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Mental Health and Public Health: A State View July 21, 2005

Mental Health and Public Health: A State View July 21, 2005. Glenace Edwall, Psy.D., Ph.D., LP, M.P.P. Director, Children’s Mental Health Division, Minnesota Department of Human Services. Transforming Children’s Mental Health. Key Elements:

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Mental Health and Public Health: A State View July 21, 2005

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  1. Mental Health and Public Health: A State ViewJuly 21, 2005 Glenace Edwall, Psy.D., Ph.D., LP, M.P.P. Director, Children’s Mental Health Division, Minnesota Department of Human Services

  2. Transforming Children’s Mental Health Key Elements: • Early Identification and Early, Effective Intervention • Improving Access to Services • Building Quality, Measuring Outcomes

  3. Early Identification Key Strategies: • “Screening Synergy,” including ABCD II grant, child welfare/juvenile justice screening, maternal depression screening, Head Start, and shared care projects • Developmentally-appropriate diagnostic assessment; DC:0-3 • Adequate intensity of services available early (ED, not SED) • Interagency collaboration: Part C; Birth-21 legislation

  4. Improving Access to Services Key Strategies: • Revamping services under Medicaid rehab option • Expansion of crisis services; integrated public-private planning • Bridges to primary care, including reimbursement for psychiatric consultation to primary care and co-location pilots • Development of subacute psychiatric units, psychiatric beds in pediatric hospital • Telemedicine

  5. Building Quality, Measuring Outcomes Key Strategies: • Mental health provider certification • Screening tool concensus • Standards for diagnostic assessments • Symptom measures • Functionality measures • Level of care determination

  6. Building Quality, Measuring Outcomes Key Strategies: • Coordination with Center for Excellence in CMH, University of Minnesota • Targeted use of mental health Federal Block Grant for demonstrations • CMS Real Choice grant: import and implement Hawaii EBP database

  7. Public Health and the Identification of Future Needs, Strategies Blueprint, Minnesota Mental Health Action Group (MMHAG) have identified critical issues: • Public awareness, understanding • Sound epidemiological data • Unified planning processes • Adequate human resources • Consistent infrastructure

  8. Future Needs, Strategies • Consistent, accessible financial mechanisms • Widespread use of EBPs • Evaluation of prevention and treatment programs • Statewide system of reporting, monitoring, and quality improvement

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