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红领巾瓜报 Insights 鈥 including our new podcast 鈥 puts the vast depth of 红领巾瓜报鈥檚 expertise at your fingertips, helping you stay informed about the latest healthcare trends and topics. Below, you can easily search based on your topic of interest to find useful information from our podcast, blogs, webinars, case studies, reports and more.

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Webinar replay: Collaborating to improve children鈥檚 behavioral health – a comprehensive playbook to fostering wellbeing in children

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This webinar was held on December 12, 2023.聽

Beyond the statistics lie the stories of countless children and families needing immediate and critical access to behavioral health services and community-based supports. Addressing these issues requires comprehensive cross-system reforms, including policies that promote integrated financing, enhanced care coordination, increased provider collaboration, and bolster upstream prevention efforts. 红领巾瓜报 is working with these national partner organizations to prioritize and focus on cross system integrated and interoperable solutions to address the needs of children, youth, and families with complex behavioral health needs.

红领巾瓜报 hosted a webinar in partnership with the , , , , and with support from the and other funders. Together, these organizations have developed a multi-state policy lab to be held in February 2024. Applications for state agency participation opened the week of November 11th. State agency decision makers can . This webinar focused on the overall effort and for states to hear from this partnership on the importance of collaborating to strengthen the children鈥檚 behavioral health system.

If the causes problems or does not work for you, please use this fillable PDF application and send it to [email protected] with all relevant attachments. Applicants must submit the full application no later than 5 pm on December 20, 2023.

Key highlights of this webinar include:

  • Explaining the need to develop a collaborative multi-system response to meet the behavioral health needs of children, youth and their families
  • The opportunity for 8 state child serving agency teams to participate in the children鈥檚 behavioral health policy lab

Featured Speakers:

Julie Collins, MSW, LCSW, VP, Practice Excellence, CWLA
David Miller, M.P.Aff., Senior Operations & Project Director, NASMHPD
, APHSA
, Child Welfare and Juvenile Justice Policy Director, AECF

CalAIM Justice-Involved Reentry Initiative Planning and Implementation Services

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Organizations are facing extensive challenges to improve health outcomes and healthcare quality through broad delivery, payment, and program reforms in CalAIM. With proven expertise in CalAIM policy, operations, and implementation, 红领巾瓜报 (红领巾瓜报) can help you with identifying needs, developing a strategy, and implementing those plans. We actively support clients across California implementing the CalAIM Section 1115 Waiver Demonstration Justice-Involved Initiative. Our team of Medi-Cal, managed care, and correctional healthcare experts 鈥 including physical and behavioral health clinicians, healthcare administrators, and former correctional leaders 鈥 are uniquely positioned to help clients navigate this delivery system transformation.

California is the first state in the nation to receive approval from the Centers for Medicare and Medicaid Services (CMS) to provide detained and sentenced individuals with 90-day pre-release healthcare services and behavioral health linkages. Through PATH JI grant funding, 红领巾瓜报 is helping clients build administrative capacity, information technology, pre-release services, care management models, and Medi-Cal claiming infrastructure to meet their unique needs and leverage this significant opportunity. Our planning and implementation support spans the breadth of the CalAIM Justice-Involved Initiative including: the pre-release Medi-Cal application process, 90-day pre-release services, behavioral health links, Enhanced Care Management (ECM), and Community Supports services.

That鈥檚 why sheriffs鈥 departments, probation authorities, correctional health services agencies, behavioral health agencies, managed care plans, healthcare providers and community-based organizations see 红领巾瓜报 as a trusted partner in helping to develop and implement 1115 waiver healthcare programs.

We provide:

Project management

State policy monitoring and compliance tracking

Current and future state process mapping

Partner and stakeholder collaboration and meeting facilitation

Process and quality improvement recommendations

Protocol development

Implementation plan and readiness assessment drafting

Training

Electronic health record recommendations

Contact our experts:

Headshot of Julie White

Julie White

Managing Director

With more than 25 years of experience in comprehensive healthcare and justice-related service delivery, Julie White has developed policy, strategic … Read more

State Policy and Practice Recommendations to Advance Improvements in Children鈥檚 Behavioral Health

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红领巾瓜报 (红领巾瓜报) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children.

