tag:blogger.com,1999:blog-27179819221402552392024-03-12T16:02:31.705-07:00Rosie D. and MeA pediatrician reflects on the mental health of children and the systems that are trying to help them.olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comBlogger431125tag:blogger.com,1999:blog-2717981922140255239.post-5014466429969395132012-12-25T20:42:00.000-08:002012-12-26T20:42:56.532-08:00Worth Reposting<br />
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<span style="font-size: 13px; font-weight: normal; line-height: 1.3em;">I posted this a few years ago. But this year's batch was really good, so it seemed worth posting again.</span></h3>
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<span class="Apple-style-span" style="font-size: 24px; font-style: italic;">Swedish Rye </span></div>
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<span class="Apple-style-span" style="font-style: italic;"><span class="Apple-style-span" style="font-size: small;">(makes 1 full size or 4 small loaves of bread)</span></span></div>
<span class="Apple-style-span" style="font-weight: bold;">First make the sponge:</span><br />Scald 1 cup of milk (whole is best, but skimmed works for those of you counting cholesterol)<br />Pour it onto a mixture:<br /><ul>
<li>1 tablespoon butter (can substitute margarine)</li>
<li>1/4 cup honey</li>
<li>1.5 tsp fennel</li>
<li>1.5 tsp instant coffee</li>
<li>1/4 tsp salt (can omit, if you want)</li>
</ul>
While the mixture is cooling, add 1 packet of yeast to 1/4 cup of lukewarm water, and let it bubble. Add it to the scalded milk mixture after that mixture has cooled to lukewarm.<br />Then add:<br /><ul>
<li>3 tablespoon sugar</li>
<li>1.5 tsp orange peel</li>
<li>1/4 tsp ground cloves</li>
<li>1 cup of rye flour</li>
<li>1 cup of whole wheat flour</li>
<li>1/4 cup white flour.</li>
</ul>
Stir with a wooden spoon for 100 stirs and then leave the sponge to rise for 1-2 hours.<br /></div>
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<span class="Apple-style-span" style="font-weight: bold;">Then make the loaf:</span></div>
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Add 2 cups of white flour to the sponge, gradually kneading until firm and consistent. Usually takes about 10 minutes for the whole loaf, and another 5 minutes if you choose to break it into small loaves. Once your loaves are ready, let them rise in a warm place for an hour or two.</div>
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<span class="Apple-style-span" style="font-weight: bold;">Baking:</span></div>
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Preheat oven to 350 degrees.</div>
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Bake 50 minutes for full-sized loaf, 28 minutes for small size loaf.</div>
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Cool on rack, and then:</div>
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<span class="Apple-style-span" style="font-style: italic;">Devour with honey or peanut butter (also makes a mean grilled cheese sandwich). Both the making and the eating of this bread will improve your mental health. </span></div>
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olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-26871985776795982702012-12-21T07:53:00.001-08:002012-12-21T07:53:12.632-08:00A view from the ground in NewtownBeen reading lots about Newtown CT. We have to build something- that's how we cope with loss. At a national level, we are talking about building new rules about guns, improved access to mental health services and the like. But we really need to build something local, in Newtown, something that builds community.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNCYh-yoVUijeeOkD_J-90jAgMp1E4a5OvzSwAjX4js2cI1R0DO9gouQeS_Zup-AycEj8u0ym-KZlT8u4cAtcX9YpgbiB0eWP832oo1jqBg6XU3Mf-3cmrd9ln7QVsScNuxu9Zine6Aiw/s1600/barn_raising.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="216" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhNCYh-yoVUijeeOkD_J-90jAgMp1E4a5OvzSwAjX4js2cI1R0DO9gouQeS_Zup-AycEj8u0ym-KZlT8u4cAtcX9YpgbiB0eWP832oo1jqBg6XU3Mf-3cmrd9ln7QVsScNuxu9Zine6Aiw/s320/barn_raising.jpg" width="320" /></a></div>
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Came across this really interesting post on Facebook. It's long, and could use editing, but it speaks from the heart. Check it out <a href="https://www.facebook.com/notes/andrew-mangold/message-from-newtown/4602696278786">here</a>. He is putting together a plan for Community Garden, as a means of building community. To quote:<br />
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<blockquote class="tr_bq">
<span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 11px; line-height: 16px; text-align: left;">For those who want to know more about this project or feel compelled to give to this specific action, it can be done here: </span><a href="http://www.indiegogo.com/projects/299050/x/1590232" rel="nofollow" style="background-color: white; color: #3b5998; cursor: pointer; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 11px; line-height: 16px; text-align: left; text-decoration: none;" target="_blank">http://www.indiegogo.com/projects/299050/x/1590232</a><span style="background-color: white; color: #333333; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 11px; line-height: 16px; text-align: left;"> More info is being added to the campagin as it is formalized.</span></blockquote>
Other ideas?olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-67386542239507400102012-12-20T20:53:00.000-08:002012-12-20T20:55:02.501-08:00Reflections on NewTown: Now It is Time to Do.Been a week now, since the news started to come out of Newtown, a place not far from where I was born and raised. A week of tears, a week of anger, a week in which I watched the pediatric community wake and notice that, all of a sudden, children were important. I was very proud of my two professional organizations, as they took stands that move them down a political path that is focused on children and will help bend the arc of history toward justice, just a little bit. Check out <a href="http://www.academicpedsjnl.com/content/acap-APA-Response">here</a> and <a href="http://www.aap.org/en-us/about-the-aap/aap-press-room/pages/AAP-Advocates-to-Improve-Children%27s-Safety-in-Wake-of-School-Shooting.aspx">here</a>; we are starting to move. We will do something about guns of mass destruction, we will do something about mental health services and we will remind people about the power of non-violent conflict resolution. It's going to be a journey. There is much work to do.<br />
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Haven't blogged much over the past few years. This seems a good time to start up again. We'll see where this goes. If you didn't see the President call us out, <a href="http://youtu.be/_q-_T87j1MY">you should</a>.olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-17748551779679807532012-01-09T19:41:00.000-08:002012-01-09T19:41:45.975-08:00The more things change....Massachusetts has lots to be proud of in the approach that the Commonwealth has taken to the implementation of the CBHI, with the acceptance of behavioral health screening in the pediatric office to the establishment of mobile EMH services throughout the state (nobody else is even thinking about that one!). We are innovators, on the cutting edge of high quality services for children with serious emotional disturbances.<br />
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And yet....<br />
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Why do I get a call from an intensive treatment program about one of my patients, telling me that the child's psychiatrist left in October, that they have not identified a new one for this patient, and ask that I write prescriptions for his/her three psychotropic medications. Why have I heard nothing about this patient for 8 months, while his/her psychiatrist manages his/her meds, and, upon leaving, assumes that I will continue the meds? How do I monitor the effectiveness of therapy, when I have no evidence of this child's current diagnoses? How do I monitor side effects, when I have never heard of one of the medications? This is the sort of thing that intensive case management is supposed to prevent; why did it fail my patient?<br />
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We build systems that are supposed to work. We hope that this sort of thing is happening less frequently than before. And we recognize that there are likely still a few bugs in the system.<br />
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Happy New Year!olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-79097084893548850082011-12-21T07:52:00.000-08:002011-12-21T07:52:18.908-08:00Teen Screen is quoting me now.Kind of cool to be <a href="http://www.teenscreen.org/uncategorized/how-states-are-making-teen-mental-health-a-priority/">quoted</a>. Thanks, TeenScreen. <br />
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<br />olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-25265872473365484212011-12-15T08:52:00.000-08:002011-12-14T20:53:39.553-08:00From the Boston Globe : Kinda wish I had been there.<br />
