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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...
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Re-Visioning Residential Treatment Facilities in a Managed Care World
It wasn’t long ago that the only options available for intensive treatment of children and youth with severe emotional and behavioral problems were inpatient hospitals or residential care. Before the creation and expansion of community-based mental health services, some children spent many months...
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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...
