Clark County Children’s Mental Health Consortium

1

Clark County Clark County Children’s Mental Health Children’s Mental Health

ConsortiumConsortium

EXHIBIT H Mental Health Document consists of 13 pages.

Entire document provided.

Due to size limitations, pages _______ provided. A copy of the complete document is available through the Research Library (775/684-6827) or e-mail [email protected]).

Meeting Date: 11/04/03

mailto:[email protected]

Clark County Children’s Mental Health Consortium 2

Background InformationBackground Information

Created by Assembly Bill 1 of the 2001 Special Legislative Session

Powers and duties described in NRS 433B.333-335

First meeting held in January 2002


Membership Membership Kathryn Landreth, Chair, Las Vegas Metropolitan Police Department

Deanne Blazzard, Parent of SED ChildAdrienne Cox, Clark County Department of Juvenile Justice Services

Tom Criste, Nevada Youth Care ProvidersJudge Fernando Guzman, District CourtJane Horner, Grandparents as Parents

Pauline Kennedy, Foster Care and Adoption Association Susan Klein-Rothschild, Clark County Department of Family Services

Fran Marshall, Andre Agassi Charitable FoundationJuanita Matz, Parent of SED Child

Kathey Maxfield, Community RepresentativePatty Miller, Health Care Financing and Policy Division

Christa Peterson, Ph.D., Secretary, Division of Child and Family ServicesBrad Reitz, Clark County Schools

Jessica Reyes, Youth RepresentativeKaren Taycher, Nevada Parents Encouraging Parents

Betty Turner, Clark County Housing AuthorityHilary Westrom, Children’s Advocacy Alliance


Goals for the Behavioral Health Goals for the Behavioral Health CareCare SystemSystem

A coordinated and integrated behavioral health system for children and families in Nevada that is seamless, easy to access, and locally controlled.A system of services and supports that is customized to meet theneeds of families, including: 1) early access to behavioral health services for children and families so families can raise their own children; 2) a consistent, collaborative and family-driven approach that provides consistent support and growth for Nevada children and families.Development and expansion of human resources so that we can use the resources of our local communities and grow them to better meet the needs of our local children and families. Support families and staff to succeed by giving them information, education and support. Consumer involvement at all levels of decision-making around services and supports for children and families.


AccomplishmentsAccomplishmentsCompleted and submitted its 2002 and 2003 Annual Plans as required by NRS 433B.Instrumental in the development and expansion of the Neighborhood Care Centers in Las Vegas Nevada. These centers exemplify the goals of family-driven, collaborative services.Supported the development of the WIN (Wraparound In Nevada)Program that provides a wraparound model of mental health treatment to 327 children (statewide) in foster care.Contributed to the successful funding of two major grants which promote the goals of early intervention, family-driven services and school-based services.


Unmet Service Needs of Unmet Service Needs of Children in public systemsChildren in public systems

L e v e l o f M e n t a l H e a lt h N e e d M e tf r o m C la r k C A L O C U S S c r e e n in g

1 3 .0 %4 6 .7 %5 3 .3 %D C F S

3 0 .0 %5 7 .4 %4 2 .6 %P a r o le

2 7 .1 %6 9 .2 %2 9 .8 %C C J J S

4 3 .8 %7 0 .0 %3 0 .0 %C C D F S

2 8 .5 %6 1 .1 %3 8 .9 %A ll

C h ild r e n w ith S E D r e c e iv in g

n o S e r v ic e s

U n d e rS e r v e d

R e c e iv in g A p p r o p r ia te

L e v e l o f S e r v ic e s

F ig u r e O n e u s e s th e d a ta fro m th e C h i ld a n d A d o le s c e n t L e v e l o f C a re U t i l iz a t io n S y s te m S c re e n in g o f 6 1 8 c h ild re n a n d y o u th in th e C h i ld W e lfa re a n d J u v e n i le J u s t ic e S y s te m s in C la rk C o u n ty c o m p a re d to th e T y p e s a n d a m o u n ts o f s e rv ic e s re c e iv e d to d e te rm in e h o w w e l l t h e n e e d is b e in g m e t fo r c h ild re n a n d y o u thin th e s e p u b lic s y s te m s .


