Children and Adolescents - Section 4: Goals and Objectives

STRATEGIC PRIORITY 1: Provide sufficient home and community-based services to give consumers real options in care settings.

GOAL 1

Develop and implement a statewide, unified, state-of-the-art System of Care to promote optimal social and emotional development for all children, adolescents, and young adults with behavioral health needs.

Objectives Short Term
  1. Review all current services for conformity to the stated Vision, Mission, and Values.
  2. Revise policy and service delivery as necessary to support the Vision, Mission and Values.
  3. Review Medicaid rule to ensure all necessary services are addressed and covered by the rule.

STRATEGIC PRIORITY 2: Improve access to care

GOAL 1

Develop and implement a work force development strategy to ensure the expansion of core competencies within the Behavioral Health system that are grounded in the System of Care values and principles.

Objectives Short Term
  1. Review current training, technical assistance, and coaching approaches to identify gaps or opportunities to improve in order to ensure that providers are prepared and skilled in the Systems of Care approach.
Objectives Long Term
  1. Develop new curriculum to fill any identified gaps or opportunities to improve work forces strategies.
  2. Create an ongoing training, technical assistance and coaching mechanism to ensure that providers are prepared and skilled to provide effective services and supports consistent with the Systems of Care approach.
  3. Conduct newly developed and improved training


GOAL 2:  Develop and redesign the current mental health system allowing service delivery for all children, adolescents, and young adults regardless of individual needs, strengths, and level of acuity.

Objectives Short Term :
  1. Adopt quality indicators and benchmarks which demonstrate sufficient home, school, and community based care options.
  2. Create an efficient and effective transition planning process to support children, adolescents, and young adults as they move across levels of care and child serving systems.
Objectives Long Term:
  1. Create a uniform set of minimum requirements that will be utilized across all child serving systems for assessment and treatment planning.


GOAL 3: Redesign the current Children's Mental Health Service delivery array ensuring that Early Periodic Screening Diagnosis and Treatment as well as intensive community based services are available to avert when possible the need for crisis services. 


Objectives Short term:
  1. Explore Identify the possibility options for of expanding the use of Tele-psychiatry, Tele-health, and Tele-conferencing.
  2. Explore Identify the possibility options of for the expansion of ding the use of Illinois DocAssist (Psychiatric Consultation) to support Primary Care Physicians, Advance Practice Nurses, and Physician Assistants.
Objectives Long term:
  1. Develop and expand the concept of "No Wrong Door" approach to access children's mental health services.
  2. Explore Identify the possibility options for the of expanding expansion of the current SASS program to provide stronger EPSDT and long term supports.
  3. Identify the options for the expansion of services in schools through the use of Family Resource Developers, Peer Supports, Family Consumer Specialists, and Navigators.

STRATEGIC PRIORITY 3: Reduce regulatory redundancy 

GOAL 1: Develop an administrative structure that will support implementation of the System of Care.

Objectives Short term:
  1. Develop a Children's Cabinet at the Executive level bringing together all Child Serving Systems to make decisions and monitor care.
  2. Once Cabinet is authorized establish a Cabinet for System of Care implementation.
Objective Long term:
  1. Ensure that Managed Care and other contracts and regulatory documents are consistent with the Systems of Care Approach and EPSDT and other federal mandates.


STRATEGIC PRIORITY 4: Maintain financial viability for providers in a cost-effective manner to the State. 

GOAL 1: Develop a financial framework that leverages all sources of federal, state and private funding to support the Systems of Care.


Objectives Short term:
  1. Amend current rule 132 or develop a specific Medicaid Rule for Children, Adolescents, and Young Adults that will allow for the delivery of a flexible broad array of community based behavioral health services.
  2. Ensure that experts in Children's Mental Health (example: DMH-C&A, DCFS, DASA, ISBE School Wide Systems of Support) are involved in all cross system planning and implementation of any care management approach that may involve health homes, care management entities, or other Medicaid/ACA reform activity utilized in Illinois for children.
Objectives Long term:
  1. Develop policy and regulations to ensure that dollars saved from the use of effective diversion strategies from high end services are reinvested in the expansion of community based Systems of Care services.


STRATEGIC PRIORITY 5: Ensure care is effective, efficient, and appropriate regardless of the setting in which it is provided.

GOAL 1: Develop a uniform Statewide approach across systems for assessment, treatment planning, and adopting quality indicators and benchmarks supporting System of Care values and principles and resulting in the development of a continuum of interventions from prevention, promotion, early interventions and treatment that covers the age spectrum from birth through transitioning young adults.


Objectives Short term:
  1. Ensure that all aspects of the service array are family driven, youth guided, and cultural and linguistically competent.
  2. Develop assessment tools that are consistent with the System of Care Values and Principles
  3. Develop treatment planning tools consistent with the System of Care Values and Principles.
  4. Develop quality outcome measures consistent with the System of Care Values and Principles.


GOAL 2: Develop and implement a cross-system program to effectively transition young adults from child and adolescent services to the adult system, with emphasis on care coordination, education, benefits, housing, employment and other necessary supports and services to ensure successful transition to adulthood.


Objective Short term:
  1. Create a model of transition from child and adolescent systems to adult systems


STRATEGIC PRIORITY 7: Ensure hospitalization and institutional care, when necessary, is available to meet demand now and in the future.

GOAL 1: To prepare for the future, additional services will be added to improve our ability to identify treatment needs

Objectives Short term :
  1. Continue availability of DMH-C&A Individual Care Grant and other residential services for youth and adolescents who meet the rule 135 criteria.
Objecive Long term:
  1. Ensure availability of residential treatment services for all children and adolescents who require that level of care regardless of guardianship.