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Systems Transformation in Progress: Promise and Pitfalls
A couple of months ago I attended a conference in Albany in order to learn of the latest developments in the state’s movement toward a “value based” healthcare delivery system. Monica Oss, Chief Executive Officer of Open Minds, a publication that explores the intricacies of behavioral...
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CCBHC as a Roadmap for Behavioral Health Leadership and Participation within Accountable Delivery Systems
Uncertainty about the future state of publicly-funded health care is widespread following the presidential election. However, the design of accountable delivery systems committed to comprehensive, cost effective care continues to have bipartisan support. Such systems demand a full array of health,...
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Consumer Perspectives on Change: for Better or for Worse
We were asked to consider whether changes in the way we receive and respond to behavioral health services has been for better or for worse, now that Medicaid Managed Care is the order of the day. It was a tough conversation because at the beginning, some of us really felt like we hadn’t even...
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Driving System Success During Times of Change
The adult New York State Behavioral Health System recently transitioned to Medicaid Managed Care. While everyone would acknowledge initial challenges and ongoing issues to be resolved, overall, the transition has been successful. This article will highlight the positive aspects of the...
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Fight Against Threats to Behavioral Heath Funding
The Trump presidency and Republican control of the Congress may do great damage to the already inadequate American mental health system by repealing the Affordable Care Act, eliminating Medicaid as an entitlement, privatizing Medicare, and limiting the authority of the states to regulate health...
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Supporting Youths in Their Recovery Journey to Adulthood
The New York State children’s behavioral health community is in the last stages of redesigning the children’s behavioral health Medicaid benefits. Once approved by the Centers for Medicaid and Medicare (CMS), the new benefits will represent the most significant expansion of children’s...
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“Children’s System of Care” in Westchester County, New York
The System of Care concept for children and adolescents with mental health challenges and their families was first published in 1986 in an article by Beth Stroul and Robert Friedman. They articulated a definition for a System of Care along with a framework and philosophy to guide its...
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Circle of Security Parenting Program: A Wise Early Intervention Investment to Promote Healthy Futures
As New York State transitions children, youth, and family services into Medicaid managed care, there must be far greater attention, capacity, and investment in tools and strategies that promote early childhood development. According to The Heckman Equation, investment in early development is a...
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Youth in Transition
This article is the third in a quarterly series giving voice to the perspectives of individuals with lived experiences as they share their opinions on a particular topic. The young authors of this column came together as a focus group of peers to discuss their experiences and collaborate on this...
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Early Identification of Childhood Disorders in Primary Care
Primary care providers are usually the first clinicians to identify behavioral health problems in children. Children with disruptive behavioral problems show symptoms during their primary care visits and their families rely on their primary providers for information, resources and...