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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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“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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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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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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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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Youth in Transition
This article is the third in a quarterly series giving voice to the perspectives of individuals with lived experiences as they share their opinions on a particular topic. The young authors of this column came together as a focus group of peers to discuss their experiences and collaborate on this...
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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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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...
