barriers to accessing mental health services...barriers to accessing mental health services provider...

Wisconsin Family Ties, Inc.

16 N. Carroll Street, Suite 230, Madison, WI 53703

608.267.6800 | 800.422.7145 | wifamilyties.org

Barriers to Accessing Mental Health Services

Provider Competence / Fit

System

Diagnosis, eligibility & rules

• Skill / approach

• Philosophy

• Over-reliance on medication

• Family-driven perspective

• Understands idiosyncratic communication patterns

• Directive vs. collaborative

Provider Competence / Fit

Diagnosis, eligibility & rules

Comprehensive Community Services (CCS)

• Eligibility Must have “diagnosis of mental disorder” DHS 36.14(1) Cannot be denied because of “disability” DHS 36.13(4)

• Service transition • Do not have to give up ABA service, but do have to use a

psychotherapist in the CCS provider network (ForwardHealth Update 2014-42)

• Informed consent • Consumer-driven DHS 36.03(7)

• Choice • In selection of team members, services, and providers

DHS 36.19(1)(a)

System

system noun sys·tem | \ ˈsi-stəm \

1: set of things working together

as parts of a mechanism or an

interconnecting network to form

a unified whole.

2: harmonious arrangement or

pattern

Intensity of mental health need

Pare

nta

l Co

ntr

ol

Outpatient & Medication

Services Community-based

Support Programs

Detention / Corrections

Hospitalization (Involuntary)

Out-of-Home Residential Services

Hospitalization (Voluntary)

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Pare

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Support Programs



Out-of-Home Residential

Services


Child Welfare System

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Pare

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Support Programs





Juvenile Justice System

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Pare

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Support Programs





Best for kids

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Support Programs





Best for providers

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Support Programs





Most efficient

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Support Programs





Cost-effective

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Support Programs





These are the structures we have

Child Welfare System

Juvenile Justice System

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

18.0

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Children 0-12 Receiving Public Mental Health Services (Per 1,000 children with SED)

Wisconsin

National average

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Wisconsin

National average

Children 13-17 Receiving Public Mental Health Services (Per 1,000 children with SED)

0.0

5.0

10.0

15.0

20.0

25.0

2012 2013 2014 2015 2016 2017

Children 0-17 Served in Community MH Programs (Per 1,000 children with SED)

Wisconsin

National average

0.0

0.1

0.2

0.3

0.4

0.5

0.6

2012 2013 2014 2015 2016 2017

Children 0-17 Served in State Psychiatric Hospitals (Per 1,000 children with SED)

Wisconsin

National average

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

100.0%

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017

Parental Satisfaction with Outcome from Services

Wisconsin

National average

Social Supports Clinical

Care

Relative Effect on Health Outcomes

Importance of Peer Support

Peer Support & Parent Peer Support: Impact and Relative Importance as Reported by Service Recipients (Ruffalo, Davis, et al., Medical College of Wisconsin, 2016)

0

5

10

15

20

25

30

35

40

45

Special education Case management Psychiatric services Psychotherapy Peer support

Pe

rce

nta

ge

of

Re

spo

nd

en

ts

Categories of Service

Service Respondents Ranked Most Important

REIMAGINE Human Services


Create a separate children’s mental health code in state statute that ensures:

• a comprehensive service array

• voluntary access to mental health services without having to file a CHIPS petition and enter the child-welfare system

• an expanded network of in-home and community-based services and supports

• residential treatment, when needed, specifically designed to address mental health issues

• eligibility screening for Medicaid-related services based on state-of-the-art assessment practices


Email

Joanne Juhnke Wisconsin Family Ties’ Policy Director

[email protected]

(608) 261-0532

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