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<span class="s1"><b>Yesterday in the Globe- reminded me how long it takes to get anything done.</b></span></div>
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<span class="s1"><b><br /></b></span></div>
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<span class="s1"><b><br /></b>
</span><a href="http://www.bostonglobe.com/lifestyle/health-wellness/2011/12/13/summit-focuses-children-mental-health/WnLkNhsQghNNlbU2Wf9C2N/story.html"><b>Summit focuses on children’s mental health </b>By Patricia Wen</a><span class="s1"><br />
</span>December 13, 2011<span class="s1"><br />
<br />
</span>It was billed as the Children’s Mental Health Summit, the second in a decade, and its organizers hoped it would inspire as much passion for reform as the debut gathering did in 2001. Among the issues addressed by top officials in Boston yesterday were the high rate of psychotropic drugs consumed by the state’s foster children, poor insurance coverage of family-based services, and the relatively high percentage of substance abuse among Massachusetts teens. The keynote speaker, Pamela Hyde, an Obama appointee who heads the Substance Abuse and Mental Health Services Administration, also spoke about the growing awareness that trauma -- including domestic strife, neighborhood violence, and bullying -- undermines children’s mental well-being.…The closing talk came from US District Court Judge Michael Ponsor, who issued the 2006 landmark ruling, referred to as the Rosie D. case, which required the state to offer intensive home-based mental health services for children on Medicaid with serious emotional disturbances. “Serving the needs of children with mental health problems, especially poor children, is not for the faint of heart, or for people overly fond of cheap thrills and immediate gratification,” Ponsor said in his written remarks. “It is a very long-term commitment.”</div>
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<br /></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-27213594308368038202011-12-14T18:23:00.000-08:002011-12-14T19:23:53.180-08:00Larry's Webinar is on the Web<a href="http://www.teenscreen.org/resources/events-webinars/december-8-2011/"></a>As primary care providers incorporate adolescent mental health care into practice, Common Factors may hold solutions to successfully taking on the challenge. An approach that emphasizes provider/parent interaction over the need for diagnoses and specific treatments, Common Factors can have a powerful impact on provider training, confidence and outcomes.<br />
<br />
Common Factors focuses on the process of care, and emphasizes the characteristics and interactions of providers, parents and others -- nurse practitioners, office staff, school health personnel -- in influencing patient behavior and improving outcomes. It challenges the need for a diagnosis and specific treatment for each patient, and instead maintains that therapies can be designed to help broad classes of people.<br />
<br />
Common Factors expert Larry Wissow, MD, Professor, Johns Hopkins Bloomberg School of Public Health, discussed incorporating Common Factors principals into adolescent mental health care. Click <a href="http://www.teenscreen.org/resources/events-webinars/december-8-2011/">here </a>if you want to hear it.olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-16358211414615300222011-11-29T21:00:00.000-08:002011-11-29T21:01:54.142-08:00Rethinking Adolescent Mental Health Care: Using Common Factors to Improve Your Practice Potential<p class="p1">A TeenScreen National Center Webinar Event</p> <p class="p3">With</p> <p class="p4"><span class="s1"><a href="http://www.swiftpage1.com/SpeClicks.aspx?X=2T0ZDJD3I09HU7FO000NX2"><b>Larry Wissow, MD, MPH</b></a></span></p> <p class="p3">Professor, Johns Hopkins Bloomberg School of Public Health</p> <p class="p3">Principal Investigator, NIMH-funded Center for Mental Health in Pediatric Primary Care</p> <p class="p3"><b>December 8, 2011 </b></p> <p class="p3"><b>1:00-2:00 ET</b></p> <p class="p4"><span class="s1"><b><a href="http://www.swiftpage1.com/SpeClicks.aspx?X=2T0ZDJD3I09HU7FO010NX2">Register</a></b></span></p> <p class="p6">As primary care providers incorporate adolescent mental health care into practice, <b><i>Common Factors</i></b> may hold solutions to successfully taking on the challenge. An approach that emphasizes provider/parent interaction over the need for diagnoses and specific treatments, <i>Common Factors</i> can have a powerful impact on provider training, confidence and outcomes.</p> <p class="p6"><i>Common Factors</i> focuses on the process of care, and emphasizes the characteristics and interactions of providers, parents and others -- nurse practitioners, office staff, school health personnel -- in influencing patient behavior and improving outcomes. It challenges the need for a diagnosis and specific treatment for each patient, and instead maintains that therapies can be designed to help broad classes of people.</p> <p class="p6">Join <i>Common Factors</i> expert Larry Wissow, MD, Professor, Johns Hopkins Bloomberg School of Public Health, for a practical discussion on incorporating <i>Common Factors</i> principals into adolescent mental health care.</p>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-67831635578720429992011-11-23T07:42:00.000-08:002011-11-23T07:50:58.669-08:00Experts Convene on Capitol Hill to Discuss Models of Integrated Care for Youth: Massachusetts Child Psychiatry Access Project HighlightedFrom TeenScreen (love to be quoted)<br /><span class="Apple-tab-span" style="white-space:pre"> </span>Washington, D.C. - National experts in delivering integrated behavioral and physical health care to adolescents presented three different models of service delivery to this vulnerable population in a Capitol Hill forum. The Massachusetts Child Psychiatry Access Project (MCPAP) was highlighted as one national model that bridges the significant gap between the need for specialty mental health services and access to those services.<br /><span class="Apple-tab-span" style="white-space:pre"> </span>The TeenScreen National Center for Mental Health Checkups at Columbia University convened the forum, “Bridging the Gap through Innovation: Expanding Access to Mental Health Services,” on Nov. 16. This was the third annual Eric Trendell Health Policy Forum. Dr. David Keller described how he and his colleagues in Massachusetts have filled the behavioral health service gap through MCPAP, providing vital services to over 6,000 children in the state. <span class="Apple-tab-span" style="white-space:pre"> </span>“Before we started MCPAP in 2005, I had few, if any, resources for dealing with these issues. As a general pediatrician practicing in Worchester, MA, I saw perhaps 30 or 40 patients per day,” said Dr. Keller. “At least 30 percent of these children had mental health problems. Like so many of my colleagues trained in pediatrics, I was not trained extensively in child psychiatry.” <div><span class="Apple-tab-span" style="white-space:pre"> </span>“MCPAP has changed all that,” he said. “It is comprised of six centers throughout Massachusetts led by a psychiatrist and each linked to an academic health center. Individual primary care doctors and pediatricians are able to enhance their services through MCPAP tutorials in child psychiatry and consultation with specialists,” Dr. Keller said.<div>Through MCPAP, doctors are assured of a telephone consultation with a psychiatrist about a specific patient, usually within an hour, or immediately, if the situation demands. Dr. Keller said that 26 other states are exploring establishing a MCPAP like system to meet the growing demand for mental health care for children and adolescents.<br /><span class="Apple-tab-span" style="white-space:pre"> </span>“We have created virtual, integrated care teams so that all of the children and adolescents in Massachusetts have access to the behavioral and mental health care they may require,” said Dr. Keller.<br /><span class="Apple-tab-span" style="white-space:pre"> </span>“Integrating behavioral health into primary care is a game changer,” said A. Seiji Hayashi, MD, MPH, and Chief Medical Officer, Bureau of Primary Health Care at the Health Resources and Services Administration, and a panelist. The Centers for Medicare and Medicaid Services is working to strengthen the Medicaid and Medicare programs by looking to innovative forms of service delivery. Barbara Edwards, a director at the Centers for Medicare and Medicaid Services, and a panelist said, “The models of integrated care discussed today present important ways forward as we look to design and support methods of bringing health and mental care to children.”