CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Children's Behavioral Health

Multiple public agencies often have overlapping roles in children’s behavioral health services. Children with behavioral or emotional problems can benefit from coordinated care management approaches that integrate the delivery of physical and behavioral health services. CHCS works with state child welfare agencies and health plans to better integrate behavioral and physical health services and supports, with a particular focus on children in foster care.

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Title and Description Date Type

High-Quality Wraparound and the Roles of Supervision, Training and Coaching in Care Management Entities

During this 90-minute webinar, speakers explored critical components of high quality wraparound and intensive care coordination within a CME serving children with complex challenges and their families.

July 2010 Webinar Resources

Care Management Entities for Children with Serious Behavioral Health Needs: A CHIPRA Quality Demonstration Grant Project

This initiative is working with states to test, implement and/or expand the use of a Care Management Entity approach to improving quality and reducing costs for high-utilizing Medicaid- and CHIP-enrolled children with serious behavioral health challenges.

June 2010 Initiative

Critical Planning Steps to Implement a Care Management Entity Approach

During this 90-minute webinar, Bruce Kamradt, director, Wraparound Milwaukee, described nine critical steps in the Care Management Entity planning process.

June 2010 Webinar Resources

Financing Options for Care Management Entities

During this 90-minute webinar, speakers described Care Management Entity (CME) financing issues and options, including Medicaid, noted in the first webinar in this series. Speakers presentd the financing of four CME models.

June 2010 Webinar Resources

Care Management Entities: A Primer

During this 90-minute webinar, Sheila Pires, partner with the Human Service Collaborative, presented the core functions and expected outcomes of the Care Management Entity model, discussed populations for which the model is being used, and provided examples of implementation variations across the country.

May 2010 Webinar Resources

System of Care Approaches in Residential Treatment Facilities Serving Children with Serious Behavioral Health Needs

This issue brief describes the findings of a national survey of residential treatment facilities serving children and youth with serious behavioral health challenges.

March 2010 Policy & Issue Briefs

Improving Medicaid Managed Care for Youth with Serious Behavioral Health Needs: A Quality Improvement Toolkit

This toolkit shares promising practices tested by plans participating in CHCS' Collaborative on Improving Managed Care Quality for Youth with Serious Behavioral Health Needs, an initiative designed to improve care for children and youth, and the resulting impact on access, care, and avoidance of unnecessary services and costs.

September 2009 Toolkits

Medicaid Managed Care for Children in Child Welfare

This issue brief examines the complex physical and behavioral health care needs and associated costs for children in child welfare and outlines critical opportunities and challenges within Medicaid to better manage care for this high-risk, high-cost population.

April 2008 Policy & Issue Briefs

The Use of Psychotropic Medications for Children Involved in Child Welfare

During this webinar, participants heard from Dr. Peter Jensen about evidence-based and promising practices related to the use of psychotropic medication among children involved in child welfare.

February 2008 Webinar Resources

Improving Outcomes for Children Involved in Child Welfare

This national collaborative is working with 9 managed care organizations to improving the delivery of physical and mental health care for children in child welfare.

January 2007 Initiative

Public Financing of Home and Community Services for Children and Youth with Serious Emotional Disturbances

This report, prepared by the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP), and Mathematica Policy Research details public financing mechanisms that states use to pay for intensive home and community services for children and youth with SED
June 2006 Reports

ValueOptions New Jersey: Shortening Residential Care Stays for Teens

Through CHCS' Best Clinical and Administrative Practices workgroup Improving Managed Care Quality for Adolescents with Serious Behavioral Health Disorders, ValueOptions New Jersey set a goal to identify and reduce the number of children remaining in out-of-home treatment settings who are ready to be discharged.

February 2006 Case Studies

L.A. Care Health Plan: Bridging the Language Gap

L.A. Care Health Plan, through CHCS' BCAP initiative to Improve Health Care Quality for Racially and Ethnically Diverse Populations, focused on improving asthma medication adherence among its members who speak limited or no English by enhancing the delivery of pharmacy services to these populations.

May 2005 Case Studies

Children's Mental Health Benchmarking Report

The report, by Dougherty Management Associates, tracks children's mental health data in four areas: access, utilization, expenditures, and intersystem involvement.
March 2005 Reports

Promising Approaches in Behavioral Health Services: Family Involvement in Managed Care Systems

This paper focuses on promising approaches and strategies related to family involvement in managed care systems in three states. These promising approaches include both statewide approaches focused on a total population (New Jersey Partnership for Children), (Massachusetts Behavioral Health Partnership) and a local site (Delaware County, PA) focused on a specific geographic area.
September 2004 Resource Papers

Psychiatric Readmission of Adolescents in the Public Mental Health System

This Resource Paper evaluates the effect of Maryland's Medicaid behavioral health plan on patterns of psychiatric readmission of adolescents.
January 2004 Resource Papers

Partnership for Children Reinvents the House Call for At-Risk Kids

The Partnership for Children, New Jersey's system of care initiative under the Department of Human Services, is reinventing the house call for one of the most vulnerable populations served by publicly financed health care - children with serious behavioral and mental health problems.

December 2003 Case Studies

Contracting for Coordination of Behavioral Health Services in Privatized Child Welfare and Medicaid Managed Care

This Resource Paper explores the issue of coordination between privatized child welfare initiatives and Medicaid managed care systems for the delivery of behavioral health care services for children and families in the child welfare system.
June 2003 Resource Papers

Improving Age Appropriate Mental Health Services: Young Adults Speak Out

For young adults suffering from severe mental illness, turning 18 can mean the end of the line for essential mental health services. Consumer Quality Initiatives, Inc. (CQI), a consumer-run research and evaluation organization in Massachusetts, and a CHCS Consumer Action grantee, addressed the gap in services in the public mental health system by surveying young adults who aged out of public adolescent mental health services in Massachusetts. The findings and recommended solutions are in the report, Voices of Youth in Transition.

March 2003 Case Studies

Promising Approaches in Behavioral Health Services: A View from the Child Welfare System

This Resource Paper provides strategies from three states about how to meet the behavioral health needs of children in the child welfare system and their families within managed care systems.
March 2003 Resource Papers
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