to guide thinking about the
relationship between policy development, policy
implementation, systems of care, and outcomes in children's
mental health.
System of Care for
Children and Youth with Severe Emotional Disturbances
Beth A. Stroul and Robert E. Friedman
June 1994 reprint (July 1986 Revised Edition)
This monograph explores the development of comprehensive
systems of care for children and adolescents with serious
emotional disturbances and their families. A generic model
of a system of care is presented along with principles of
service delivery and system management approaches.
How to Develop a
Statewide System to Link Families with Community Resources:
A Manual Based on Help Me Grow
Paul Dworkin, M.D.; Joanna Bogin, M.S.; Marijane Carey,
M.S.W., M.P.H.; Lisa Honigfeld, Ph.D.
2006
This online manual offers guidance for exploring, creating,
and/or enhancing a single-point-of-access system to connect
children at risk for developmental or behavioral problems
with community resources.
Finding Funding: A Guide to Federal Sources for Child
Traumatic Stress for Child Traumatic Stress and Other
Trauma-Focused Initiatives
Aracelis Gray & Amanda Szekely
November 2006
This guide describes 69 federal funding sources that can be
used to provide services and support for children and
adolescents exposed to trauma, and to support a wide range
of intervention approaches to better meet the needs of this
population. The guide identifies strategies that CTS
initiatives and other trauma-focused initiatives can
implement to access a wide array of funding sources. The
guide includes well-known sources to support services for
children exposed to trauma (e.g., Medicaid and the
Comprehensive Community Mental Health Services for Children
with Serious Emotional Disturbances) as well as often
overlooked sources such as the Children, Youth and Families
At Risk Initiative and the Family Violence Prevention and
Services Project Grants.
For more information
Dawn Zekis
DHS Director of Policy and Planning
- DHS Lead Staff
Dawn.Zekis@arkansas.gov, 501-683-0173
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