<br /><span class="Apple-tab-span" style="white-space:pre"> </span>TeenScreen Executive Director Laurie Flynn, said: “The movement to integrate behavioral health into primary care brings a vital benefit to adolescents. We know that up to half of all visits to pediatricians involve a behavioral, emotional or mental issue. We also know that half of all mental disorders begin by age fourteen. Innovative, integrated care models have demonstrated that we can expand mental health care to youth, bringing this vital dimension of medicine to their medical homes.”<br /><span class="Apple-tab-span" style="white-space:pre"> </span>Other forum panelists detailed their unique experiences with leading innovations such as co-located care; telepsychiatry; fostering collaboration between primary care physicians and child psychiatrists; the development of patient-centered medical homes; and the adoption of electronic medical health records.<br />The 2011 Eric Trendell Health Policy Forum Panel:<br />- <i>Greg V. Jensen, LSCW, ACSW, Vice President for Behavioral Health Services at Lone Star Circle of Care<br />- Steven Adelsheim, MD, Director, Center for Rural and Community Behavioral Health and Professor of Psychiatry, Pediatrics, & Family/Community Medicine at the University of New Mexico, Department of Psychiatry<br />- David Keller, MD, Clinical Associate Professor of Pediatrics and Senior Analyst, Center for Health Policy and Research at the University of Massachusetts Medical School<br />- A.Seiji Hayashi, MD, MPH, Chief Medical Officer, Bureau of Primary Health Care at the Health Resources and Services Administration<br />- Barbara Edwards, Director, Disabled and Elderly Health Programs Group, Center for Medicaid, CHIP and Survey and Certification at the Centers for Medicare and Medicaid Services.</i><br />Senator Scott Brown (R-MA), a sponsor of the forum, said, “I’m proud to support the cause of improving mental health services for our children and teens. From my own childhood, I recognize how critical it is to help our youth weather the tough circumstances that can come early in life.”<br />Senator Tom Udall (D-NM), a sponsor of the forum, said, “We have a moral obligation to help young people from every background and ethnicity with the support they need to overcome and deal with depression and suicidal tendencies.”<br /><div style="text-align: center;"><i>To view videos of remarks by the panelist, please visit:</i></div><div style="text-align: center;"><a href="http://www.teenscreen.org/policy/policy-events/trendell-forum-2011/"><i>http://www.teenscreen.org/policy/policy-events/trendell-forum-2011/</i></a></div><div style="text-align: center;"><i>The TeenScreen National Center for Mental Health Checkups at Columbia University is a</i></div><div style="text-align: center;"><i>non-profit public health initiative and national policy center devoted to increasing youth</i></div><div style="text-align: center;"><i>access to regular mental health checkups.</i></div></div></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-5265505238557344372011-04-15T07:47:00.000-07:002011-04-14T07:53:04.394-07:00More Webinars: We're famous, you know...<i>TeenScreen National Center Upcoming Webinar</i><br /><b>High-Performance Model: How One State Improved Youth Mental Health Care By Helping Providers</b><br /><br />Thursday, April 27, 2011<br />2 p.m. - 3 p.m. Eastern Daylight Time<br /><br />The issues were familiar: Mental health challenges in youth on the rise, a limited number of specialists, and a primary care community working to fill the gap.<br /><a href="http://www.teenscreen.org/library/events-webinars/high-performance-model-mcpap">Click here for the full event details and description</a>.<br /><br /><i>John Straus, MD and Barry Sarvet, MD of the Massachusetts Behavioral Health Partnership will describe the MCPAP program, its role in supporting providers following the Rosie D decision, and how building and sustaining a partnership between primary care and mental health clinicians can help transform youth mental health care.</i><br /><br />Please click <a href="http://www.swiftpage1.com/SpeClicks.aspx?X=2T0ZDJD3HZXMYW2001W0WV">here</a> to register or copy and paste the below link:<br /><br />https://event.on24.com/eventRegistration/EventLobbyServlet?target=registration.jsp&eventid=302803&sessionid=1&key=A1D6E523085B441CAFA921B2E21E113A&sourcepage=registerolddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-76729564474129033892011-04-15T02:03:00.000-07:002011-04-15T02:10:35.499-07:00From the Children's Mental Health Campaign<div><span class="Apple-style-span"><i>From my INBOX this morning:</i></span></div><div style="color: rgb(102, 0, 0); "><span class="Apple-style-span" ><br /></span></div><span class="Apple-style-span" >As you know, the House Ways and Means Committee released their budget recommendations yesterday. Children’s mental health services faired well and many line items were level funded:</span><br /><ol><li><span class="Apple-style-span" >The CBHI line item was funded at $214.7 million which is the same level as the Governor’s budget.</span></li><li><span class="Apple-style-span" >The language on reporting requirements for the CBHI line item was included but not in the Governor’s budget.</span></li><li><span class="Apple-style-span" >The DMH child and adolescent mental health services line item was level funded at $71.4 million from FY11, this is a $2 million increase over the Governor’s budget.</span></li><li><span class="Apple-style-span" >The mental health consultative services line item under EEC was level funded from FY11 at $750K which also matched the Governor’s budget.</span></li></ol><span class="Apple-style-span" ><i><b>Our recommendation to include the MCPAP bill as an Outside Section was not included.</b></i><br />Representative Ruth Balser will file the Massachusetts Child Psychiatry Access Project (MCPAP) legislation as an outside section to the budget at the request of the CMHC.<br />This would act as a revenue stream for the Commonwealth during these difficult financial times as well as a workforce development program.<br />MCPAP is run as an “insurance blind” program and is currently funded solely by the Commonwealth. However data collected on participants includes insurance coverage. This data reveals that more than half of those served have commercial coverage.<br />The goal of MCPAP is to make child psychiatry services universally accessible to primary care providers (PCPs) throughout the Commonwealth who can access a team of child psychiatrists, psychologists and/or social workers via telephone consultation in order to diagnose and treat mental health disorders.<br />This outside section would requires commercial health insurance companies to proportionally contribute to the funding of the MCPAP at a rate equal to the participation of their membership. This will generate nearly $1.8 million per year to contribute to the cost of the program. Surplus revenue will be directed toward implementation of MCPAP in schools where administrators and teachers struggle daily to deal appropriately and effectively with children showing signs of mental health conditions.<br /><br />Please <a href="http://www.childrensmentalhealthcampaign.org/index.cfm?pageId=1323">CLICK HERE</a> for more information and ask your State Representative today to sign on as a co-sponsor here.<br /><br />Thank you,<br />Erin G. Bradley<br />Coordinator, CMHC</span>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-65805110166369157332011-04-14T07:29:00.000-07:002011-04-14T07:40:13.965-07:00Webinars todayWhy does all of the good stuff happen at once?<div>----------------</div><b><i>From the Patient Center Primary Care Collaborative:</i></b><br />Please join us for a free webinar on <strong>Thursday, April 14, from 1:00 - 2:30pm</strong>, entitled: "<strong>Behavioral Health Integration in the Medical Home and Its Facilitation by Health Information Technology</strong>." This informative presentation is co-sponsored by the PCPCC Center for eHealth Information Adoption and Exchange and the Behavioral Health Task Force and will feature Drs. Rodger Kessler and Timothy Burdick from Fletcher Allen Health Care at the University of Vermont.<div><a href="http://us2.campaign-archive1.com/?u=dcfdd33cdd540f634734cf274&id=b8da823add&e=06999482c3">More info here.</a><div><a href="http://us2.campaign-archive1.com/?u=dcfdd33cdd540f634734cf274&id=b8da823add&e=06999482c3"></a><br /><i><b>From the Center for Mental Health Services in Primary Care:</b></i><br /><b>"The Scope of a Federal Mandate for Providing Behavioral Health Services to Children: The Rosie D. Case"</b><br /><b>Are children entitled under the law to mental health services? </b></div><div>Please join us for a free webinar on <strong>Thursday, April 14, from 1:00 - 2:30pm. </strong>Deborah Agus, JD, will discuss the Rosie D. Case and the subsequent mandate for behavioral health care for children in Massachusetts as well as the implications for other states.</div></div><div><br /></div><div> <br />Connect on the web at: <b><a href="http://connect.johnshopkins.edu/pediatricmentalhealth/">http://connect.johnshopkins.edu/pediatricmentalhealth/</a></b><p></p> <p class="p2"><b>Contact <a href="mailto:slongway@jhsph.edu">slongway@jhsph.edu</a> for dial-in information</b></p></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-31029439283637350892011-04-13T07:22:00.000-07:002011-04-14T07:27:57.254-07:00A request from SAMSHAHere's an opportunity to have input into Federal policy on mental health. Go for it.