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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...
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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...
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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...
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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...
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Community Capacity: Can We Deliver Better Treatment for Children and Families?
On October 15, 2011, the Behavioral Health Subcommittee of Governor Andrew M. Cuomo’s Medicaid Redesign Team (MRT) gave its final report. For the adult behavioral health system, the report recommended an unprecedented investment into the housing needs of individuals with mental health and...
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Collaborating to Improve Children’s Health Care: The Time is Now
In 2015, New York State’s Medicaid Redesign Team (MRT) issued a “Roadmap for Medicaid Payment Reform” that laid out a path for dramatic and innovative change in the way the state financed and administered healthcare. Initially, MRT took on a volume-based approach to health care through the...
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Changes in Our Children’s System of Care
In this important children’s issue of Behavioral Health News, we wish to address “Caregiver’s Challenges: Working with Families in Distress.” JCCA is a not-for-profit child welfare agency with a nearly 200-year history of providing comprehensive care to more than a million abused,...
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Essentials for Working with Teenagers in Groups
As we transition into a changing system of care, it is essential that we do not lose sight of fundamental practice skills such as tuning-in, engaging and contracting with teens and their families. Nowhere is this more critical than working with teens in groups. Group work cannot simply be a...
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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...
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The Step-Up Intervention Program: A Positive Youth Development Approach to Support Youth Experiencing Housing Instability and Homelessness
Housing instability and homelessness can be defined by frequent moves, couch-surfing, eviction, living in severely overcrowded housing, and living in housing that is not stable (Cutts, Meyers, Black, Casey, Chilton, Cook, & Rose-Jacobs, 2011). Housing instability and homelessness create...
