Illinois Administrative Code › Title 59 - MENTAL HEALTH › Part 131 - CHILDREN'S MENTAL HEALTH SCREENING, ASSESSMENT AND SUPPORT SERVICES PROGRAM › Appendix A - DHS/DMH Target Population

Current through Register Vol. 48, No. 28, July 12, 2024
The DHS/DMH target population, for purposes of this Part,
				consists of children 17 years of age or younger who meet the diagnoses criteria
				of subsection (a) and treatment history of subsection (b) or who meet the
				diagnoses criteria of subsection (a) and functional criteria of subsection
				(c).
a) Diagnoses
One of the following DSM-IV diagnoses that is the
				focus of the treatment being provided:
1) Attention Deficit/Hyperactivity Disorders
				(314.00, 314.01, 314.9)
2) Schizophrenia (295.xx)
3) Schizophreniform Disorder (295.4)
4) Schizo-Affective Disorder (295.7)
5) Delusional Disorder (297.1)
6) Shared Psychotic Disorder (297.3)
7) Brief Psychotic Disorder (298.8)
8) Psychotic Disorder (298.5)
9) Bipolar Disorders (296.0 x, 296.4 x, 296.5 x,
				296.6 x, 296.7, 296.80, 296.89, 296.90)
10) Cyclothymic Disorder (301.11)
11) Major Depression (296.2 x, 296.3 x)
12) Panic Disorder with or without Agoraphobia
				(300.01, 300.21)
13) Obsessive-Compulsive Disorder (300.30 )
14) Anorexia Nervosa (307.1)
15) Bulimia Nervosa (307.51)
16) Post Traumatic Stress Disorder (309.81)
17) Intermittent Explosive Disorder (312.34)
18) Tourette's Disorder (307.23)
b) Treatment History
Treatment history covers the client's lifetime
				treatment and is restricted to treatment for a DSM-IV diagnosis specified in
				subsection (a).
The youth must meet at least ONE of the following
				criteria:
1) Continuous treatment of six months or more in
				one, or a combination of, the following:
A) inpatient treatment;
B) day treatment; or
C) partial hospitalizations.
2) Six months of continuous residence in a
				residential treatment center.
3) Two or more admissions of any duration to
				inpatient treatment, day treatment, partial hospitalization or residential
				treatment programming within a 12 month period.
4) A history of using the following outpatient
				services over a one year period, either continuously or intermittently:
A) psychotropic medication management;
B) case management; or
C) SASS/intensive community-based services.
5) Previous treatment in an outpatient modality and
				a history of at least one mental health psychiatric hospitalization.
c) Functional Criteria
Functional criteria has been purposely narrowed to
				descriptors of the most serious levels of functional impairment and are not
				intended to reflect the full range of possible impairments.
The functional impairment must be the result of the
				mental health problems for which the child is, or will be, receiving care and
				must be expected to persist in the absence of treatment.
The youth must meet criteria for functional
				impairment in TWO of the following areas:
1) Functioning in self care - Impairment in
				age-appropriate self-care skills is manifested by a person's consistent
				inability to take care of personal grooming, hygiene, clothing, and meeting of
				nutritional needs.
2) Functioning in community - Impairment in
				community functioning is manifested by a consistent lack of age-appropriate
				behavioral controls, decision-making, judgment and value systems that results
				in potential involvement in the juvenile justice system.
3) Functioning in social relationships - Impairment
				of social relationships is manifested by the consistent inability to develop
				and maintain satisfactory relationships with peers and adults.
4) Functioning in the family -
A) Impairment in family functioning is manifested by
				a pattern of:
i) disregard for the safety and welfare of self or
				others, e.g., fire setting, serious and chronic disruptiveness;
ii) significantly disruptive behavior exemplified by
				repeated and/or unprovoked violence to siblings and/or parents; or
iii) inability to conform to reasonable limitations
				and expectations.
B) The degree of impairment requires intensive
				(i.e., beyond age-appropriate) supervision by parent/caregiver and may result
				in removal from the family or its equivalent.
5) Functioning at school - Impairment in functioning
				at school is manifested by the inability to pursue educational goals in a
				normal time frame, e.g., consistently failing grades, repeated truancy,
				expulsion, property damage, or violence toward others that cannot be remediated
				in a classroom setting (whether traditional or specialized).