<br />-----------------------------------<br /><div style="text-align: center;"><b>SAMHSA Is Seeking Comments on a New Unified Application for Mental Health and Substance Abuse Block Grants</b></div>SAMHSA announces a new approach for the Substance Abuse Prevention and Treatment Block Grant (SAPTBG) and the Community Mental Health Services Block Grant (MHSBG). Under this new approach, the grant applications will merge, providing states and territories the opportunity to use block grant dollars for prevention, recovery supports, and other services that supplement services covered by Medicaid, Medicare, and private insurance.<br />The block grant funds will be directed to four purposes:<br /><ul><li>Fund priority treatment and support services for individuals without insurance or for whom coverage is terminated for short periods of time.</li><li>Fund those priority treatment and support services that demonstrate success in improving outcomes and/or supporting recovery for low-income individuals and are not covered by Medicaid, Medicare, or private insurance.</li><li>Fund primary prevention—universal, selective, and indicated prevention activities and services for persons not yet identified as needing treatment.</li><li>Collect performance and outcome data to determine the ongoing effectiveness of behavioral health promotion, treatment, and recovery support services and plan the implementation of new services on a nationwide basis.</li></ul>SAMHSA will work with states and territories to plan for and transition the block grants to these four purposes. In redesigning their plans, states will consider new factors: conducting a needs assessment of their behavioral health system, developing collaborative plans for health information systems, forming strategic partnerships to provide individuals better access to behavioral health services, and redesigning systems and services to increase accountability and improve the performance of services funded. SAMHSA invites your comments on the proposed grant application.<p></p><p class="p2">Click <a href="http://www.gpo.gov/fdsys/search/pagedetails.action?granuleId=2011-8520&packageId=FR-2011-04-11&acCode=FR">here</a> to find out more.</p>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-6113714543284212932011-04-04T16:26:00.000-07:002011-04-04T16:29:55.325-07:00AHRQ has much cool stuff:ASD review<span class="Apple-style-span" style=" ;font-family:arial, verdana, sans-serif;font-size:12px;"><p><span class="Apple-style-span" style="font-size: medium;">Given that this is the month to think on autism, this message from AHRQ seemed worth reposting:</span></p><p><span class="Apple-style-span" style="font-size: medium;">--------------------------------------------------</span></p><p><span class="Apple-style-span" style="font-size: medium;">T</span><span class="Apple-style-span"><span class="Apple-style-span" style="font-size: medium;">he Agency for Healthcare Research and Quality (AHRQ) Effective Health Care (EHC) Program is pleased to announce that the following research review is now available:</span></span></p><ul type="disc"><li class="MsoNormal"><span class="Apple-style-span" style="font-size: medium;">Therapies for Children With Autism Spectrum Disorders.</span></li></ul><p></p><p></p><p><span class="Apple-style-span" style="font-size: medium;">To access the research review and associated products, please visit: </span><a href="http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=651"><span class="Apple-style-span" style="font-size: medium;">http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=651</span></a><span class="Apple-style-span" style="font-size: medium;">.</span></p><p><span class="Apple-style-span" style="font-size: medium;">An article on this report has been published in the journal </span><em><span class="Apple-style-span" style="font-size: medium;">Pediatrics</span></em><span class="Apple-style-span" style="font-size: medium;">. The abstract for this article can be accessed at:</span><a href="http://pediatrics.aappublications.org/cgi/content/abstract/peds.2011-0426v1"><span class="Apple-style-span" style="font-size: medium;">http://pediatrics.aappublications.org/cgi/content/abstract/peds.2011-0426v1</span></a><span class="Apple-style-span" style="font-size: medium;">.</span></p><p><span class="Apple-style-span" style="font-size: medium;">Learn how you can personalize your interactions with and share what you learn on the EHC Program Web site. Visit:</span><a href="http://www.effectivehealthcare.ahrq.gov/index.cfm/personalization-and-social-media-tools/"><span class="Apple-style-span" style="font-size: medium;">http://www.effectivehealthcare.ahrq.gov/index.cfm/personalization-and-social-media-tools/</span></a><span class="Apple-style-span" style="font-size: medium;">.</span></p><p><span class="Apple-style-span" style="font-size: medium;">We welcome your comments on the EHC Program Web site! Please use our “Contact Us” form available at:</span><a href="http://www.effectivehealthcare.ahrq.gov/index.cfm/contact-the-effective-health-care-program/"><span class="Apple-style-span" style="font-size: medium;">h</span></a><a href="ttp://www.effectivehealthcare.ahrq.gov/index.cfm/contact-the-effective-health-care-program/"><span class="Apple-style-span" style="font-size: medium;">ttp://www.effectivehealthcare.ahrq.gov/index.cfm/contact-the-effective-health-care-program/</span></a><span class="Apple-style-span" style="font-size: medium;">.</span></p><p><span class="Apple-style-span" style="font-size: medium;">Thank you,<br />Effective Health Care Program<br /></span><a href="http://www.effectivehealthcare.ahrq.gov%20/"><span class="Apple-style-span" style="font-size: medium;">www.effectivehealthcare.ahrq.gov</span></a></p></span>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-27161669465261590782011-03-24T11:30:00.000-07:002011-03-24T11:32:54.055-07:00Upcoming Conference for folks interested in System Change<!--StartFragment--><span style="font-size:130%;"><span style="font-family:Verdana, Helvetica, Arial;"><span style="font-size:14.0px"><b><u><a href="http://www.pedialink.org/cmefinder/search-detail.cfm?key=65511D4A-EB04-46D9-BFCD-ECA9E84F4A7C&type=event&grp=1&task=details">Future of Pediatrics Conference</a><br /></u></b>Embracing Change: Improving the Health of ALL Children<br />Chicago, Illinois<br />July 29-31, 2011<br /></span></span></span><span style="font-family:Verdana, Helvetica, Arial;"><span style="color:#0000FF;"><span style="font-size:85%;"><span style="font-size:10.0px"><u><a href="http://www.pedialink.org/cmefinder/search-detail.cfm?key=65511D4A-EB04-46D9-BFCD-ECA9E84F4A7C&type=event&grp=1&task=details">http://www.pedialink.org/cmefinder/search-detail.cfm?key=65511D4A-EB04-46D9-BFCD-ECA9E84F4A7C&type=event&grp=1&task=details</a></u></span></span></span><span style="font-size:85%;"><span style="font-size:10.0px"> <i><br /></i></span></span><i><span style="font-size:130%;"><span style="font-size:14.0px">Register by June 29, 2011 for Early Bird Rates!<br /></span></span></i><span style="font-size:130%;"><span style="font-size:14.0px"><br /><b>What is the Future of Pediatrics Conference?<br /></b>With the overall goal of improving child and adolescent health, this conference blends cutting-edge updates on clinical and practice management topics with strategies for advancing medical homes and building partnerships within communities. Learners will apply principles of team-based care, change management, and co-management between pediatric specialists and primary care, to achieve a goal of improving the health of all children. A variety of educational formats will be utilized, including interactive, roundtable, and networking sessions, to provide learners with opportunities to develop innovative, enduring partnerships and transform their practices.<br /><br /><b>Who Should Attend?<br /></b>• Pediatricians in Primary Care Practice<br />• Community Pediatricians<br />• Faculty in General and Community Pediatrics<br />• Pediatric Residents<br />• Family Advocacy and Maternal and Child Health Leaders<br />• Pediatric Nurse Practitioners<br />• Practice Administrators<br />• Other Pediatric Health Care Professionals<br /><br />Earn a Maximum of 17.5 <i>AMA PRA Category 1 Credits</i>TM<br /><br />Register online at <a href="http://www.pedialink.org/cmefinder">www.pedialink.org/cmefinder</a> or call 866/THE-AAP1 (866/843-2271).<br /><br /></span></span><span style="font-size:85%;"><span style="font-size:10.0px">The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 17.5 <i>AMA PRA Category 1 Credits</i>™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.