Comprehensive Children’s Mental Health Act Minnesota Statute 245.487.

Comprehensive Comprehensive Children’s Mental Children’s Mental

Health ActHealth Act

Comprehensive Comprehensive Children’s Mental Children’s Mental

Health ActHealth Act

Minnesota StatuteMinnesota Statute

245.487245.487

Community Notification

and Education• Annual Letter

• Public Speaking

• Collaboratives

Referral System• Mental Health Professionals Must:

– inform the child with SED and the child’s parent or legal representative of the availability of case mgmt services;

– if obtain consent, refer the child to the county designee

Referral System• Mental Health Providers of:

– emergency services;– out-patient treatment;– family community support services;– day treatment services– screening

Intake Criteria• SED• Unmet mental health needs and

services are not provided• Services provided but not adequately

meeting the child’s needs• Support in the development of an

Individual Educational Plan (IEP)

Severe Emotional Disturbance

• Child who has an emotional disturbance who meets one of the following criteria:– Been admitted within the last three years or is

at risk of admittance to inpatient treatment or residential treatment for an emotional disturbance; or

– The child is receiving inpatient treatment or residential treatment for emotional disturbance through the interstate compact; or

Severe Emotional Disturbance

• The child has the following as determined by a mental health professional:– psychosis or a clinical depression; or– risk of harming self or others as a result of an

emotional disturbance; or– psychopathological symptoms as a result being

a victim of physical or sexual abuse or of psychic trauma within the past year; or

Severe Emotional Disturbance

• The child, as a result of an emotional disturbance, has significantly impaired home, school, or community functioning that has lasted a least a year or that, in the written opinion of a mental health professional, presents a substantial risk of lasting a least one year.

Intake Assessment• Initial family engagement;• Data collection;• Obtain a diagnostic assessment;• Crisis intervention;• Network with community resources

and professionals;• Refer for case management services

Diagnostic Assessment• Written evaluation by a mental health

professional of:– Child’s current life situation and sources of

stress;– History of the child’s current mental health

problems, including important developmental incidents, strengths, and vulnerabilities;

– Child’s current functioning & symptoms

Diagnostic Assessment– Child’s diagnosis, including a

determination of whether the child meets the criteria of severe emotional disturbance (SED); and

– Mental health services needed by the child

Case Management Services

• Assistance in obtaining a comprehensive diagnostic assessment;

• Completing a functional assessment;• Developing an Individual Family

Community Support Plan (IFCSP);• Developing a Crisis Plan;• Providing or accessing family community

support services;

Case Management Services

• Monitoring medication regime

• Coordination;

• Advocacy; and

• Court services

Functional Assessment• A assessment (CAFAS or CASII) by the

case manager of the child’s:– mental health symptoms as presented by

the child’s diagnostic assessment;– mental health needs as presented in the

child’s diagnostic assessment;– use of drugs and alcohol;– vocational and educational functioning;

Functional Assessment– Social functioning, including the use of

leisure time;– Interpersonal functioning, including

relationships with the child’s family;– Self-care and independent living capacity;– Medical and dental needs;– Financial assistance needs; and– Housing & transportation needs

Individual Family Community Support

Plan (IFCSP)• Written plan developed by the case

mgr on the basis of the diagnostic & functional assessment

• Developed in conjunction with the family and the child with severe emotional disturbance

Individual Family Community Support

Plan (IFCSP)• The plan identifies specific services

needed to:– treat the symptoms and dysfunctions

determined in the diagnostic assessment;– relieve conditions leading to emotional

disturbance and improve the well-being of the child;

– improve family functioning;– enhance daily living skills;

Individual Family Community Support

Plan (IFCSP)– Improve functioning in education &

recreation settings;– improve interpersonal and family

relationships;– enhance vocational development;

and– assist in obtaining transportation,

health services, and employment

Family Community Support Services

• Services provided under the clinical supervision of a mental health professional

• Designed to help each child with SED to function and remain with the child’s family in the community

Family Community Support Services

• Client outreach to each child with SED and the child’s family;

• Medication monitoring where necessary;• Assistance in developing independent

living skills;• Assistance in developing parenting skills

necessary to address the needs of the child with SED;

Family Community Support Services

• Assistance with leisure and recreational activities;

• crisis assistance, including crisis placement and respite care;

• professional home-based family treatment;

• foster care with therapeutic supports

Family Community Support Services

• Day Treatment;

• Assistance in locating respite care and special needs day care; and

• Assistance in obtaining potential financial resources

Monitoring of the Medication Regime

• Side effects

• Effectiveness

• Physician sign-off

Case Closure• At request of the child and the child’s

family;

• Child is no longer SED;

• CPS Referral; and/or

• Court Order