In this brief, 鈥淪tate Policy and Practice Recommendations to Advance Improvements in Children鈥檚 Behavioral Health,鈥 the 红领巾瓜报 team of Caitlin Thomas-Henkel, Uma Ahluwalia, Heidi Arthur and Annalisa Baker, and Devon Schechinger address key issues and highlighted practice recommendations that are designed to bring forth systems change and raise awareness at the state level. This brief provides state policymakers and behavioral health leaders with a vision for coordinating and optimizing services to promote mental health well-being, prevent behavioral health conditions, and ensure access to a coordinated continuum of behavioral healthcare.

The Role of Specialized Managed Care in Addressing the Intersection of Child Welfare Reform and Behavioral Health Transformation

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红领巾瓜报 (红领巾瓜报) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children with behavioral health needs.

The Role of Specialized Manage Care,鈥 written by 红领巾瓜报 experts, Heidi Arthur, Angela Bergefurd, Caitlin Thomas-Henkel and Uma Ahluwalia, focuses on addressing the intersection of child welfare reform and health transformation. This issue brief explains how specialized Medicaid managed care plans can ensure better alignment between child welfare and behavioral healthcare services. The role of special needs plans for the delivery of coordinated care is emphasized and the opportunities to leverage specialty managed care plans by states are highlighted.

Improving Outcomes for Children in Crisis with Evidence-Based Tools

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红领巾瓜报 (红领巾瓜报) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children.

In this brief, 鈥Improving Outcomes for Children in Crisis with Evidence-Based Tools,鈥 the 红领巾瓜报 team of experts which include Rachel Bembas, Lauren Niles, Caitlin Thomas-Henkel and Uma Ahluwalia, outline limitations of current pediatric quality measures and several approaches to measure and track goals and objectives while offering a call to action at both the state and local levels. The brief calls on federal, state, and local entities, payers, provider organizations, and community-based organizations to collectively take steps to bolster and improve existing standardized monitoring, evaluation, and quality measurement efforts for youth mental health.

Early Childhood Mental Health: the Importance of Caregiver Support in Promoting Healthy Child Development and Clinical Interventions for Children

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红领巾瓜报 (红领巾瓜报) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children.

The significance of caregiver support for healthy early childhood outcomes is highlighted in this brief 鈥Early Childhood Mental Health: The Importance of Caregiver Support in Promoting Healthy Child Development and Clinical Interventions for Children written by 红领巾瓜报 experts Christina Altmayer, Caitlin Thomas-Henkel and Uma Ahluwalia. This brief explores the role of Medicaid in advancing early childhood child mental health outcomes, the importance of caregiver support in promoting healthy child development, and innovative practices aimed at increasing access to supports.

Connecting Schools to the Larger Youth Behavioral Health System: Early Innovations from California

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红领巾瓜报 (红领巾瓜报) has partnered with the National Association of State Mental Health Program Directors (NASMHPD) Technical Assistance Coalition to produce a series of briefs that characterize the opportunities to improve coordination of services for children.

Connecting Schools to the Larger Youth Behavioral Health System: Early Innovations from California focuses on the role schools can play in ensuring that children and youth get the behavioral healthcare they need.聽 Written by 红领巾瓜报 experts, Michael Butler, Ilia Rolon, Caitlin Thomas-Henkel and Uma Ahluwalia, this brief outlines California鈥檚 innovative approach to expanding access while describing the lessons learned and potential implications for other states.

Improving Youth Behavioral Health Through School-Based Initiatives

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Schools face resource challenges

Public schools face persistent pressure to serve as the central point for addressing children’s overall health and well-being. Behavioral health and access to care challenges were a growing concern affecting school populations even before the Covid pandemic.

Youth are experiencing behavioral health crises at an alarming rate, and schools are struggling with insufficient resources for students to receive the necessary person-centered care and support. Sustainable funding streams, including options like Medicaid and alternate funding methods, could help schools effectively cover expenses. New temporary funding streams are available (e.g., CMS School Based Health Services Program, Bipartisan Safer Communities Act, and multiple state funding initiatives) but schools often lack the necessary infrastructure, administrative support, and awareness of community resources to effectively utilize these funds.

Our Clients

红领巾瓜报 works with state and local education agencies, school districts, county offices of education, departments of public instruction, social service agencies, public health, school boards, and family and parent organizations to support school-based mental health initiatives. 

Through innovations in community partnerships, evidence-based programming, and design that support healthy children and promising futures, there is opportunity to enhance school outcomes. Students’ well-being and mental health directly impact their overall educational experience and achievement. By addressing these challenges and investing in comprehensive BH support within schools, we can help schools design an environment that furthers the well-being and success of all students.