<br /></span></span><span style="font-size:12.0px"><br /></span></span><span style="font-size:130%;"><span style="font-family:Arial Bold;"><span style="font-size:14.0px"><span class="Apple-style-span" style="font-size: large;"><b>Attend the Mental Health Preconference - </b></span></span></span></span><div><span style="font-size:130%;"><span style="font-family:Arial Bold;"><span style="font-size:14.0px"><span class="Apple-style-span" style="font-size: large;"><b>Embracing Mental Health Care: Lessons Learned for Success </b></span><br /></span></span><span style="font-size:14.0px"><span style="font-family:Verdana, Helvetica, Arial;">Thursday, July 28<br />10:00 am-5:15 pm<br /><br />Plan to arrive early and participate in this opportunity designed to empower pediatricians with innovative best practice models for addressing mental health concerns and practical tools for clinical care. Advance registration is required, and seating is limited. A limited number of travel stipends will be available. For more information, visit www.aap.org/mentalhealth.<br /><br /></span></span></span><span style="font-family:Verdana, Helvetica, Arial;"><span style="font-size:85%;"><span style="font-size:10.0px"><i>This preconference is supported by the Child, Adolescent and Family Branch (CAFB), Center for Mental Health Services (CMHS), Substance Abuse and Mental Health Services Administration (SAMHSA). The content of this preconference does not necessarily reflect the views, opinions or policies of CAFB, CMHS, SAMHSA or the Department of Health and Human Services.</i></span></span></span> <!--EndFragment--> </div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-37911046080556412972011-03-19T08:07:00.000-07:002011-03-19T08:38:40.333-07:00Child Services in the Commonwealth: Making it BetterSecretary Bigby is committed to changing the way in which children's services are organized in the Commonwealth (see her letter, <a href="http://olddockeller.blogspot.com/2011/02/reforming-chins-is-not-easy.html">posted last month</a>) Now, several of the groups that advocate for children have weighed in, with a letter and some organizing around upcoming hearings (read it <a href="http://library.constantcontact.com/download/get/file/1104039152999-11/coalition+reorg+letter+3-11-11.pdf">here</a>) To join up, contact <a href="mailto:barbara@childrensleague.org">Barbara</a> at the Children's League.olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-35730906188413298252011-03-18T09:58:00.000-07:002011-03-19T10:01:39.041-07:00A letter from MCPAP<!--StartFragment--><span style="font-family:Verdana, Helvetica, Arial;"><span style="font-size:12.0px"><div><span style="font-family:Verdana, Helvetica, Arial;"><span style="font-size:12.0px">A letter from MCPAP:</span></span></div><div><span style="font-family:Verdana, Helvetica, Arial;"><span style="font-size:12.0px">----------------------</span></span></div><span class="Apple-style-span" style="font-size: small;"><i>Dr. Keller,<br />Behavioral Health Emergency Services (ESP) are available to people of all ages who are uninsured or covered by MassHealth (Medicaid plans). These services are also covered by some commercial insurance companies.<br />A statewide toll-free telephone number is available to help individuals reach their local Emergency Service Program/Mobile Crisis Intervention provider (ESP/MCI). By dialing </i></span><b><span class="Apple-style-span" style="font-size: small;"><i>877-382-1609</i></span></b><span class="Apple-style-span" style="font-size: small;"><i> and entering their zip code, callers will hear a recorded message containing the phone number of the ESP/MCI program in their area. If the zip code is unknown, the caller will be given a number of an ESP/MCI provider to call for the information.<br /></i></span> </span><span class="Apple-style-span" style="font-size: small;"><i>Mobile Crisis Intervention is the youth (under the age of 21) -serving component of an emergency service program (ESP) provider. Mobile Crisis Intervention will provide a short-term service that is a mobile, on-site, face-to-face therapeutic response to a youth experiencing a behavioral health crisis for the purpose of identifying, assessing, treating, and stabilizing the situation and reducing immediate risk of danger to the youth or others consistent with the youth’s risk management/safety plan, if any. This service is provided 24 hours a day, 7 days a week<br />Click </i></span> <a href="http://www.masspartnership.com/provider/pdf/ESPflyerprovandcollatFIN6-8-10.pdf"><span class="Apple-style-span" style="font-size: small;"><i>here</i></span></a><span class="Apple-style-span" style="font-size: small;"><i> for a handy flyer for providers. Click </i></span><a href="http://www.masspartnership.com/provider/pdf/ESPflyerindandfamFIN6-8-10.pdf"><span class="Apple-style-span" style="font-size: small;"><i>here</i></span></a><span class="Apple-style-span" style="font-size: small;"><i> for a handy flyer for families.<br />If you have a patient who is in crisis, please remember that this resource is available. This is an alternative to hospital emergency departments.<br />Thank you.<br />Sincerely,<br />John Straus, MD<br />VP Medical Affairs<br />Massachusetts Child Psychiatry Access Project</i></span> </span> <!--EndFragment--> <div><span style="font-family:Verdana, Helvetica, Arial;"><span class="Apple-style-span" style="font-size: small;"><i>---------------</i></span></span></div><div><span class="Apple-style-span" style="font-family:Verdana, Helvetica, Arial;"><span class="Apple-style-span" style="font-size: small;">Pretty cool. Good to link MCPAP and CBHI.</span></span></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-13224631046844567502011-03-12T09:35:00.000-08:002011-03-12T09:36:27.006-08:00Anxious? Click here<span class="Apple-style-span" style="font-family: arial; font-size: small; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><div style="text-align: center; "><strong>From TEENSCREEN:</strong></div><div style="text-align: center; "><strong>------------------------------------------</strong></div><div style="text-align: center; "><strong><br /></strong></div><div style="text-align: center; "><strong>Anxiety & Adolescents: Recognizing and Managing Teen Anxiety in the<br />Primary Care Office<br /></strong></div><div style="text-align: center; "><br /><strong>Thursday, March 31, 2011<br />1 p.m. - 2:30 p.m. Eastern Daylight Time</strong></div><br /><br />While adolescence is known as a time of normal stress and transition, clinical anxiety disorders can impair a teen’s life and contribute to distress, academic failure and social dysfunction. Left untreated, these disorders often lead to major depression or substance abuse.<br /><br />Anxiety disorders are among the most common of mental illnesses in teens, but only 18% of adolescents with clinical anxiety ever receive treatment. Identifying and managing adolescent anxiety can be challenging. Symptoms and the focus of anxiety are varied and are often misidentified in primary care as somatic complaints due to “normal” teenage stress.<br /><br /><a href="http://www.swiftpage1.com/SpeClicks.aspx?X=2T0ZDJD3HZVYTSRO00ZXWM"><span style="color: rgb(0, 0, 0); "><strong>Anne Marie Albano, PhD, ABPP</strong></span></a> is a leading expert on child, adolescent and young adult anxiety and mood disorders. She is associate professor of clinical psychology in psychiatry in the Division of Child and Adolescent Psychiatry at the Columbia University College of Physicians and Surgeons, and director of the Columbia University Clinic for Anxiety and Related Disorders. She is also President of the Society of Clinical Child and Adolescent Psychology of the American Psychological Association and is Past President of the Association for Behavioral and Cognitive Therapies (ABCT).<br /><br />Dr. Albano will discuss ways to effectively identify anxiety disorders, available evidence-based treatments, strategies primary care providers can use with teens who suffer from anxiety disorders, and helpful resources that can be accessed for providers and parents. <br /><br />Please <a href="https://event.on24.com/eventRegistration/EventLobbyServlet?target=registration. jsp&eventid=295574&sessionid=1&key=1F2745914D3B6F43D5EB8BD0 EE6DDCAE&sourcepage=register">click here</a> to register.<br /><br /><br /></span>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-6891170293425325512011-02-28T09:46:00.000-08:002011-02-28T11:32:36.963-08:00From SAMSHA: A reminder that policies have consequences.<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcIv2gqbGkum3pBy3t54bVxe2mc6ImDIAcmCB3d5aXsUGxToj90T31AeQ5POGRBtir6NWpxRJpu9VP_3G0ORD3hDdfOY5XwOUsLcIwpdfOsrqmPknyKjonoFZ59hATO7mP1BQSGrf_pNc/s1600/Adversity-Impacts-Developmental-Delay.jpg"><img style="float:left; margin:0 10px 10px 0;cursor:pointer; cursor:hand;width: 320px; height: 226px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgcIv2gqbGkum3pBy3t54bVxe2mc6ImDIAcmCB3d5aXsUGxToj90T31AeQ5POGRBtir6NWpxRJpu9VP_3G0ORD3hDdfOY5XwOUsLcIwpdfOsrqmPknyKjonoFZ59hATO7mP1BQSGrf_pNc/s320/Adversity-Impacts-Developmental-Delay.jpg" border="0" alt="" id="BLOGGER_PHOTO_ID_5578800172457891218" /></a><br />SAMSHA sent me a reminder today, that, in two months, it will with be Children's Mental Health Month. They included this graph, from some research out of ASPE in the last administration. In the accompanying report, it was pointed out that the way to prevent this from happening was to strengthen the social network around parents and children. So why are budget cuts in the current House Continuing Resolution targeting programs that support that very network? Full report available <a href="http://aspe.hhs.gov/hsp/08/devneeds/report.pdf">here</a>.