CHAPTER 6 – NETWORK REQUIREMENTS
6.7 – FAMILY AND YOUTH INVOLVEMENT IN THE CHILDREN’S BEHAVIORAL HEALTH SYSTEM
(formerly Partnerships with Families and Family-Run Organizations in the Children’s
Behavioral Health System)
EFFECTIVE FAMILY PARTICIPATION IN SERVICE PLANNING AND DELIVERY
Through the Child and Family Team (CFT) process, parents/caregivers and youth are treated as full
partners in the planning, delivery and evaluation of services and supports. Parents/caregivers and youth
are equal partners in the local, regional, tribal and state representing the family perspective as
participants in systems transformation. Health Choice Integrated Care subcontracted providers must:
•
Ensure that families have access to information on the CFT process and have the opportunity to
fully participate in all aspects of service planning and delivery.
•
Approach services and view the enrolled child in the context of the family rather than isolated in
the context of treatment.
•
Recognize that families are the primary decision-makers in service planning and delivery.
•
Provide culturally and linguistically relevant services that appropriately respond to a family’s
unique needs (see Chapter 6.5 – Cultural Competency).
•
Assess the family’s need for family support partner and make family support available to the CFT
when requested.
•
Provide information to families on how they can contact staff at all levels of the service system
inclusive of the provider agency, Health Choice Integrated Care, and ADHS/DBHS at intake and
throughout the CFT process.
•
Work with Health Choice Integrated Care to develop training in family engagement and
participation, roles and partnerships for provider staff, parents/caregivers, youth and young
adults (see DBHS Practice Protocol, Family and Youth Involvement in the Children’s Behavioral
Health System for more information on these roles).
RESPONSIBILITIES OF HEALTH CHOICE INTEGRATED CARE AND PROVIDERS
Family members, youth and young adults must be involved in all levels of the behavioral health
system, whether it is serving on boards, committees and advisory councils or as employees with
meaningful roles within the system. To ensure that Family Members, youth and young adults are
provided with training and information to develop the skills needed, Health Choice Integrated Care
and its subcontracted providers must:
•
Support parents/caregivers, youth and young adults in roles that have influence and authority.
•
Establish recruitment, hiring and retention practices for family, youth and young adults within
the agency that reflect the cultures and languages of the communities served.
•
Provide training for families, youth and young adults in cultural competency.
•
Assign resources to promote family, youth and young adult involvement including committing
money, space, time, personnel and supplies; and
•
Demonstrate a commitment to shared decision making.
•
Ensure that service planning and delivery is driven by family members, youth and young adults.
•
Support requests for services from family members, youth and young adults that respond to
their unique needs, including providing information/educational materials to explore various
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•
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service options.
Obtain consent which allows families, youth and young adults to opt out of some services and
choose other appropriate services (see Chapter 2.6 -General and Informed Consent).
Provide contact information and allow contact with all levels of personnel within the agency for
families, youth and young adults.
Make a Family Support Partner (FSP) available to the family when requested by the CFT.
RESPONSIBILITIES OF HEALTH CHOICE INTEGRATED CARE
•
Support family, youth and young adults in roles that have influence and promote shared
responsibility and active participation.
•
Assign resources to promote family, youth and young adult involvement including committing
money, space, time, personnel and supplies;
•
Involve parents/caregivers, youth and young adults as partners at all levels of planning and
decision making, including delivery of services, program management and funding; and
•
Develop and make available to providers, policies and procedures specific to these requirements.
ORGANIZATIONAL COMMITMENT TO EMPLOYMENT TO FAMILY MEMBERS
Health Choice Integrated Care subcontracted providers must demonstrate commitment to
employment of parents/caregivers, and young adults by:
•
Providing positions for parents/caregivers and young adults that value the first person
experience.
•
Providing compensation that values first-person experience commensurate with professional
training.
•
Establishing and maintaining a work environment that values the contribution of
parents/caregivers, youth and young adults.
•
Providing supervision and guidance to support and promote professional growth and
development of parent/caregivers and young adults in these roles.
