# Presentation: 691706

## Federal-National Partnership For the Transformation of Children’s Mental Health Care in America

*Washington, DC**November 22, 2004*

**A. Kathryn Power, M.Ed., Director **
**Center for Mental Health Services**

## Age			Number
Under 5 years	19,175,798
5 to 9 years		20,549,505
10 to 14 years		20,528,072
15 to 19 years		20,219,890

A child is born in the United States every 8 seconds.

Source:  U.S. Census Bureau
Census 2000

**Under 5 years****	****19,175,798**
**5 to 9 years****	****	****20,549,505**
**10 to 14 years****	****	****20,528,072**
**15 to 19 years****	****	****20,219,890**
**A child is born in the United States every 8 seconds.**
- Source:  U.S. Census Bureau
- Census 2000

**America’s  Children**

## In a transformed mental health system―

**Goal 1.** Americans understand that mental health is essential to overall health
**Goal 2.** Mental health care is consumer and family driven
**Goal 3.** Disparities in mental health services are eliminated
**Goal 4.** Early mental health screening, assessment, and referral to services are common practice
**Goal 5.** Excellent mental health care is delivered and research is accelerated
**Goal 6.** Technology is used to access mental health care and information

## Goal 1: Americans Understand That Mental Health Is Essential to Overall Health

**Recommendations**
**1.1** — Advance and implement a national campaign to reduce the stigma of seeking care and a national strategy for suicide prevention
**1.2** — Address mental health with the same urgency as physical health

## Goal 2:Mental Health Care Is Consumer and Family Driven

**Goal 2:*****Mental Health Care Is Consumer and Family Driven***

**Recommendations**
**2.1****—**Develop an individualized plan of care for every adult with a serious mental illness and every child with a serious emotional disturbance
**2.2****—**Address mental health with the same urgency as physical health
**2.3****—**Align relevant Federal programs to improve access and accountability for mental health services
**2.4****—**Create a Comprehensive State Mental Health Plan
**2.5****—**Protect and enhance the rights of people with mental illnesses

## Goal 3:Disparities in Mental Health Services Are Eliminated

**Recommendations**
**3.1****—**Improve access to quality care that is culturally competent
**3.2****—**Improve access to quality care in rural and geographically remote areas

## Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice

**Recommendations**
**4.1**—Promote the mental health of young children
**4.2**—Schools should have the ability to play a larger role in mental health care for children
**4.3**—Screen for co-occurring mental and substance abuse disorders and link with integrated treatment strategies
**4.4**—Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and support

## Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated

**Recommendations**
**5.1****—**Accelerate research to promote recovery and resilience and, ultimately, to cure and prevent mental illnesses
**5.2****—**Advance evidence-based practices (EBPs) using dissemination and demonstration projects and create a public-private partnership to guide their implementation

## Goal 5:Excellent Mental Health Care Is Delivered and Research Is Accelerated

**5.3****—**Improve and expand the workforce providing evidence-based mental health services and supports
**5.4****—**Develop the knowledge base for...
- Eliminating mental health disparities
- Assessing long-term effects of medications
- Reducing impact of trauma
- Improving acute care

## Goal 6:Technology Is Used To Access Mental Health Care and Information

**Recommendations**
**6.1****—**Use health technology and telehealth to improve access and coordination of mental health care, especially for Americans in remote areas or in underserved populations
**6.2****—**Develop and implement integrated electronic health record and personal health information systems

## Federal Partners Workgroup

_**Human Services**_**	****	****       ****	**_**Other Federal Partners**_
**AoA****	****	****NIH/NIDA****	****Department of Education**
**ACF****	****	****NIH/NIMH****	****Department of Housing ****	****	****	****	****	****       and Urban****	****	****	****	****	****	****       Development**
**	****	****	****	****	****	****   ****	****    **
**AHRQ****	****	****OS/ASPE****	****Department of Justice**
**CDC ****	****	****OS/OCR****	****       ****	****Department of Labor**
**CMS ****	****	****OS/OD****	**** ****	****       ****	****	****	****	**** ****	****OS/OPHS****	****Social Security ****	****	****	****	****	****	****      Administration**
**	**** ****	****	****	****   **
**HRSA****	****	****SAMHSA ****	****Department of Veterans **
**IHS****	****	****	****	****      Affairs**** ****	**** ****	****	****    **
** ****	****	****	**** ****	****	****	****	****	**

**Federal Partners Workgroup**

## Groups Responsible for Federal Action Agenda Priorities for Children, Youth, and Their Families

**Adults****and****Children and Youth**

**Adults****and****Children and Youth**

**Children, Youth,****and****Their Families**

**Federal Steering Committee**

**Senior Federal Workgroup**
**(18 Federal Agencies)**

**Federal-National Partnership**
**(18 Federal Agencies and ****Other Child-Related National Organizations)**

## Transformation as a Strategy for Innovation

**Continuous Small Steps **
- A  focus on core missions, improving what the system is already doing.

**A Series of Many Exploratory Medium Jumps**
- Pushing the boundaries of core competencies, trying to create something new within the existing paradigm.

**A Few Big Jumps**
- New rule sets that leverage new ideas.

**Transformation as a Strategy ****for Innovation**

## “Family-driven” means...

- ...families have a decisionmaking role in the care of their own children as well as the policies and procedures governing care for all children in the community, State, and Nation. This includes choosing supports, services, and providers; setting goals; designing and implementing programs; monitoring outcomes; and determining effectiveness of all efforts to promote the mental health of children and youth.

## “Nothing ever built arose to touch the skies unless some [individual] dreamed that it should, some [individual] believed that it could, and some [individual] willed that it must!”

Charles Kettering (1876-1958)
Engineer, industrial pioneer, 
and apostle of progress

- Charles Kettering (1876-1958)
- Engineer, industrial pioneer,
- and apostle of progress