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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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“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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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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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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Progress and Challenges in Accessing Treatment for People with Autism
Debora Thivierge, BCaBA, CBAA, attended her son’s high school graduation last spring, and looked on with pride as he started college this fall. This rite of passage was not something doctors who diagnosed her son with autism 16 years ago would have encouraged her to strive for. It’s a sign of...
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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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Uniquely LGBTQ
This article is the second in a quarterly series giving voice to the perspectives of individuals with lived experiences as they share their opinions on a particular topic. The authors of this column facilitated a focus group of their peers to inform this writing. The authors are served by Services...
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Promoting Cultural Competence to Address Health Disparities and Improve Health Outcomes
Health disparities are preventable differences in health outcomes that are experienced by disadvantaged populations. They are a leading factor in the incidence, prevalence, mortality, and burden of health conditions across specific populations in the US. These factors can influence the available...
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From Neighboring Institutions to Collaborators: A Joint Effort to Improve Integrated Care
The integration of primary and behavioral health has become a major focus of healthcare restructuring across the country in the past several decades. New partnerships, emerging from a historically siloed system, share the triple aim of improving health status, containing costs and enhancing service...
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Helping Moms and Kids
Health care delivery is generally complicated, but it doesn’t always have to be. Change can occur through a simple step. Take the case of maternal depression. It is undisputed that depression is a highly treatable medical condition, especially if identified and treated early. It is also...
