Pathways to Mental Health Services
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Transcript Pathways to Mental Health Services
February 11, 2014
Katie A Toolkit Webinar
Presented by:
Troy Konarski, Staff Mental Health Specialist,
Litigation Support, DHCS
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Overview & Purpose
Review the Information and Guidance Set Forth in the
Core Practice Model & Medi-Cal Manual
Updates on Implementation
Obtain Feedback on Technical Assistance and Local
Implementation Needs
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Katie A. et al v. Bonta Settlement
In July 2002, a complaint was filed to obtain Wraparound
and therapeutic foster care services for children in or at risk
of placement in foster care or group homes. In December
2011, the final settlement was approved. The Core Practice
Model Guide and the Medi-Cal Manual were developed as a
part of the settlement agreement.
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Who is Katie A?
Katie A. was a 14-years old girl at the time of the 2002 settlement. At 4 years old
she was removed from her home and placed in foster care, where she remained for
10 years. Early assessments indicated she had a history of trauma and that intensive
trauma treatment and supportive services for her caregiver would be the best
approach to transitioning her home with her caregiver.
Katie at age 8 was placed almost solely in congregate care facilities even though she
responded best to one-on-one attention, and had difficulty with peer relations. She
was moved through 37 different placements, including: 4 group homes, 19 different
stays at psychiatric hospitals, a 2 year stay at Metropolitan State Hospital, and 7
stays at MacLaren Children’s Center.
Early assessment indicated the services she and her family needed. She did not
receive trauma treatment or other individualized outpatient mental health services.
Weblink:http://www.docstoc.com/docs/140657047/Overview-of-Katie-A---CSU_-Chico
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Katie A Class and Subclass Members
Who are the members of the Katie A. Class and Subclass?
What Guidance is Provided on Member Eligibility
Consideration?
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Katie A. Class Members
Children and youth who are or at imminent risk of
placement in foster care
Have a mental illness or condition that has been
documented, or if assessed would have a diagnosis with a
mental illness or condition
Who need individualized MH services
Katie A identified a Class of children who must be
provided services set forth and guided by the CPM
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Katie A. Subclass Members
Katie A Subclass are an identified subset of the Katie A
Class who must also be provided a set of intensive
services in addition to the services set forth and guided by
the CPM
Are full-scope Medi-Cal (Title XIX) eligible;
Have an open child welfare services case (See definition
in Appendix A, Glossary of the Medi-Cal Manual); and
Meet the medical necessity criteria for Specialty Mental
Health Services (SMHS) as set forth in CCR Title 9
Section 1830.205 or Section 1830.210.
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Eligibility Considerations For Subclass
In addition to the above criteria, the child and youth are
currently in or being considered for:
Wraparound
Therapeutic foster care
Specialized care rate due to behavioral health needs or
other intensive EPSDT services
Including but not limited to:
Therapeutic Behavioral Services (TBS)
Crisis stabilization/intervention
(see definitions listed in the Medi-Cal Manual glossary)
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Core Practice Model
The Core Practice Model Guide (CPM) describes a
significant shift in the way that individual service providers
and systems are expected to address the needs of
children/youth and families in the child welfare system, and
additionally, it is intended as a blueprint for wider practice
change and systems reform.
CPM should be relied on for further guidance on the
expectations of the model, the required elements for fidelity
practice to the model and approaches to implementation.
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Core Practice Model Guide
Values and Principles
Teaming
Successful Elements
Child and Family Teams
Models
Practice Components
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CPM: Service Delivery Components
Engagement
Transition
Monitoring and
Implementation
Assessment
Service Planning
and
Implementation
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CPM Child and Family Team
The Child and Family Team (CFT )is a team that shares a
vision with the family and is working to advance that vision,
while a team meeting is how the members communicate. No
single individual, agency or service provider works
independently. Working as part of a team involves a different
way of decision-making.
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Medi-Cal Manual
Guided by the Principles and values of the Core Practice Model
(CPM)
Provide mental health plans (MHPs) and Medi-Cal providers with
information regarding the provision of three specialty mental
health services for those children/youth who are members of a
class of children covered by a Settlement Agreement in a lawsuit
Katie A v. Bonita. Katie A Class and Subclass Members
Clarifies and provides guidance on the coverage and
documentation requirements under Medi-Cal of Intensive Care
Coordination (ICC), Intensive Home Based Service (IHBS) and
Therapeutic Foster Care (TFC)
Additionally, serves as a supplement to other federal and state
documents related to the delivery of specialty mental health
services in the State of California
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Intensive Care Coordination (ICC)
Intensive Home Based Services (IHBS)
Definitions of ICC and IHBS services
Descriptions of service settings provided in the documentation
manual
Review of claiming and reimbursement guidance
Overview of service components, activities, and review
examples
Assessing
Service Planning and Implementation
Monitoring and Adapting
Transition
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Intensive Care Coordination (ICC)
The difference between ICC and the more traditional TCM
service functions is that ICC must be used to facilitate
implementation
of
the
cross-system/multi-agency
collaborative services approach described in the CPM for
the Katie A. Subclass.
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ICC Coordinator
ICC coordinator is responsible for working within the CFT
to ensure that plans from any of the system partners are
integrated to comprehensively address the identified goals
and objectives and that the activities of all parties involved
with service to the child/youth and/or family are coordinated
to support and ensure successful and enduring change. The
coordinator must be a mental health professional.
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ICC: Transition
Developing a transition plan for the client and family long
term stability including the effective use of natural supports
and community resources.
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Technical Assistance
Weekly Technical Assistance for general and specific
concerns related to calls
17 County learning collaborative
Specific Technical Assistance on Financial issues
related to implementation
Local technical assistance for counties that require
additional supports to complete plans
On going response to FAQ’s
Coordinated trainings
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California Department of Health Care Services
and California Department of Social Services
Contact Information
California Department of Health Care Services
Email address: [email protected]
California Department of Social Services
Email address: [email protected]
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THANK YOU
QUESTIONS???
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