An emphasis on services for those with Substance Abuse which is a large presenting problem Further information is needed as to the day of week presentation so that the program design could be more efficient. The remaining presentations run a gamut from high intensity to low intensity. The 13-17 year old cohort is very significantly represented. The specific program design should include attention to substance abuse and other adolescent issues. Specific outcomes must be articulated for the providers of components of the Children's Emergency Mental Health system.
Oversight is a key.
It is recommended that local third party and Medicaid Managed Care providers be brought in to the planning to attempt to secure their participation and payment for services. The design of services proposed requires competent well trained staff. It is recommended that the wage structure be built to support this. In addition, with the addition of a residency program in child psychiatry, there would be some availability of a child psychiatrist to evaluate, and to medicate if appropriate. This is not currently available at CPEP despite recruitment efforts.