Community Mental Health and Substance Abuse Services
of St. Joseph County
BOARD POLICY IV.01
AREA:
Governance
SECTION:
Ends
PAGE:
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SUBJECT:
ENDS FOR CHILDREN WITH SERIOUS EMOTIONAL
DISTURBANCE AND DEVELOPMENTAL DISABILITIES
EFFECTIVE:
01/26/10
REVIEWED:
2/25/14
PURPOSE/EXPLANATION:
To identify the ends which the Board desires to achieve for a target population. These
consist of what benefits for what people at what cost. Achievement of these ends will
promote an effective service delivery system, which fulfills the mission of the agency and
is consistent with the requirements of the Department of Community Health.
DEFINITIONS:
CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES (AGE 0-17)
Serious Emotional Disturbance means a diagnosable mental, behavioral, or emotional
disorder affecting a minor that exists, or has existed, during the past year for a period of
time sufficient to meet diagnostic criteria specified in the most recent diagnostic and
statistical manual of mental disorders published by the American Psychiatric Association
and approved by the department and that has resulted in functional impairment that
substantially interferes with or limits the minor’s role or functioning in family, school, or
community activities. The following disorders are included only if they occur in
conjunction with another diagnosable Serious Emotional Disturbance:
A.
A Substance Abuse Disorder
B.
A Developmental Disorder
C.
“V” codes in the diagnostic and statistical manual of mental disorders
CHILDREN WITH DEVELOPMENTAL DISABILITIES (AGE 0-17)
Developmental Disability means either of the following:
A.
If applied to an individual older than 5 years, a severe, chronic condition that
meets all of the following requirements:
1.
Is attributable to a mental or physical impairment or a combination of
mental and physical impairments
2.
Is manifested before the individual is 22 years old
3.
Is likely to continue indefinitely
4.
Results in substantial functional limitations in 3 or more of the following
areas of major life activity:
a.
Self-care
b.
Receptive and expressive language
c.
Learning
d.
Mobility
SUBJECT:
Ends for Children with SED and DD
5.
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e.
Self-direction
f.
Capacity for independent living
g.
Economic self-sufficiency
Reflects the individual’s need for a combination and sequence of special,
interdisciplinary, or generic care, treatment, or other services that are of
lifelong or extended duration and are individually planned and
coordinated.
a.
If applied to a minor from birth to age 5, a substantial
developmental delay or a specific congenital or acquired condition
with a high probability of resulting in a developmental disability as
defined in subdivision (A) if services are not provided.
POLICY:
I.
Children and Youth with Serious Emotional Disturbances, Developmental Disabilities
and Substance Related Disorders will receive services and supports within a system of
care approach which enables youth and families to reach their full potential. Youth and
families will experience services and supports that are parent driven, youth guided,
individualized, strength-based; culturally & linguistically competent, home, community
and school based, effective, sustainable, and continuously improving in quality. Services
and supports will be delivered in the least restrictive, most natural settings possible.
II.
To accomplish these ends, goals will be set in the following areas:
A.
Wellness – this will include the provision of services to support healthy and safe
environments.
1.
Youth functioning will improve as a result of receiving needed intensive
services.
2.
Co-occurring services will be provided when substance use issues are
identified to reduce substance use.
3.
A wide array of services and supports will be ensured.
4.
Coordination of care with other health care, mental health, substance abuse
and developmental disability providers will be ensured to assure necessary
and prompt treatment from other healthcare providers.
B.
Home Life
1.
Supports and services will be provided to parents, caregivers, and family
members to promote a harmonious living environment.
2.
Families with children entering adulthood will be offered transition
opportunities.
3.
Families with children transitioning between educational programs,
including early educational programs, will be offered transition support to
assure youth’s functioning is not disrupted.
C.
School
1.
Supports and services will be integrated into educational environments to
SUBJECT:
Ends for Children with SED and DD
2.
III.
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achieve a single, coordinated plan of care.
Youth performance in schools will be maximized such that youth can
more successfully transition from school into adulthood including
opportunities for college, employment, and developmentally appropriate
opportunities of choice.
D.
Community Life
1.
Youth will be involved, included and integrated into communities of
choice to achieve hopes, dreams and desires.
2.
Youth will have a safe life free from juvenile court involvement.
E.
Family Driven/Youth Guided Care to Achieve Outcomes Desired
1.
Parent and youth’s choice and control will be maximized as promoted
through the use of Wraparound approaches.
2.
The availability of a wide array of services and supports will be ensured.
3.
Parents and youth involvement in the design and delivery of supports and
services will be maximized, including opportunities for advocacy, teaching
and learning.
The Board established ends will be monitored through Board approved performance
indicators and reported quarterly in the “Board Ends Report”.
REFERENCES:
A.
Public Act 258 of 1974 (Mental Health Code) supplemented through ACT 152 of
1996: Sections 206 and 208