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From the Publisher’s Desk “The Handshake of Hope”
With the holiday’s only a month or so away, I recall a true story I wrote about several years ago in this publication. It began with, “Let me tell you a story about a simple handshake that saved the life of a man from New York suffering with mental illness.” The year was 1987 and he was 38...
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Are We There Yet? Reflections on the 5 Years of Children’s Medicaid Transformation
It is hard to believe that five years have passed since the New York State Children’s MRT Subcommittee released its blueprint to address the unique and complex needs of children in Medicaid Managed Care. In many ways the time has flown by yet today, New York State’s target date to fully...
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The System-of-Care Movement Through a Trauma-Informed Lens: Implications for Systems Transformation
Trying to change systems is never an easy task. Efforts to encourage, argue, incentivize, and mandate change, are often met with piecemeal results, only to revert back to business as usual. On rare occasions however, profound change can happen quickly and even effortlessly. These changes often...
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The NYSPA Report: Transforming Systems of Care for Children
Children’s mental health needs are widespread and treatment is often limited and inadequate. Epidemiologic studies report that 20% of children and adolescents have a psychiatric disorder, and 10% have severe impairment. This translates to 1 million children and adolescents in New York State with...
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Transforming NJ’s System of Care Through Collaborative Efforts
A system of care is a big picture approach to how, when, and where services and supports are offered. The System of Care approach to service delivery for children began in the 1990s as communities were looking for ways to improve the well-being of children with serious emotional and behavioral...
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Helping Kids Make Real Progress: A Systems Approach
There is a set of givens supported by years of research and the evolution of Children’s Systems of Care that informs the development of effective care for children with intellectual and behavioral challenges: (A) The earlier services begin the better; (B) Services need to be tailored to the...
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It Takes a Village
When we hear the phrase “It takes a village to raise a child,” we think of the African apologue, or maybe Hillary Clinton’s book about larger societal responsibilities. But in the children’s behavioral health system, it is also true. Throughout the history of this system, there has been a...
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Partnerships Provide Effective Alternatives to Unnecessary Inpatient Care for Children and Youth
There is a high personal, psychosocial and economic toll for children and youth who experience mental, emotional and behavioral disorders. These challenges also impact their families and the communities in which they live, study, and grow up. Research suggests that in any given year, between 14 and...
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SIMHS SafeTY.net Early Intervention Program Fills Gaps in Services for Staten Island Youth Battling Trauma-Related Substance Use/Abuse
For more than a decade, Staten Island has been harboring a shameful secret that is only recently coming to light. Our Island outranks each borough, as well as the whole of New York City and State, in the rate of adolescent drug and alcohol abuse, including binge drinking and use of prescription...
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Improving Children’s Health by Focusing on Value
New York State is well down the path to instituting significant changes in how the State pays for health care for low-income and disabled individuals, many of them children. Like many other states, New York is testing new payment methodologies in an effort to achieve positive changes in how health...
