Putting Medical Homes into Practice Improving Children’s Mental Health through the Medical Home May 30, 2007 Improving Children’s Mental Health through the Medical Home May 30, 2007

FLOW CHART CHILD MENTAL HEALTH ISSUES Child Community Support System ParentsParent Training Early Screening Primary Care Providers Treatment Referral Counseling Supportive Family CBT DBT Social Skills Specialty Treatment Child Psychiatry Substance Abuse Eating Disorders Autism Spectrum Disorders Sexual Abuse/Sexually Aggressive Psychological Trauma School-based Services Early detection Treatment referral Group treatment Specialty ConsultationInpatient TreatmentResidential Treatment Telemedicine Consultation

FLOW CHART CHILD MENTAL HEALTH ISSUES Child Community Support System ParentsParent Training Early Screening Primary Care Providers Treatment Referral Counseling Supportive Family CBT DBT Social Skills Specialty Treatment Child Psychiatry Substance Abuse Eating Disorders Autism Spectrum Disorders Sexual Abuse/Sexually Aggressive Psychological Trauma School-based Services Early detection Treatment referral Group treatment Specialty ConsultationInpatient TreatmentResidential Treatment Telemedicine Consultation Partners in Child Psychiatry: Training Consultation Case-based Assessments

FLOW CHART CHILD MENTAL HEALTH ISSUES Child Community Support System ParentsParent Training Early Screening Primary Care Providers Treatment Referral Counseling Supportive Family CBT DBT Social Skills Specialty Treatment Child Psychiatry Substance Abuse Eating Disorders Autism Spectrum Disorders Sexual Abuse/Sexually Aggressive Psychological Trauma School-based Services Early detection Treatment referral Group treatment Specialty ConsultationInpatient TreatmentResidential Treatment Telemedicine Consultation Partners in Child Psychiatry: Training Consultation Case-based Assessments Child Psychiatry Coalition

FLOW CHART CHILD MENTAL HEALTH ISSUES Child Community Support System ParentsParent Training Early Screening Primary Care Providers Treatment Referral Counseling Supportive Family CBT DBT Social Skills Specialty Treatment Child Psychiatry Substance Abuse Eating Disorders Autism Spectrum Disorders Sexual Abuse/Sexually Aggressive Psychological Trauma School-based Services Early detection Treatment referral Group treatment Specialty ConsultationInpatient TreatmentResidential Treatment Telemedicine Consultation Partners in Child Psychiatry: Training Consultation Case-based Assessments Child Psychiatry Coalition Bellingham Outreach Clinic

Opportunities:Opportunities:

Behavioral/Mental Health CATCH Grants - Washington Community Medical Home for Child Psychiatry – Blaine Tolby, Phyllis Cavens 2005 –Establishing a Spokane ADHD Care Model – Chris Olson –Partners in Child Psychiatry – Katherine TeKolste, John Dunne 2002 –Autism Task Force – Peter Holden –Low-Income Children’s Safety Net for Mental Health Disorders – Carolyn Sherman The Learning Clinic – Diane Liebe 2000 –ADHD in Urban Population – Access to Care, Regional Resources and Community Perception – Benjamin Danielson –Developing Community-based Behavioral and Mental Health Services for Young Children – Beth Ellen Davis Lewis County Eating Disorders Program – Jennifer Polley Behavioral Assessment Team – Diane Liebe

Other CATCH Grants by Attendees at this Conference 2002 – –Early Childhood Advocacy: Partnering with Parents and Child Care Providers – Jill Sells 2001 –CATCH Visiting Professorship – Oral/Dental Health – Charlotte Lewis, Peter Demoto, Harold Slavkin –Creating Greater Clinical Involvement in Signing Up Children for Medical Insurance – Phyllis Cavens 2000 – –Returning Medical Dropouts to their Medical Home – Phyllis Cavens 1999 – –Promotion of Oral Health in Pediatric Practice – Charlotte Lewis 1996 – –Healthy Children Project – Ken Gass

CATCH Facilitator Current - Michelle Terry, MD, FAAP Emeritus - Jill Sells, MD, FAAP Assistance –Grant Review –Extra Points for consultation –Must sign off on application Consider donation to Friends of Children Fund (AAP)

CPT Coding Opportunity Lynn Wegner, MD, Chair, AAP Section on Developmental and Behavioral Pediatrics; Spring 2007 Section Newsletter. ‘The American Academy of Child and Adolescent Psychiatry (AACAP) Subcommittee on Health Care Access and Economics has requested collaboration on new code proposals to more clearly describe the mutual services pediatricians and child psychiatrists provide.’ –Ongoing process Several code revisions are currently in process. – Please send suggestions ASAP New codes Existing code revisions.

Improving Mental Health in Primary Care Through Access, Collaboration and Training (IMPACT)* Provide PCPs with tools and support to provide community-based, collaborative care Provide website with information and resources for parents, pediatricians and child health professionals: * An AAP and MCHB Collaboration

AAP Taskforce on Mental Health Recommendations anticipated in late 2007/early Tasks included: –Tool kit - How to screen, diagnose, and treat 4-5 most common MH conditions. –Create a training to accompany the tool kit to educate pediatricians on screening, diagnosis, treatment, cultural effectiveness –Create a screening tool or approach to assist in evaluating the family's wellness. –Develop and disseminate educational material to parents on the appropriate stages of child development, parenting methods, and where to seek help if mental health treatment is needed. ‘Anticipate state AAP Chapters will be instrumental in implementing many of the recommendations.’

Washington State Cover All Kids – SB 5093 Improving delivery of children’s mental health services – HB 1088 DSHS – –Role in determining ‘performance indicators’ in SB 5093 and HB 1088 –Policies to improve access to care, quality of mental health therapy, care coordination between primary and mental health care

Questions, Comments and Discussion