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Children in Crisis

Children in Crisis. A Community’s Responsibility to Respond. Persharon M. Dixon, M.D., MBA Medical Director Mississippi Gulf Coast Children’s Health Project Coastal Family Health Center, Biloxi, MS. Agenda. Mental Health Facts of Children The Need Missed Care

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Children in Crisis

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  1. Children in Crisis A Community’s Responsibility to Respond Persharon M. Dixon, M.D., MBA Medical Director Mississippi Gulf Coast Children’s Health Project Coastal Family Health Center, Biloxi, MS

  2. Agenda • Mental Health Facts of Children • The Need • Missed Care • What are we seeing on the Coast • Mississippi Gulf Coast Children’s Health Project Initiatives • Other Services in the Community • Call to Action

  3. Statistics • One in five American children has a mental disorder • About 5-9% of children ages 9 to 17 are affected by a serious emotional disturbance (SED)

  4. Racial Disparity • Latino youths have the highest rate of suicide • Latino youth less likely than others to be identified • African American youths are more likely to be sent to the juvenile justice system

  5. Most Common Conditions • Anxiety disorders • Mood disorders (e.g. depression) • Disruptive disorders

  6. Becoming More Common • Self –Mutilation • Mixed Diagnoses

  7. Unmet Need • 79% of children aged 6 to 17 with mental disorders do not receive mental health care • Uninsured children have a higher rate of unmet need than children with public or private insurance

  8. All Children Affected • More than just a problem for the uninsured • Coverage gaps in private and public insurance

  9. Consequence of Untreated Mental Illness • Increased risk of coming into contact with the juvenile justice system • 66% of boys and • almost 75% of girls In juvenile detention with least one mental disorder

  10. Obstacles to Care • Stigma • Parents feel they will be blamed • Pride • Disbelief • Cost

  11. Results of Missed Care • School failure • Poor employment opportunities • More likely to have disciplinary problems • Drug Abuse • Poor Choices (sex and drugs) • Poverty in adulthood

  12. Optimal Solution for a Broken Healthcare Infrastructure • Affiliation with Coastal Family Health Center • Permanent program December 2005 • Target: low income children, adolescents and young adults (0-24y)

  13. TelepsychiatryInnovative Programming equipment installed on both ends University Medical Center Psychiatry Department 4hrs/week 6 months/ 26 new users

  14. Neighbor’s Keeper Grant Teen Preventative Mental Health Initiative

  15. Community Resources • Gulf Oaks • Memorial Behavioral Health • Youth Village • IDTF • National Institutes of Health

  16. Most Helpful Solutions • Early intervention • Prevention • prevents more costly impatient treatment choice

  17. Recommendations • Community-based mental health • Early detection and intervention • Parity in coverage with medical/surgical care for mental health services • Mental health programs and outreach efforts should be tailored

  18. Quality Comprehensive Community Based Care Office of Minority Health Healthy Babies Teen Pregnancy Campaign Dept. of Dental Health - PDA Mental Health Summit Head Start Programs Hispanic Alliance HHOPE Grant CDF/ MCAP/MAAP Advocacy Telehealth/ Coastal

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