<div><br /></div><div><br /></div><div><blockquote></blockquote>"<span class="Apple-style-span" style=" ;font-family:Verdana, Arial, Helvetica, sans-serif;font-size:13px;">Young children exposed to five or more significant adversities in the first 3 years of childhood face a 76 percent likelihood of having one or more delays in their cognitive, language, or emotional development. The likelihood of delay increases in nearly a straight line with the number of risks.<sup>1</sup><p>However, research has shown that caregivers can buffer the impact of stress and promote better outcomes for children even under stressful times when the following Strengthening Families Protective Factors<sup>2</sup> are present:</p><ul style="margin-top: 2px; padding-top: 0px; "><li style="margin-bottom: 5px; padding-bottom: 2px; ">Parental resilience</li><li style="margin-bottom: 5px; padding-bottom: 2px; ">Social connections</li><li style="margin-bottom: 5px; padding-bottom: 2px; ">Knowledge of parenting and child development</li><li style="margin-bottom: 5px; padding-bottom: 2px; ">Concrete support in times of need</li><li style="margin-bottom: 5px; padding-bottom: 2px; ">Social and emotional competence of children</li></ul></span></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-14663171806306952072011-02-25T13:30:00.000-08:002011-02-25T13:47:18.403-08:00Need help navigating the system? Sometimes a kid needs a lawyer.<p style="margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; font: normal normal normal 24px/normal Georgia; "><span class="Apple-style-span" style="font-family:arial;"><span class="Apple-style-span" style="font-size:small;">50 years ago, </span><a href="http://www.youtube.com/watch?v=g3IKBr38SY0"><span class="Apple-style-span" style="font-size:small;">Leonard Bernstein</span></a><span class="Apple-style-span" style="font-size:small;"> captured the essential dilemma of the juvenile justice system in the song "Office Krupke", where a youth on the street goes from police officer to social worker to psychiatrist to judge in an eternal circle of ineffective care. Health Law Advocates has been trying to break that circle through the Mental Health Guardian Ad Litum program. Can be useful sometimes to have someone looking for a way out. (By the way, doesn't Lenny look great on YouTube? Really miss having him around...)</span></span></p><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 24.0px Georgia; color: #bb003b">---------------------------------------------</p><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 24.0px Georgia; color: #bb003b"><a href="http://www.healthlawadvocates.org/">HLA and Children's Mental Health</a></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Arial; color: #797a79"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Arial; color: #797a79">One of HLA's leading initiatives is our Children's Mental Health Access Project (CMHAP). Since we launched this initiative, HLA's work in this area has helped scores of families to overcome obstacles to securing diagnoses, treatment, and follow-up care for their children with unmet mental health needs.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Arial; color: #797a79">A major component of HLA's CMHAP is our Mental Health Guardian Ad Litem (GAL) program which focuses on helping juvenile court-involved children who need mental health care. HLA attorneys are appointed by Juvenile Court Justices in select locations as Mental Health GAL for children in court who are falling through the cracks of the mental health system. The Mental Health GAL's role is to identify the child's unmet mental health needs, advocate on behalf of the child's interests and recommend judicial actions.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Arial; color: #797a79">Numerous studies have measured a high incidence of mental illness among children in the juvenile justice system. The enormous cost of not diagnosing and treating mental illness in these children is apparent. Children who do not get the care they need are at greater risk of entering and remaining in the juvenile detention system and eventually the adult justice system, resulting in substantial social and economic costs to families, communities, and public agencies.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Arial; color: #797a79">HLA's Mental Health GAL Project is currently supported by the Klarman Family Foundation and has received past support from the Jesse B. Cox Charitable Lead Trust, the Health Foundation of Central Massachusetts, the Nord Family Foundation and the Massachusetts Bar Foundation.</p><br /><iframe title="YouTube video player" width="480" height="390" src="http://www.youtube.com/embed/pq28qCklEHc" frameborder="0" allowfullscreen></iframe>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-26191093967077174912011-02-24T14:39:00.001-08:002011-02-24T14:40:08.484-08:00Reforming CHINS is not easyI guess it is harder to reform CHINS than it looked. Secretary Bigby sent this out today.<div>----------------------</div><div><br /></div><div><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"><b>Letter from Secretary Bigby</b></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Tahoma; color: #12007c"><b>Sent:</b>Wednesday, February 23, 2011 7:50 PM</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Tahoma; color: #12007c"><b>Subject:</b> A Message from Secretary Bigby</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">Dear Colleagues, </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">I am writing to keep you informed and engaged in an exciting effort to strengthen the many services and supports we provide to children, youth and families. Since I became Secretary, I have heard from a diverse range of stakeholders - including families we serve, agency staff and advocates - about the need for a more integrated and coordinated system of services. I have also heard the need for services that strengthen families through a respectful approach that is holistic, responsive to each family's unique needs, and community-focused. In numerous forums, including the Human Service forums hosted by Governor Patrick in 2009 and 2010 and the recent Children's League Advocacy Day at the State House, advocates and stakeholders encouraged the Patrick- Murray Administration to address the "current maze of agencies" to make the service delivery system more closely coordinated and with a single access point for families seeking services. </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">Governor Patrick has heard the repeated requests from numerous sectors of the child-serving community to strengthen service access and coordination and has asked EOHHS to engage with a broad range of stakeholders to define how to reform the Commonwealth's services for children and families. We began discussions with agencies and with some stakeholders. In the coming weeks we will continue our discussion about how we can together streamline and strengthen the services and supports we offer to children, youth and families. We look forward to engaging in a thorough and thoughtful series of discussions about our ideas for improving service delivery. State employees, so many of whom are on the "front lines" of service delivery, will play an integral role as we refine our plans and we plan to engage Union leadership throughout this process. I welcome your input and feedback and will be in touch with you again soon with more information about this process. </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">In the meantime, thank you for the work you do each and every day on behalf of all of our consumers and for your commitment to working with us to strengthen the services and supports we offer. </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Verdana; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">JudyAnn Bigby, M.D. </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c">Secretary</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 15.0px Arial; color: #12007c"> </p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">JudyAnn Bigby, M.D.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">Secretary, Executive Office of Health and Human Services</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">One Ashburton Place, Suite 1109</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">Boston, MA 02108</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">617 573-1800</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 13.0px Times; color: #929292">Assistant: Mary Skahen (<span style="text-decoration: underline ; color: #493aac">mary.skahen@state.ma.us</span>)</p></div><div><br /></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-91496579731414044662011-02-18T01:26:00.000-08:002011-02-17T20:28:27.846-08:00Family Perspective is Worthwhile.