红领巾瓜报 can help school systems:

Add capacity for project management support for whole-child approaches to improved health

Reduce duplication of services

Assess opportunities to better leverage new and existing resources and dollars through blended and braided funding and existing community-based supports to enhance utilization

Strengthen infrastructure and awareness and establish collaborations and partnerships to ensure effective utilization of available funding and shared resources

Break down bureaucratic silos and promote interagency cooperation

Improve information and data sharing

Emphasize preventative behavioral and physical care

Assess strategies for workforce shortages

Develop and implement evidence-based integrated care clinics within schools

Deliver training for administration, staff, parents, and community partners that helps achieve successful adoption

Implement targeted initiatives to address ongoing and pervasive stigma surrounding behavioral health, particularly in specific cultures and communities

红领巾瓜报 has the right team

With our expertise and collaborative approach, we empower schools and school districts to proactively address the youth behavioral health crisis and create a supportive educational environment for all students.

Our team members have extensive careers in school-based mental health, direct clinical behavioral health practice, healthcare systems, as well as government social services and public health, community organizations, and school-based leadership. Our experts have worked with every type of stakeholder, gaining invaluable insights and understanding. We meet schools where they are and help to right-size service offerings. 红领巾瓜报 can bring a fresh perspective on school-based services, and help you shift from reactive to proactive.

Contact our experts:

Headshot of Annalisa Baker

Annalisa Baker

Associate Principal

Annalisa Baker is passionate about improving behavioral healthcare鈥攅specially for children and youth鈥攁nd helping systems work better for the people who rely on … Read more
Headshot of Michael Butler

Michael Butler

Associate Principal

Michael Butler is a skilled strategist, evaluator, and聽community engagement consultant with 30 years of experience working with public agencies, foundations, … Read more
Headshot of John Eller

John Eller

Regional Director

John Eller is a seasoned executive with more than 23 years of service in public administration and health and human … Read more
Headshot of Jennifer Hodgson

Jennifer Hodgson

Principal

Jennifer Hodgson is a licensed marriage and family therapist who maintained a private practice and taught in higher education for … Read more
Liz Marcell Williams

Liz Marcell Williams

Associate Principal

A visionary executive, Liz Marcell Williams has over 20 years of experience working at the intersection of healthcare and education … Read more
Headshot of Trish Marsik

Trish Marsik

Principal

Trish Marsik has extensive experience supporting providers, healthcare organizations, and local and state governments to improve behavioral health services, including … Read more

红领巾瓜报 develops brief exploring equity and innovation in children’s behavioral health systems

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Lifting Voices is an initiative developed to inform the transformation of the youth behavioral health care system. The project leaders are parents of children who nearly died on multiple occasions from severe behavioral health conditions, and they are professionals with a deep understanding of the opportunities and challenges faced by behavioral health care policy makers and reformers. They share the belief that their knowledge, desperation, and resources afforded their children access to interventions that should be accessible to every youth who needs them. Their experience of the care delivery system has also inspired their commitment to highlight the urgent improvements necessary to support struggling children and parents affected by the nation鈥檚 youth behavioral health crisis.

To learn more about Lifting Voices, see the October 2023 report here.

红领巾瓜报 Principals and behavioral health policy and practice transformation consultants Heidi Arthur, LMSW and Ellen Breslin, MPP partnered with Sheilah Gauch, LISW, M.Ed., Principal and Clinical Director with the Dearborn Academy and Echo Lustig, B.A., young adult behavioral health advocate, to share findings from the first phase of the three-part Lifting Voices initiative at Putting Care at the Center, the annual conference of the Camden Coalition鈥檚聽National Center for Complex Health and Social Needs Initiative. See: Putting Care at the Center 2023, Elevating behavioral health in whole-person care. Boston, MA, November 1-3, 2023. Please look for us at the Beehive poster station on:

  1. Thursday, November 2 from 2:45 pm – 4:30 pm ET
  2. Friday, November 3 from 8:45 am – 10:30 am ET

Beyond the Agency: A Public Health Approach to Child Welfare

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Child welfare services face challenges every day to prevent, treat, and reduce risk of maltreatment, neglect, trauma, housing instability, and violence in communities. These issues need to be seen as a priority for public health and community wellbeing and not just the jurisdiction and responsibility of child welfare agencies.