•
Providing the flexibility needed to accommodate parents/Family Members and young adults
employed in the system, without compromising expectations to fulfill assigned tasks/roles.
•
Promoting tolerance of the family, youth and young adult roles in the workplace.
•
Committing to protect the integrity of these roles.
•
Developing and making available to providers policies and procedures specific to these
requirements
ADHERENCE MEASUREMENTS
Adherence to this chapter will be measured through the use of one or more of the following:
•
Surveys, including the Annual Network Family Survey and Youth Satisfaction Survey; and
•
Analysis of the behavioral health system, including the Annual Network Inventory and Analysis of
Family Roles and System of Care Practice Reviews.
•
Other sources as required by the ADHS/RBHA contracts or Health Choice Integrated Care IGAs.
6.8 – USE OF TELEMEDICINE
Health Choice Integrated Care and subcontracted providers shall use teleconferencing to extend the
availability of clinical, educational and administrative services. All clinical services provided through
the interactive video teleconferencing will conform to established policies for confidentiality and
maintenance of records.
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Interactive video functions are approved for the following purposes:
•
Direct clinical services;
•
Case consultations;
•
Collateral services;
•
Training and education;
•
Administrative activities of participating agencies;
•
Management activities including Quality Management, Grievance and Appeal, Finance,
Advocacy, Utilization and Risk Management, Clinical Consultation, and MIS; and
•
Other uses as approved by Health Choice Integrated Care.
Health Choice Integrated Care shall establish policies and procedures for scheduling and prioritization of
use of interactive video conferencing.
Reimbursement for telemedicine services should follow customary charges for the delivery of the
appropriate procedure code(s).
INFORMED CONSENT
Before a health care provider delivers health care via Telemedicine, verbal or written informed
consent from the behavioral health recipient or their health care decision maker must be obtained.
Informed consent can be provided by the behavioral health medical practitioner or registered nurse
with at least one year of behavioral health experience. When providing informed consent it must be
communicated in a manner that the person and/or legal guardian can understand and comprehend. See
Chapter 2.6 – General and Informed Consent for a list of specific elements that must be provided.
Exceptions to this consent requirement include:
•
If the telemedicine interaction does not take place in the physical presence of the patient;
•
In an emergency situation in which the patient or the patient's health care decision maker is
unable to give informed consent; or(3) To the transmission of diagnostic images to a health care
provider serving as a consultant or the reporting of diagnostic test results by that consultant.
If a recording of the interactive video service is to be made, a separate consent to record shall be
obtained. Items to be included in the consent are:
•
Identifying information;
•
A statement of understanding that a recording of information and images from the interactive
video service will be made;
•
A description of the uses for the recording; \A statement of the person’s right to rescind the use
of the recording;
•
A date upon which permission to use of the recording will be void unless otherwise renewed by
signature of the person receiving the recorded service; and
•
For persons receiving services related to alcohol and other drugs or HIV status, written, timelimited informed consent must be obtained that specifies that no material, including video-tape,
may be re-disclosed.
LICENSURE
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Before a health care provider delivers behavioral health care services through telemedicine, the treating
healthcare provider must be licensed in the state in which the patient resides (see A.R.S. §§ 36-36013603).
CONFIDENTIALITY
At the time services are being delivered through interactive video equipment, no person, other
than those agreed to by the person receiving services will observe or monitor the service either
electronically or from “off camera.”
To ensure confidentiality of telemedicine sessions providers must do the following when providing
services via telemedicine:
•
The videoconferencing room door must remain closed at all times;
•
If the room is used for other purposes, a sign must be posted on the door, stating that a clinical
session is in progress; and
•
Implement any additional safeguards to ensure confidentiality in accordance with Chapter. 16.0
– Confidentiality for more information on Disclosure of Behavioral Health information and
telemedicine.
DOCUMENTATION
Medical records of telemedicine interventions must be maintained according to usual practice.
Electronically recorded information of direct, consultative or collateral clinical interviews will be
maintained as part of the person's clinical record. All policies and procedures applied to storage and
security of clinical information will apply.
All required signatures must be documented in the medical record, and must be made available
during auditing activities performed by ADHS/DBHS.
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