<div><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px">Too much interesting stuff going on in the world.</p><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px">-----------------</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px"><br /></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco">FEB. 18TH CHILDREN’S CONFERENCE CALL WITH DR. KEN DUCKWORTH</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px"><br /></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco">Save the Date: Friday, February 18th, 2011, from 11:00a.m. to 12:30p.m. Eastern Time.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco">Topic: The Integration of Mental Health and Primary Care ~ The Family Perspective</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px"><br /></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco">NAMI will be on the February Children’s Conference Call with Dr. Duckworth to discuss the integration of primary care and mental health from the perspective of families. We conducted a national survey on the family experience with primary care physicians and staff and will share some of the survey results during the call. We will also discuss the role primary care physicians can play in the early identification and intervention of mental illness.</p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco; min-height: 16.0px"><br /></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 12.0px Monaco">Friday children’s conference calls with Dr. Ken Duckworth, NAMI’s medical director and a child and adolescent psychiatrist, take place on the third Friday of every month. The calls are toll free and are scheduled from 11:00 a.m. – 12:30 p.m. E.T. To access the toll-free call, please dial 1-888-858-6021; access number 309918#. We hope that you will join us!</p></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-33903458591175634932011-02-17T12:51:00.000-08:002011-02-17T12:54:33.388-08:00This is not good for children.Wraparound requires that you have services to network with. The current Federal budget debate puts that at risk, as outlined in the letter I got today from Michael Petit:<div>---</div><div><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Dear David,</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 16.0px Times; min-height: 19.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">This has been a major week for the future of children</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s programs. We want to give you a breakdown of what is being debated and tell you what you can do to fight the wrong decisions many in Congress want to make.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><b><span class="Apple-style-span" style="font-size:x-small;">Background</span></b></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">On October 1st of last year, the federal fiscal year 2011 began. The Congress did not pass a budget funding government programs. Instead they passed what is known as a </span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">“</span></span><span class="Apple-style-span" style="font-size:x-small;">continuing resolution</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">”</span></span><span class="Apple-style-span" style="font-size:x-small;"> that funds programs at essentially the same level they were in 2010. This resolution will expire on March 4th. Congress needs to pass final legislation that will fund the government until September 30th of this year or at some point government could "shutdown.' The fiscal year for 2012 will begin on October 1st of this year.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><b><span class="Apple-style-span" style="font-size:x-small;">What the Congress is Currently Considering</span></b></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">The House of Representatives recently proposed a series of cuts to the budget for this year. Last week we told you about how they proposed $32 billion in cuts </span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">–</span></span><span class="Apple-style-span" style="font-size:x-small;"> including to the Maternal and Child Health Block Grant, the Women, Infants, and Children (WIC) program, community health centers, poison control centers, and other children</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s programs. This was not enough for some members of the House, particularly those who associate with the </span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">“</span></span><span class="Apple-style-span" style="font-size:x-small;">Tea Party</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">”</span></span><span class="Apple-style-span" style="font-size:x-small;"> movement. On Friday night, a day and time known by government officials as the best to release information that they know will get the least amount of media coverage, the Appropriations Committee offered an additional </span><span style="text-decoration: underline ; color:#2500cf;"><span class="Apple-style-span" style="font-size:x-small;">$42 billion in cuts</span></span><span class="Apple-style-span" style="font-size:x-small;">. These include</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Head Start - $1 billion (15%) cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Community Health Centers - $1 billion cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Community Services Block Grant - $341 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Low Income Home Energy Assistance contingency fund - $390 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Title I (K-12 education for low-income students) - $693.5 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">IDEA (special education) grants to states - $560 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Special Supplemental Nutrition Program for Women, Infants, & Children (WIC) - $747 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">21st Century Community Learning Centers (after school programs) - $100 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Maternal and Child Health Block Grant - $50 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Child Care Development Block Grant - $39 million cut</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Many other children's programs will be eliminated entirely. Some examples include:</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Teen Pregnancy Prevention Grants</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Mentoring Children of Prisoners</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Even Start</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Striving Readers</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">High School Graduation Initiative</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Student Aid </span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">–</span></span><span class="Apple-style-span" style="font-size:x-small;"> for higher education</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">LEAP program (for low-income college students)</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">The House could include even more cuts as they debate this resolution.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">These cuts are wrong on many levels. They harm children at a vulnerable time in their development. The economy remains in recession, and an all-time record number of children (14,567,000) currently live in poverty. Cuts like this would mean that 368,000 low income 3-and 4-year olds would lose the education and nutrition program they receive at their Head Start center. The education cuts, along with others being made in states, would leave thousands of teachers out of jobs this year. Many in Washington say these cuts are needed to reduce the deficit. However, these cuts would take only 2% off this year</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s projected deficit. So essentially, these cuts harm children and don</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">t solve America</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s fiscal challenges.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><b><span class="Apple-style-span" style="font-size:x-small;">What You Can Do</span></b></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Contact your member of the House and Senators and tell them you oppose these cuts and why. They will listen to you. The original House proposal included a $210 million cut to the Maternal and Child Block Grant. When they heard from people opposed to this, the Republicans reduced their cut to $50 million. Many lawmakers are not fully supportive of all these cuts. When they reduce these cuts, they are showing just how much discomfort they have. </span><span style="text-decoration: underline ; color:#2500cf;"><span class="Apple-style-span" style="font-size:x-small;">Click here</span></span><span class="Apple-style-span" style="font-size:x-small;"> to contact your representatives. Some suggestions when you get hold of someone in their office:</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Tell them that Congress needs to start budgeting like real families and put our nation's kids first! Please stop these harmful proposed cuts to programs that are essential for our nation's economic future.