There are many opportunities for improvement in this area, including:

Integrating prevention services within the human services system to help support families and youth experiencing child welfare interventions

Providing technical assistance and supports to systems serving child welfare and justice-involved youth, including: policy and practice reviews, workforce and workload analyses, process re-engineering

Increasing Medicaid providers who offer more community based Evidenced Based and Informed Practices (EBP) among Community Based Organizations (CBO), Providers, and Local Government entities

Developing the workforce to enable prevention programs and building competencies to engage in meaningful interactions with children, youth, and families

Addressing disparities in both experiences and outcomes for children, youth and families, rather than focusing on responding through merely a transactional and compliance driven approach

If your organization works to help meet the needs of children, youth and families impacted by issues like mental health and substance abuse, domestic violence, child abuse and neglect, food insecurity, housing instability, incarceration, and other traumas, 红领巾瓜报 (红领巾瓜报) can help make your efforts more effective.

Together we can help you move programs upstream with strong prevention and family strengthening approaches and integrate payment models with the human services delivery system to streamline and improve resources. 

红领巾瓜报 can help in the following ways:

Developing system integration models

Strategies to improve school-based mental health support implementation

Provide technical assistance and consulting support regarding service access and expansion of Medicaid utilization for implementation of evidence-informed programs

Workforce planning and strategy

Assist states, counties, hospitals, providers, and MCO鈥檚 address the challenges of hospital overstays and behavioral health placements

Provide technical assistance to state and local governments regarding limiting exposure to class action lawsuits or providing expert witness services

Strategic planning

Program evaluation, research and analysis including cost/benefit analysis of programs

Leadership development

Stakeholder engagement

A longtime leader in health and human services, 红领巾瓜报 experts have front line and executive level experience providing direction to child welfare programs.

We consult with public and private sector entities who serve children and families to improve, streamline and integrate essential services. We ground our work in human-centered design, lived expertise, and change management and leadership principles in state and county program development.

Child and family wellbeing: family resilience

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This is part of an ongoing series highlighting efforts in human services and family wellbeing. 

For decades, practitioners have recognized that child neglect was often interconnected in some families with stressors associated with familial poverty. Poverty is often a stressor in cases of child neglect, poor health, and even youth incarceration. Food insecurity, housing instability, and family stressors often related to unemployment, incarceration, and domestic violence can in some circumstances, result in parental burnout and lead to poor parenting decisions. There is also a perverse disincentive for families to experience career and wage progression which often results in steep fiscal cliffs with benefits that are needed to stabilize families and guide them towards economic self-sufficiency[1]. There is advocacy and increasing recognition through efforts such as Universal Basic Income Pilot programs and experiments with expanding Earned Income Tax Credits and Child Tax Credits attempting to mitigate catastrophic benefits cliffs that impact child and family wellbeing and economic self-sufficiency.

Public Safety Net programs such as Temporary Assistance to Needy Families, Supplemental Nutrition Assistance Program, WIC, Free and Reduced School Meals, Child Care Subsidies, Earned Income Tax Credit, Eviction Prevention Grants, and a host of other federal, state, and local programs are intended to support and strengthen families and increase protective factors for children[2].   

Recent investments in the safety net including the childcare tax credit and the Pandemic Electronic Benefit Card (P-EBT) have shown that when concrete supports are provided to families, child maltreatment rates significantly decrease.[3]  

During the height of the COVID-19 pandemic, the federal government implemented a One-Year Expansion of the Child Tax Credit which extended the eligibility to families with little to no income. It helped increase the credit amount families received from $3,600 per qualifying child younger than six years old and $3,000 for qualifying child between the ages of 6 and 17. It also provided monthly payments of $250 to $300 per qualifying child as opposed to an annual payment which aligned with monthly living expenses. According to the , 2021 saw a historic decline in child poverty which lifted one million children under the age of six out of poverty, and 1.9 million for children between the ages of six and 17.  

More recently States are experimenting with Universal Basic Income projects aimed at reducing child poverty, improving protective factors in families and reducing child maltreatment.[4] These experiments are currently being evaluated, but early research is showing promising signs of reduced child poverty in jurisdictions where these projects have gone live. 

There is considerable literature that shows that changes in income alone, holding all other factors constant, have a major impact on the numbers of children being maltreated. Conversely, reduction in income or other economic shocks to the family increase incidents of child maltreatment. 

