Children’s Mental Health

DHS and its partners are improving mental health services to children by moving to involve parents more in decisions, deliver more children’s mental health services in the community, improve inter-agency cooperation and acknowledge the child’s language and cultural heritage. Some 37,400 children and adolescents received services in 2006 for mental health or substance-abuse disorders or both.

General Information

• Children’s Mental Health Quarterly Newsletter (PDF)
• Addictions and Mental Health (AMH) Staff Contacts (PDF)
• Community Care Coordinator Committee Meeting Schedule (PDF)
• Current Open CPMS Enrollments for Children's Services (PDF)
• MHO Children's Mental Health System Advisory Council Meeting Schedule (PDF)
• MHO Children's System Coordinator and CMHP Children Mental Health Contacts (PDF)
• CSCI Community-Based Services matched to Recommended Procedure Codes (PDF)
• CSCI Level of Need Determination/CPMS Enrollment Decision Tree (PDF)
• Process Guidelines for Fee-for-Service Access to ISA (PDF)
• Process Guidelines for Fee-for-Service Access to ISA memo (PDF)
• Service Delivery Timelines (PDF)
• CSCI Outcomes and Summary of Accomplishments (PDF)
• (PSU/RRI CSCI Evaluation) Oregon Children’s Mental Health System Change Initiative Implementation Evaluation (PDF)
• Youth Suicide Prevention Program

Minutes

(Contact person: Bill Bouska, OMHAS, (503) 945-9717, email: bill.bouska@state.or.us)  

Children's System Advisory Committee (CSAC) (subcommittee of PAMAC)

Meeting schedule for 2007  (PDF)

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CSCI Policies

• Policy One: Level of Service Intensity Determination  (PDF)
• Policy Two: System Structure and Functions  (PDF)
• Diagram of Children's Mental Health Structure - Draft  (PDF)
• Policy Three: Meaningful Family Involvement  (PDF)
• Policy Four: Workforce Development in Cultural Competency  (PDF)
• Policy Five: Outcomes and Performance Measures  (PDF)
• Policy 6: Financing Cover letter  (PDF)
  • Policy Six: Financing  (PDF)

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Families and Youth

• Transition Age Youth in Oregon
• Family Workgroup Report  (PDF)
• Using State Data to Evaluate Children's Mental Health Services and Children's Mental Health Service Needs (Powerpoint presentation)
• (PSU/RRI CSCI Evaluation) Oregon Children’s Mental Health System Change Initiative Implementation Evaluation (PDF)
• Youth Improvement in System of Care: A Guide to Empowerment (PDF)
• Information on Youth (PDF)
• Addictions and Mental Health (AMH) Staff Contacts (PDF)
• Community Care Coordinator Committee Meeting Schedule (PDF)
• MHO Children's Mental Health System Advisory Council Meeting Schedule (PDF)
• MHO Children's System Coordinator and CMHP Children Mental Health Contacts (PDF)
• Youth Suicide Prevention Program

FAQs

• Intensive Community-Based Treatment and Support Services (PDF)
• Client Process Monitoring System and Intensive Community-Based Treatment and Support Services (PDF) 
• 2007 ITS Rate Setting FAQs (PDF)

Integrated Service Array (ISA)

• Integrated Service Array - Referral and Access Structure (Draft) (PDF)
• CSCI Level of Need Determination/CPMS Enrollment Decision Tree (PDF)
• Process Guidelines for Fee-for-Service Access to ISA (PDF)
• Process Guidelines for Fee-for-Service Access to ISA memo (PDF)
• Service Delivery Timelines (PDF)
• Required Outcome Measures (PDF)

Memoranda of Understanding/Agreement

• Intra-departmental Letter of Agreement between Children, Adults and Families (CAF) and Office of Mental Health and Addiction Services (AMH) (PDF)
• Memorandum of Understanding between Oregon Department of Education (ODE) and the Office of Mental Health and Addiction Services (AMH) (PDF)

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Oregon Administrative Rules (OARs) 

• Integrated Services and Supports Rule (ISSR) (AMH 2008 Rule Revision)
• Intensive Community-Based Treatment and Support Services (PDF)
• Licensed Children's Emergency Safety Intervention Specialist (CESIS) Rule (PDF)
• Standards for Children's Intensive Community-Based Treatment and Support Services (ICTS) Rule (PDF)
• Standards for Community Treatment Services for Children and Children's Outpatient Rule (PDF)
• Standards for Children's Intensive Mental Health Treatment Services (ITS) Rule (PDF)

Partnerships

• National Alliance on Mental Illness (NAMI)  
• Oregon Family Support Network
• Oregon Parent Training and Information Center

Resources

The American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry have prepared these Guides to help patients, families, and physicians make informed decisions about obtaining and administering the most appropriate care for a child with depression.

