Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 302 - SERVICES DELIVERED BY THE DEMENT OF CHILDREN AND FAMILY SERVICES › Subpart C - DEPARTMENT CHILD WELFARE SERVICES › Section 302.390 - Behavioral Health Services

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Behavioral health services are available to all children and youth for whom the
				Department has placement and care responsibility.
b) The child's behavioral health needs shall
				be assessed as the child enters care as a part of the integrated assessment and
				on an ongoing basis through the Administrative Case Review or through the
				completion of the Child and Adolescent Needs and Strengths (CANS) assessment
				tool anytime a change in the level of service is considered.
c) The behavioral health services provided
				shall be based on the child's needs and may be provided at the site of the
				program, residential facility, foster home or other appropriate place. The
				placement provider shall assist in arranging for the child to receive the
				behavioral health services from an outside provider when those services are
				required to meet the child's clinical needs.
d) Behavioral health services include, but
				are not limited to:
1) Assessment is the
				evaluation of an individual's development, behavior, intellect, interests,
				personality, cognitive processes, emotional functioning and/or social
				functioning, for the purpose of identifying needs and developing
				recommendations for services and/or intervention. Assessment methods include
				interviewing, systematic observation and/or psychometric testing.
2) Evidence-based treatments, sometimes
				referred to as empirically validated treatments or empirically supported
				therapy, are clinical practices that have been clearly described and are
				supported by scientific research and evidence.
3) Psychosocial rehabilitation addresses the
				specific needs of persons who have a severe mental illness or psychiatric
				disability. The broad goals of psychosocial rehabilitation are to improve the
				child's or youth's skills and functioning and to develop the environmental
				supports necessary to maintain the child or youth in a foster home, school and
				the community.
4) Specialized
				foster care is a foster or adoptive home in which specialized services are
				provided to meet the emotional, behavioral, developmental or medical needs of a
				child placed in the home. Children in specialized foster care may require a
				wheel chair or a feeding tube, have a severe visual or speech impairment, or
				have disorders such as compulsive behaviors, mental retardation, substance
				abuse problems or a mental illness.
5) Transition planning services are the
				assessments, activities and support services needed to assist an adolescent in
				his or her preparation for self-sufficiency in adulthood. Transition planning
				services begin when the youth is age 141/2 years and continues until the youth
				is discharged from the guardianship of DCFS.
6) Transition planning for youth who have a
				developmental disability shall be based on an assessment of cognitive
				functioning, adaptive functioning and capacity for independent living. Skill
				areas may include personal care, food preparation, safety precautions, use of
				public transportation, money management and vocational interests and
				abilities.
7) Integrated assessment
				(IA) is a comprehensive interview and standardized clinical screening process
				with children and their parents/guardians, conducted immediately following the
				child's removal from the home. The purpose of this assessment is early
				evaluation of the child's developmental, medical, educational,
				social-emotional, and mental health functioning and needs, to assess the
				child's response to trauma and to develop recommendations for services and
				interventions that support the child's need for safety, well-being and
				permanency.
8) Early intervention
				(EI) means the developmental/educational, social and health services provided
				to infants and toddlers (0 to 3 year of age) designed to maximize their
				development. Early intervention services include such services as speech and
				language services, occupational therapy, physical therapy, medical/health
				services, and psychological and social work services, Early intervention
				services are provided to children who are developmentally delayed, have
				conditions that typically result in delay, or are at risk of substantial
				developmental delay.
9) Mental
				health services are treatment services for developmental, behavioral, emotional
				and mental disorders that may affect children and interfere with normal
				development and functioning. Mental health services include, but are not
				limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals and
				aftercare.
A) Screening of children for whom
				the Department is legally responsible who are at risk for psychiatric
				hospitalization shall be provided in accordance with 59 Ill. Adm. Code 131
				(Children's Program), and shall be based on a referral to the State's Crisis
				and Referral Entry Service (CARES) (see 59 Ill. Adm. Code
				131.20 ).
B) Community mental health services for
				children for whom the Department is legally responsible shall be provided in
				accordance with 59 Ill. Adm. Code 132 (Medicaid Community Mental Health
				Services Program). These services shall be provided by entities certified by
				the Department, the Department of Human Services or the Department of
				Corrections to provide mental health services and that are enrolled in the
				Illinois Medical Assistance program pursuant to 89 Ill. Adm. Code
				120.
10) The
				Department's Early Childhood Program conducts developmental and
				social-emotional screenings of children in foster care, birth to age five
				years, to assess developmental, social-emotional and/or mental health needs.
				Early childhood intervention provides support to caregivers to promote the
				child's development in key domains such as communication, attachment and
				mobility, to promote the child's coping and confidence, and to prevent the
				emergence of future problems.
11)
				Substance abuse services are activities that are designed to reduce, defer or
				eliminate substance abuse and/or chemical dependency through the use of
				prevention, treatment and ongoing recovery programs. Services provided by the
				Department include screening, referral, treatment, drug-testing and aftercare.
				Substance abuse services are available to children and adults.
12) Child and Adolescent Needs and Strengths
				(CANS) is an inventory that is used universally within the Department to
				evaluate a child's functioning and strengths in multiple domains. CANS tool
				does not provide a clinical diagnosis, but rather a focus for treatment. CANS
				is completed during the integrated assessment and at specified junctures during
				the child's or youth's time in care.
13) Trauma treatment is comprised of a
				variety of therapeutic services and interventions, including the type of
				placement, that are provided within a Trauma-Informed System that recognizes
				that most children in the child welfare system have been exposed to significant
				traumatic experiences and require a broad range of individual and community
				supports and behavioral health services. Trauma services provided by the
				Department are evidence-based and have been proven to facilitate recovery from
				trauma.