barriers to accessing mental health services...barriers to accessing mental health services provider...
TRANSCRIPT
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Wisconsin Family Ties, Inc.
16 N. Carroll Street, Suite 230, Madison, WI 53703
608.267.6800 | 800.422.7145 | wifamilyties.org
Barriers to Accessing Mental Health Services
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Provider Competence / Fit
System
Diagnosis, eligibility & rules
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• Skill / approach
• Philosophy
• Over-reliance on medication
• Family-driven perspective
• Understands idiosyncratic communication patterns
• Directive vs. collaborative
Provider Competence / Fit
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Diagnosis, eligibility & rules
Comprehensive Community Services (CCS)
• Eligibility Must have “diagnosis of mental disorder” DHS 36.14(1) Cannot be denied because of “disability” DHS 36.13(4)
• Service transition • Do not have to give up ABA service, but do have to use a
psychotherapist in the CCS provider network (ForwardHealth Update 2014-42)
• Informed consent • Consumer-driven DHS 36.03(7)
• Choice • In selection of team members, services, and providers
DHS 36.19(1)(a)
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System
system noun sys·tem | \ ˈsi-stəm \
1: set of things working together
as parts of a mechanism or an
interconnecting network to form
a unified whole.
2: harmonious arrangement or
pattern
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Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
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Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential
Services
Hospitalization (Voluntary)
Child Welfare System
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Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Juvenile Justice System
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Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Best for kids
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Best for kids
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Best for providers
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Best for providers
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Most efficient
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Most efficient
![Page 15: Barriers to Accessing Mental Health Services...Barriers to Accessing Mental Health Services Provider Competence / Fit System Diagnosis, eligibility & rules ... medication •Family-driven](https://reader030.vdocument.in/reader030/viewer/2022040819/5e66ef7e183a57330c62c141/html5/thumbnails/15.jpg)
adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Cost-effective
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adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
Cost-effective
![Page 17: Barriers to Accessing Mental Health Services...Barriers to Accessing Mental Health Services Provider Competence / Fit System Diagnosis, eligibility & rules ... medication •Family-driven](https://reader030.vdocument.in/reader030/viewer/2022040819/5e66ef7e183a57330c62c141/html5/thumbnails/17.jpg)
adadfasdfadsfadf
Intensity of mental health need
Pare
nta
l Co
ntr
ol
Outpatient & Medication
Services Community-based
Support Programs
Detention / Corrections
Hospitalization (Involuntary)
Out-of-Home Residential Services
Hospitalization (Voluntary)
These are the structures we have
Child Welfare System
Juvenile Justice System
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0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Children 0-12 Receiving Public Mental Health Services (Per 1,000 children with SED)
Wisconsin
National average
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0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Wisconsin
National average
Children 13-17 Receiving Public Mental Health Services (Per 1,000 children with SED)
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0.0
5.0
10.0
15.0
20.0
25.0
2012 2013 2014 2015 2016 2017
Children 0-17 Served in Community MH Programs (Per 1,000 children with SED)
Wisconsin
National average
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0.0
0.1
0.2
0.3
0.4
0.5
0.6
2012 2013 2014 2015 2016 2017
Children 0-17 Served in State Psychiatric Hospitals (Per 1,000 children with SED)
Wisconsin
National average
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0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Parental Satisfaction with Outcome from Services
Wisconsin
National average
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Social Supports Clinical
Care
Relative Effect on Health Outcomes
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Importance of Peer Support
Peer Support & Parent Peer Support: Impact and Relative Importance as Reported by Service Recipients (Ruffalo, Davis, et al., Medical College of Wisconsin, 2016)
0
5
10
15
20
25
30
35
40
45
Special education Case management Psychiatric services Psychotherapy Peer support
Pe
rce
nta
ge
of
Re
spo
nd
en
ts
Categories of Service
Service Respondents Ranked Most Important
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REIMAGINE Human Services
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REIMAGINE Human Services
Create a separate children’s mental health code in state statute that ensures:
• a comprehensive service array
• voluntary access to mental health services without having to file a CHIPS petition and enter the child-welfare system
• an expanded network of in-home and community-based services and supports
• residential treatment, when needed, specifically designed to address mental health issues
• eligibility screening for Medicaid-related services based on state-of-the-art assessment practices
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REIMAGINE Human Services
Joanne Juhnke Wisconsin Family Ties’ Policy Director
(608) 261-0532