• Use of Medication in Treating Childhood and Adolescent Depression: Information for Patients and Families (PDF)
• Use of Medication in Treating Childhood and Adolescent Depression: Information for Physicians  (PDF)
• SAMHSA Web site on Systems of Care

Outcomes/Evaluation

• Children’s Mental Health Fact Sheet (PDF)
• CSCI Outcomes and Summary of Accomplishments (PDF)
• (PSU/RRI CSCI Evaluation) Oregon Children’s Mental Health System Change Initiative Implementation Evaluation (PDF)
• 2006 Oregon Youth Services for Families (PDF)
• 2005 Oregon Youth Services Survey for Families (PDF)

Presentations

• CSCI Presentation June 2006  (Powerpoint presentation)
• Using State Data to Evaluate Children's Mental Health Services and Children's Mental Health Service Needs (Powerpoint presentation)  (Powerpoint presentation)

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Reports

The Office of Addictions and Mental Health (AMH) responded to a budget note to increase mental health services to children who are “coordinated, comprehensive, culturally competent, delivered in natural environments and that they often need multiple interventions to be successful." In response to this directive, OMHAS met with community partners to explore improvements for a culturally competent mental health system. Our partners advised us to obtain an independent assessment. Following an open solicitation, AMH contracted with Hank Balderrama to provide an assessment of Oregon’s children’s mental health service delivery capacity to serve various ethnic minority groups in a culturally competent manner, and to make recommendations of objectives and strategies to increase capacity and competence.  

Hank Balderrama’s report, “Oregon State Children’s Mental Health Initiative Initial Review of Cultural Competence” is provided in three versions: 

1) The full report including the executive summary and all attachments (PDF)

2) The executive summary (PDF)

3) The report narrative without the tables and attachments (PDF)

Cultural Competency Report to Stakeholders (PDF)

Reports to the State Emergency Board

• HB 5023-A Budget Note: Children’s Mental Health System Change Initiative (June 2006) (PDF) 
• HB 5023-A Budget Note: Evaluation of Children’s System Change Initiative conducted by PSU (November, 2006)(PDF)

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Additional reports

• CPMS monthly report ending June 2008 (PDF)
• Children's Mental Health Utilization Report (Oct. 1, 2006 - Sept. 30, 2007) (PDF)
• 2007 Oregon Youth Services Survey for Families (PDF)
• CMHCI Utilization Report (July 1, 2006 through June 30, 2007) (PDF)
• CSCI Service and Outcomes Trends Report PDF
• CPMS Children’s Monthly Report Ending February 2008 (PDF)
• Report on Capitation and Customary or Usual Payments by MHO, County and Age Group (Oct. 1, 2004-March 31, 2005) (PDF)
• (PSU/RRI CSCI Evaluation) Oregon Children’s Mental Health System Change Initiative Implementation Evaluation (PDF)
• Family Workgroup Report (PDF)  (PDF)  

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System of Care

• Building Systems of Care: A primer by Sheila Pires  
• Statewide Children's Wraparound Project (Executive Order)  (PDF)
• Meetings of Statewide Wraparound Project

Links

• Statewide Children's Wraparound Initiative
• System of Care (SAMHSA)    
• Community Based Care Lead to Meaningful Improvement for Children and Youth with Serious Mental Health Need  (SAMHSA News Release)
• Youth Improvement in System of Care: A Guide to Empowerment  (PDF)   
• Using State Data to Evaluate Children’s Mental Health Services and Children's Mental Health Service Needs (Powerpoint presentation)
• Building Systems of Care: A primer by Sheila Pires
• Oregon Youth Authority Web site  
• Children, Adults and Families (Child Welfare) Web site  
• Oregon Department of Education Web site  

Updates

• July 2007 (PDF)
• April 2007 (PDF)
• CSCI Implementation Evaluation Report to the E-board (PDF)
  • CSCI Implementation Questions and Answers Cover letter (PDF)
  • CSCI Implementation Response to Questions (PDF)
  • CSCI Outcomes and Summary of Accomplishments (PDF)
• 9-12-05 (PDF)
• 8-18-05 (PDF)
• 7-19-05 (PDF)
• 5-05-05 (PDF)
• 1-07-05 (PDF)

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