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Meeting the Needs of Youth in Transition: Recommendations for Systems Reform

Adolescence is commonly defined as a period of transition between childhood and adulthood with distinct physical and psychological challenges that must be successfully navigated en route to maturity. One of these challenges is so deeply embedded in this period of development that it found its way...

System Change and Service Providers: Opportunities and Challenges in Addressing Unmet Needs

In 2011, a priority of New York’s Governor Andrew M. Cuomo was Medicaid redesign, with the substantive presence of behavioral health services in both the Medicaid Redesign Team (MRT) and the subsequent Delivery System Reform Incentive Program (DSRIP). The focus was to reduce inpatient...

The Changing Landscape of Children’s Behavioral Health in New York: Opportunities for Addiction Services

New York State has been engaged in an effort to re-design its Medicaid program to better meet the needs of the people it covers while managing costs more effectively. The goals have been to increase access, develop new services, improve outcomes and reduce use of expensive hospitalizations. As the...

The Children’s Psychiatric Symptom Rating Scale (CPSRS)

The Children’s Psychiatric Symptom Rating Scale (CPSRS) is a tool designed to help investigators capture the judgments of clinicians and use them to improve the quality of patient care. For years Four Winds has used rating scales to capture therapists’ judgments regarding the nature and...

The NYSPA Report: Spotlight on OnTrackNY – New York’s First-Episode Psychosis Early Intervention Program

OnTrackNY is a coordinated specialty care program for adolescents and young adults who have started experiencing psychotic symptoms. Started in 2013, the program is a joint collaboration of the New York State Office of Mental Health (OMH), the New York State Psychiatric Institute (NYSPI), the...

To Help Transition Age Youth and Young Adults Succeed: Focus on Their Education

While transition age youth and young adults ages 16 to 25 with serious mental health conditions (TAYYA) face many challenges and risk factors, not graduating from high school is possibly the single biggest one, predictive of multiple future problems including unemployment, homelessness, and...

To Improve Adolescent Mental Health, We May Need to Address Adverse World Events

It appears that the prevalence of mental disorders among adolescents has been increasing. The National Survey of Drug Use and Health (NSDUH) shows an increase in major depressive episodes.1 A study about children and adolescence who are eligible for SSI by virtue of mental disabilities found an...

Transformations at MHA Westchester: Children’s Services

In a recent edition of Behavioral Health News, The Mental Health Association of Westchester wrote of sweeping transformations in process throughout our agency, with a specific focus on services for adults. In this edition, we describe the transformations occurring throughout our services for...

When and Where They Need It: Providing Community-Based Services to Families and Youth for Foundational Wellbeing

For community providers serving children and families in New York, there is a contemplative question our work presents to us like an ever-unfolding puzzle – how can we get young people to the services that will support their ability to live their best lives? Many creative strategies have been...

Addressing the Growing Problem of School Refusal

Anxiety disorders have been plaguing America’s children to a significant degree and are now one of the most common behavior health disorders of today’s school age children. Anxiety, often in conjunction with depression, is found to be a key determinant of school refusal (historically diagnosed...