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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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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...
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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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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...
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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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Integrating Screening Brief Intervention and Referral to Treatment (SBIRT) into School Based Health Centers (SBHCs)
Adolescence is a time of dramatic physical, mental and emotional growth and development but also a time when significant risks exist. Adolescence is the time when many youth begin to experiment with alcohol and other drugs (AOD). Research has shown the brain is still developing until age 25 and is...
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The State of Children’s Mental Health and Associated Costs of a Fragmented System
Past public policy has focused mostly on children’s mental health issues—and with good reason. While 1 out of 10 children has a serious emotional disturbance, only 20% ever receive treatment. Children with mental health issues have the highest school dropout rate among all disability groups,...
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Hurricane Sandy Kids Need Substance Abuse Services
The catastrophic destruction of property and psyche on Staten Island wrought by Hurricane Sandy last October devastated thousands of our residents. The monster waves and tidal surges that overwhelmed communities on the Island’s East and South Shores destroyed 500 homes, sweeping some completely...
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Early Childhood Social-Emotional Development: Building Healthy Foundations for A Lifetime of Success
A seminal publication in 2000 From Neurons to Neighborhoods, The Science of Early Childhood Development has established the importance of early childhood experiences on lifelong well-being (JP Shonkoff & DA Phillips, Eds., 2000). Ongoing research continues to demonstrate that the early years in...
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Texting to Save Lives
At a family dinner, my granddaughter Sarah, a high school sophomore in Fairfield, CT, and I were talking about the tragedy in Sandy Hook. She asked me, “Why?” I talked about the need for school programs for early detection and prevention, but I had no real answers or solutions. Later, I...