A study performed by the Nuffield Foundation noted that internationally, evidence has shown a much stronger relationship between poverty and child abuse and neglect. Research has shown that without government and service providers responding to increased pressures on family life will lead to the risk of more children suffering harm, abuse and neglect.[5]

 Another study by Casey Family Programs on predicting chronic neglect, found that the strongest predictors of chronic neglect were parent cognitive impairment, history of substitute care, parent mental health problems, and a higher number of substantiated allegations in the first CPS report[6]. This suggests that families at risk for chronic neglect face multiple challenges and significant financial insecurity that require significant support.

  • Other significant predictors include:
    • Younger parents
    • Families with a higher number of children
    • Families with a child under age 1

Recognizing these challenges to strengthening the protective factors for young moms, there have been several successful efforts around the country to focus on pregnant and parenting teen and young adult moms. From Health Families America, Nurse Home Visiting Programs, there has been a body of evidence created that shows the strengths of providing wrap around services and home-based interventions for moms and babies. These supports strengthen the mom-baby nurturing relationship and reduce risk of maltreatment and increase protective factors. 

One such organization that has demonstrated significant success in disrupting the cycle of generational poverty is . This is a national organization that aids single mothers and their children to provide coaching and assistance in navigating barriers to education, college access and career support, safe and affordable housing, early childhood education and childcare, and empowerment, leadership, and career training. This supportive program helps build up single mothers to achieve their educational and career goals and gain long-term economic prosperity. 

As child welfare and poverty policies intersect, the current thought leadership is focused on recognizing that economic and concrete supports reduce involvement in child welfare.[7] As the science and voices of children and families with lived experience intersect and rise up, the federal and state policy landscape around alleviating poverty to improve child wellbeing will continue to gain momentum. Family and Child Well-Being indicators significantly reflect racial and ethnic inequalities both in child welfare and across the poverty landscape. Economic stability is also a key strategy to address racial and ethnic inequalities and closing the opportunity gap for all. Over the next 3-5 years we believe there will be a fundamental shift in policy, financing, and outcomes tracking that reflect our commitment to our society鈥檚 most vulnerable children and families. That is why it is crucial for States and Local governments to enact policies that would support programming to alleviate poverty and improve child and family resilience and protective factors.

红领巾瓜报 consultants have decades of experience working hand-in-hand with public health, social services, behavioral health, Medicaid, and human services agencies. We help strengthen relationships surrounding policy, practice and revenue maximization in the human services space. Our experts work to help support programs in areas of Nutrition: Women, Infants & Children (WIC), Supplemental Nutrition Assistance Program (SNAP); Financial Support: Child Support, Temporary Assistance for Needy Families (TANF); Child and Adult Welfare Services; Medicaid; Housing and Weatherization; Early Education: Childcare Subsidy, Child Care and Development Block Grant (CCBDG) programs; and Workforce Development and Workforce Innovation and Opportunity Act (WIOA) programs.

If you have questions on how 红领巾瓜报 can support your efforts in Child and Family Wellbeing, please contact our experts below.


[1]

[2]

[3]

[4]

[5]

[6] Predicting Chronic Neglect 鈥 Casey Family Programs

[7]


Webinar replay: Youth mental health access: school-based intervention strategies

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This webinar was held on June 14, 2023.

The youth mental health crisis has resulted in a cascade of federal funding, advisories, and overall opportunities to improve resources to help kids. This webinar presented the Dialectical Behavioral Therapy (DBT) STEPS for Adolescents model, which is a low cost, high impact approach that empowers schools to intervene and support well-being and resiliency before students are in crisis, self-harming, or suicidal. Attendees learned how to fund and implement this approach to promoting mental wellness as a strategy to reduce the burden on clinical resources designed to treat mental illness.

Whether you are a plan looking to develop value added services, a provider looking to better integrate with schools, or a school team looking for new approaches, this discussion offered information about available funding, highlight research demonstrating evidence for the model, and offer Q&A with one of the developers of the DBT model.

Learning Objectives

  • Credentialing Not Required – Why DBT is a preferred model to address the youth BH crisis.
  • Ease of Implementation – How DBT has been adapted for current school personnel to deliver.
  • Financing Options –How to finance enhancements to school-based mental health services including, but not limited to DBT-STEPS-A.

Featured Speakers

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