Welcome to Ohio Systems of Care

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LEARN MORE ABOUT SYSTEM OF CARE IN OHIO HERE 

UPCOMING TRAINING SCHEDULES: We welcome you to check out our various trainings presented by the CABH COE/CIP. Click on the respective name for upcoming training schedules:

CANS, IHBT, MRSS and Wraparound.

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NEW CONTACT INFO for STAYING CONNECTED AND INFORMED

For questions, clarifications, etc. regarding CIP COE best practices, trainings, or resources, please email us at cipcoetraining@case.edu.

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TWO NEW SAMHSA PUBLICATIONS ON YOUTH AND FAMILIES
Technical Assistance Coalition Policy Paper Series

Cross-System Collaboration to Support Children with Behavioral Health Needs and their Families
Children and youth with behavioral health needs and their families often are involved with multiple child-and family-serving systems, including child welfare and juvenile justice systems. These youth, many of whom are enrolled in or eligible for Medicaid, may experience or be at risk for out-of-home care. These settings might include restrictive environments, particularly when one or more systems designed to support children and families are unable to provide, coordinate, or maintain accessible services at the necessary intensity to address their behavioral health and service needs across the family unit.

State, territorial, tribal, and local behavioral health, Medicaid, and public health leaders need to understand their state’s systems to develop and support collaboration and efforts to help maximize positive development of children and youth. However, each state has a different structure and approach to financing and delivering services across public child-and family-serving systems. Further variations exist within systems, based on federal, state, and local laws and rules; how populations are defined; how access is structured; which financing strategies are used; the available service array for each population and geographic area; and whether there is a justice overlay that mandates certain restrictions on the child or youth.

Once leaders identify the children and youth with unmet behavioral health needs and the public child-and family-serving systems available in their states and communities, they will be better positioned to collaborate and implement strategies, including many that are already available to them, to improve access to high-quality, effective services and supports.

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SED in Children, Youth and Young Adults
Serious emotional disturbance (SED) in children, adolescents, and young adults is defined as a diagnosable mental, behavioral, or emotional disorder that substantially impairs a child’s functioning in family, school, or community contexts. SED is estimated to affect roughly 5 to 10 percent of youth in the United States, translating to approximately 5 to 7 million children and adolescents. SED crosses demographic and socioeconomic groups, with exposure to trauma, family history of mental illness, poverty, and access to supportive resources on par with needs contributing to some of the risk. Comorbidities such as substance use disorders, suicidality, and intellectual and developmental disabilities are prevalent and complicate diagnosis and service eligibility.

This paper provides an overview of SED, including the role of functional impairment in identifying youth with SED and the important developmental considerations. Best practices in assessment and treatment approaches are presented, including a discussion of the evidence-based service arrays needed to support youth with SED and the importance of long-term maintenance strategies and policy supports to sustain functioning gains. It includes briefs for various SED diagnostic categories, which outline the clinical presentation, prevalence, risk factors, comorbidities, treatments, and recommendations for state service systems.

Finally, the paper calls for policies that ensure access to services and integrate wellness and prevention strategies, such as exercise, mindfulness, and nutrition, as part of a holistic approach to youth mental health.

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Innovative Conversations Session 18 | Transformational Change across Juvenile Justice in Ohio
Leah Winsberg, youth advocate and former Senior Policy Attorney, joins host Patrick Kanary to reflect on her change of employment and discuss the Ohio Juvenile Justice Working Group’s recent recommendations for transformational change across Ohio’s state and local juvenile justice system, improving the systems serving justice-involved young people through direct legal assistance, policy reform, and community education.