CMCS Informational Bulletin: Prevention and Early Identification of Mental Health and Substance Use Conditions.
United States. Centers for Medicare and Medicaid Services. United States. Center for Medicaid and CHIP Services.
Published: March 27, 2013
This bulletin explains that a core component of the Medicaid program is the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which ensures that the health care needs of children and youth are addressed to maximize their growth and development. Information is provided about the resources available to help States meet the needs of children under EPSDT, specifically with respect to mental health and substance use disorder services. The bulletin begins with background information on mental health and substance use disorder conditions among children. Statistics are shared that indicate illicit drug use among all youth aged 12 to 17 is 10.1%, 25% higher than individuals age 18 or older; almost 14% of students have seriously considered suicide; and children exposed to trauma exhibit symptoms consistent with individuals diagnosed with post-traumatic stress disorder, attention deficit/hyperactivity disorder, depression, and conduct disorders. The EPSDT assessment of physical and mental health development is described, and clinical guidelines for early identification screening for mental illness and substance use disorders by different agencies are shared. Professional development and training programs to assist providers in locating important treatment and support resources are profiled, as well as clinical quality reporting programs that States may consider in their approach to their tracking efforts. Finally, State examples of screening programs are provided, including initiatives in Massachusetts, North Carolina, Colorado, and South Carolina. 1 table and 6 references.
epsdt; emotional problems; substance abuse; mental disorders; prevention; child health; mental health services