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Remind them that scientific research and leading economists have said for years that investing in children is one of the smartest investments we can make. We need more investments in the health, safety, and education of children, not mindless cuts.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Ask them what they would say to the 4-year-old in their district or state who is forced out from his or her Head Start program.</span></p><p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Let us know what they say. </span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;"> </span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><b><span class="Apple-style-span" style="font-size:x-small;">What Happens Next</span></b></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Even if the House of Representatives passes all of these cuts to the budget for this year, the Senate has their say as well. Senator Daniel Inouye of Hawaii, the chairman of the Senate Appropriations Committee, has </span><span style="text-decoration: underline ; color:#2500cf;"><span class="Apple-style-span" style="font-size:x-small;">slammed these cuts</span></span><span class="Apple-style-span" style="font-size:x-small;">, saying </span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">“</span></span><span class="Apple-style-span" style="font-size:x-small;">they would impede the federal government from completing even its most core functions.</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">”</span></span><span class="Apple-style-span" style="font-size:x-small;"> President Obama has threatened to </span><span style="text-decoration: underline ; color:#2500cf;"><span class="Apple-style-span" style="font-size:x-small;">veto these cuts</span></span><span class="Apple-style-span" style="font-size:x-small;">. This debate will continue throughout the year.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">At some point, Congress will begin debating the budget for next year. This week, President Obama released his </span><span style="text-decoration: underline ; color:#2500cf;"><span class="Apple-style-span" style="font-size:x-small;">budget for 2012</span></span><span class="Apple-style-span" style="font-size:x-small;">. Overall, it contains a small increase to children</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s programs. Not all programs receive an increase. The President proposed cuts in juvenile justice, heating assistance for low-income families, and community service programs. He makes up for this somewhat with increases in Head Start, afterschool programs, child nutrition, child health, and education programs. We will let you know much more about this proposal for next year, but the main business in Washington is to fight the cuts House members want to make to children</span><span style="font: 18.0px 'Arial Unicode MS'"><span class="Apple-style-span" style="font-size:x-small;">’</span></span><span class="Apple-style-span" style="font-size:x-small;">s programs, right now.</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><span class="Apple-style-span" style="font-size:x-small;"><br /></span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Michael Petit</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">President</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial"><span class="Apple-style-span" style="font-size:x-small;">Every Child Matters Education Fund</span></p> <p style="margin: 0.0px 0.0px 0.0px 0.0px; font: 18.0px Arial; min-height: 21.0px"><br /></p></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-45726072706131535452011-02-16T03:25:00.001-08:002011-02-16T03:28:07.362-08:00Mental Health Parity is Still ConfusingStill trying to understand Mental Health Parity? Me too. These might help:<div>-------</div><div><span class="Apple-style-span" style="font-family: Arial; font-size: 12px; "><p style="font-size: 18px; color: rgb(107, 19, 17); "><b>Free Webinars for Consumers: The Mental Health Parity and Addiction Equity Act (MHPAEA)</b></p><p>SAMHSA's <a href="http://www.pfr.samhsa.gov/">Partners for Recovery Initiativ</a><a href="http://links.govdelivery.com:80/track?type=click&enid=bWFpbGluZ2lkPTEyMTI3MTkmbWVzc2FnZWlkPVBSRC1CVUwtMTIxMjcxOSZkYXRhYmFzZWlkPTEwMDEmc2VyaWFsPTEyNzY1NzAxNzImZW1haWxpZD1kYXZpZC5rZWxsZXJAdW1hc3NtZWQuZWR1JnVzZXJpZD1kYXZpZC5rZWxsZXJAdW1hc3NtZWQuZWR1JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&101&&&http://www.pfr.samhsa.gov" style="color: rgb(0, 102, 204); ">e</a> invites you to two free webinars on the new Federal parity law.</p><hr /><p><b>Parity 101 | February 17, 2011 | 1 to 2 p.m. Eastern Time</b></p><p>The webinar will provide a general overview of MHPAEA and the recently released Interim Final Rule. The webinar, which is directed to consumers, will be presented by health policy experts from the Legal Action Center.</p><p><a href="https://www3.gotomeeting.com/register/117512302">Register for Parity 101 Webinar</a></p><hr /><p><b>Parity 201 | March 10, 2011 | 1 to 2 p.m. Eastern Time</b></p><p>The webinar, designed for states and providers, includes a detailed discussion about implementation of MHPAEA. This discussion will provide details on state-level implementation efforts, interplay between the Federal parity law and state parity laws, and anticipated additional pieces of regulatory guidance.</p><p><a href="https://www3.gotomeeting.com/register/676182222">Register for Parity 201 Webinar</a></p></span></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.comtag:blogger.com,1999:blog-2717981922140255239.post-28429725832705336612011-02-15T02:53:00.000-08:002011-02-16T03:33:15.757-08:00This looked interesting. Wish I had time to listen in.<div>----------------------------------------------------------------<br /></div><div><span class="Apple-style-span" style="font-family: Helvetica; font-size: medium; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><p class="MsoPlainText" align="center" style="margin-right: 0in; margin-left: 0in; margin-bottom: 12pt; text-align: center; font-family:'Times New Roman', serif;font-size:12pt;"><strong><span style="font-family:Verdana, sans-serif;">TeenScreen National Center Webinar<br />Managing ADHD in Children and Adolescents:A Clinical Update<br />Wednesday, February 23, 2011</span></strong></p><p class="MsoPlainText" align="center" style="margin-right: 0in; margin-left: 0in; margin-bottom: 12pt; text-align: center; font-family:'Times New Roman', serif;font-size:12pt;"><strong><span style="font-family:Verdana, sans-serif;"><br /></span></strong></p><strong><span style="font-family:Verdana, sans-serif;"><div style="text-align: left;"><span class="Apple-style-span" style="font-family: Helvetica; font-weight: normal; "><strong><span style="font-family:Verdana, sans-serif;">ADHD remains the most prevalent and challenging of behavioral disorders in school-aged children. With research showing that children with ADHD face increased risks of major depression and suicidal ideation in adolescence, clinicians are confronting both the immediate and potentially long-term burdens of a disease that can impact a patient’s emotional, social and academic life.</span></strong></span></div><o:p></o:p></span></strong><p></p><strong><p class="MsoPlainText" style="margin-right: 0in; margin-left: 0in; font-family:'Times New Roman', serif;font-size:12pt;"><span style="font-family:Arial, sans-serif;"><a href="http://www.teenscreen.org/library/events-webinars/managing-adhd-in-children-adolescents"><span class="Apple-style-span" style="color:#000000;">Lawrence Greenhill, MD</span></a>, is a child and adolescent psychiatrist and a leading researcher on the treatment of ADHD. The Ruane Professor of Clinical Psychiatry at Columbia University and current President of the American Academy of Child and Adolescent Psychiatry, Dr. Greenhill will discuss the latest research and clinical advances in the treatment and management of ADHD.<br /><br /><strong><span style="font-family:Arial, sans-serif;"><a href="https://event.on24.com/eventRegistration/EventLobbyServlet?target=registration.jsp&eventid=285638&sessionid=1&key=2809C954E0B089B348C27B7DAF670453&sourcepage=register"><span class="Apple-style-span" style="color:#000000;">Click here</span></a> to register</span></strong><br /><br /><a href="http://www.teenscreen.org/library/events-webinars/managing-adhd-in-children-adolescents"><span class="Apple-style-span" style="color:#000000;">Click here</span></a> for event details.</span></p></strong></span></div>olddockellerhttp://www.blogger.com/profile/12774007380361537520noreply@blogger.com