Priority ServicesPriority Services--Consumers Consumers and Stakeholdersand Stakeholders

Figure 11

Most Important Services and Supports

0.0%10.0%20.0%30.0%40.0%50.0%60.0%

Preven

tion

Early i

nterve

ntion

Basic

life sk

ills

Mentor

s or T

utors

Community r

ecrea

tion

Basic

health

care

servi

ces

Family

supp

ort

Parent

educ

ation

Parent

supp

ort grou

ps

Case m

anage

ment

Respite

care

Specia

lized ch

ild ca

re

Counse

ling s

ervice

s

Psych

iatric ca

re

Alterna

tive ed

ucatio

n program

s

Job s

ervice

s

Crisis

interv

entio

n

Thera

peuti

c fos

ter care

Service

s for

victim

s of a

buse

Outpatie

nt subs

tance

abuse

servi

ces

Day trea

tmen

t men

tal healt

h

Day trea

tmen

t sub

stanc

e abu

se

Residenti

al serv

ices f

or men

tal he

alth

Residenti

al sub

stance

abus

e servi

ces

Afterca

re

Transitio

nal li

ving an

d hou

sing s

upport

Financia

l sup

portsP

erce

nt o

f R

espo

nden

ts


Priority ServicesPriority Services continuedcontinued

F ig u re 2 1

O f Ch ild ren /Fam ilie s w ho N eed P rio r ity S e rv ice s H ow M any G e t Them ?

2 .42 .6 2 .7 2 .6

2 .82 .6

1

2

3

4

5

Early A

ccess

Life S

kills

Fam S

upport

Parent E

d

Counselin

gCris

is In

terv

Of C

hild

ren

and

Fam

ilies

who

Nee

d a

Ser

vice

How

Man

y G

et It

A ll

M o s t

S o m e

F e w

N o n e


Priority RecommendationsPriority RecommendationsProvide funding for services for a pilot project for school based wraparound for 100 youth in the Juvenile Justice System who have severe emotional disorders. This would require the addition of 8 wraparound facilitators and enough funding to cover the behavioral health services these children need.Provide funding for services for a pilot project for wraparound for 100 children entering the child welfare system who have severe emotional disorders to divert them from custody and out of home placement. This would require the addition of 8 wraparound facilitators and enough funding to cover the behavioral health services these children need.Provide funding through DCFS for a 24 hour, 7-day/week mobile crisis services for Clark County


Priority RecommendationsPriority Recommendations continuedcontinued

Change the Medicaid program to expand the number of providers of direct services to children with behavioral healthcare needs by establishing specialty clinics that are designed to provide outpatient services as well as carecoordination, family support and preventative services. Facilitate access to Medicaid services through a single level of care determination that allows the child to obtain a flexible array of services based on the child's level of need.Expand the Medicaid program to cover family-to-family support services and mobile crisis services and adopt rate-setting methodologies toincentivise providers to develop these services.



Recommend that MHDS, DCFS, Clark County and Medicaid collaborate to develop an integrated program to serve youth through age 21 and focus these efforts toward developing a comprehensive and integrated plan to support youth in the child welfare and juvenile justice systems in their transition from childhood to adulthood. Reorganize state budgets to unify funding streams for behavioral healthcare services that can be locally monitored and controlled by collaborative bodies such as the Consortium.Provide the same service array for children enrolled in Nevada Checkup as is provided for Medicaid eligible children. Ensure children with behavioral healthcare needs have early access to services under both the managed care and fee for service plans.



Ensure participation of the Clark County Consortium in allocating discretionary funding administered by the Department of Human Resources for preventative and early intervention services for vulnerable children.Build on existing funding resources within the Department of Human Resources to provide a cross systems family support hotline in Clark County.


For more information on the Clark County For more information on the Clark County

Mental Health Consortium please contact:Mental Health Consortium please contact:

Christa Peterson, Deputy Administrator

Division of Child and Family Services

Phone: (702) 486-6120

Email: [email protected]

Clark County Children’s Mental Health Consortium

Documents

Transcript of Clark County Children’s Mental Health Consortium