Diagnoses
(Medicaid) EPSDT Talking Points for Parents (for co-occurring mental health and substance use)
What is EPSDT?
Medicaid’s Early and Periodic Screening, Diagnosis and Treatment for youth under the age of 21.
In Kentucky EPSDT has covered Intensive Outpatient (IOP) treatment, residential treatment, and inpatient treatment programs for adolescent substance abuse. It is not often used to cover outpatient treatment or case management services, two services adolescents may benefit from.
Only parties who are eligible to bill Medicaid can be approved to provide EPSDT funded services. Potential providers include the community mental health centers (CMHC) and other “health care providers”, public and private (ex. Ten Broeck, The Ridge, Rivendell, Caritas, etc),
ADHD
Wed, 01/31/2007 - 9:40am — WillInformation from: Medical Management of Children with Attention Deficit Disorders Commonly Asked Questions by C.H.A.D.D. & AACAP. Additional resources below.
Attention Deficit With Hyperactivity Disorder affects approximately 3 to 5 percent of the population and are manageable. Boys with ADHD tend to outnumber girls 3 to 1, although ADHD in girls seems to be under-identified.
Characteristics:
Anxiety Disorder
Wed, 01/31/2007 - 1:57pm — WillInformation from:
Anxiety Disorders Association of America
http://www.adaa.org/
People who experience Generalized Anxiety Disorder (GAD) usually feel anxiety and worry. A person may find it difficult to keep worried thoughts from interfering with everyday circumstances such as job responsibilities, finances, household chores, etc.
Asperger Syndrome
Wed, 01/31/2007 - 2:00pm — WillInformation from:
Asperger Syndrome Coalition of America: www.asperger.org
Autism
Wed, 01/31/2007 - 2:09pm — WillInformation from the Autism Society of America
www.autism-society.org
More resources listed below.
Autism Spectrum Disorder
Wed, 04/09/2008 - 5:12pm — KateAutism Spectrum Disorder (ASD) is the term used to describe five different disorders that hold similar characteristics. The different disorders that fall into ASD are Autism, Asperger Syndrome, Rett Syndrome, Childhood Disintegrative Disorder, and Pervasive Development Disorder Not Otherwise Specified (PDD NOS). ASD affects an estimated one of every five children, and is marked by varying degrees of impairment in communication skills, social interactions, and restricted repetitive and stereotyped patterns of behavior. ASD can usually be reliably detected by around 3 years of age, and sometimes as early as 18 months.
Barriers to Co-occurring Mental Health and Substance Use Treatment (journal references)
Barriers for Individuals
“Among adolescents with co-occurring problems, those who received only [mental health] MH treatment improved to a significant degree across MH problems but showed no improvement on SU [substance use] problems. Similarly for adolescents with co-occurring [mental health and substance use] problems who received only SU treatment, there was improvement on SU problems but not on MH problems”.1
The researchers found that adolescents with co-occurring who received dual diagnosis treatment had lower severity of antisocial behavior and increased social supports compared to those adolescents who had a co-occurring diagnosis and only received one aspect of treatment. Social supports will be what helps an adolescent through the maintenance stage of recovery.1
Bipolar Disorder
Wed, 01/31/2007 - 2:10pm — WillBipolar Disorder, once known as manic-depression is a serious but treatable condition. Bipolar disorder causes extreme changes in mood, energy, thinking and behavior, and affects over 2 million adults. Research has shown that it can run in families, and more research is being done to find links between bipolar disorder and chemical changes in the brain.
Co-Occurring Disorder
Wed, 01/31/2007 - 2:14pm — WillCo-Occurring Substance Abuse and Mental Illness, also know as Dual Diagnosis, refers to the co-occurrence of mental health disorders and drug abuse. Typically, those suffering from a mental illness that causes stress or sadness (e.g. Bipolar Disorder, Depression and Post-Traumatic Stress Disorder) use drugs such as alcohol, cocaine, marijuana and prescription pills to combat their symptoms.