Prácticas basadas en la evidencia para niños y jóvenes
Under BH-CONNECT, DHCS is clarifying existing Medi-Cal coverage requirements for evidence-based practices for children, youth and families pursuant to the Early Periodic Screening Diagnostic and Treatment (EPSDT) benefit, including for Multi-Systemic Therapy (MST), Functional Family Therapy (FFT), Parent-Child Interaction Therapy (PCIT), and High-Fidelity Wraparound (HFW).
Visit BH-CONNECT Resources for policy guidance related to BH-CONNECT EBPs.
Terapia Multisistémica (MST)
- MST es un tratamiento basado en la familia y la comunidad que utiliza sesiones de terapia para abordar los comportamientos emergentes de alto riesgo, incluido el comportamiento criminógeno, las actividades antisociales, el uso de sustancias y otros comportamientos que pueden llevar a la participación en la justicia juvenil o a la colocación fuera del hogar.
- A través de MST, los cuidadores aprenden habilidades para abordar de manera independiente las dificultades en la crianza de niños y adolescentes, así como habilidades para hacer frente a otros problemas familiares, de compañeros y del vecindario.
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
Terapia Familiar Funcional (FFT)
- FFT is a multisystemic intervention designed for at-risk youth who experience challenges with externalizing behaviors (e.g., physical aggression, oppositional behavior, substance use) that require the engagement of the youth or family members’ support system.
- FFT se enfoca en reducir los problemas de comportamiento de los adolescentes, el trastorno de conducta, el uso de sustancias y la reincidencia, y mejorar los comportamientos de crianza.
- Un componente crítico de la FFT es la participación de la familia, los cuidadores, la familia de acogida u otras influencias clave en el hogar.
Terapia de Interacción Padre-Hijo (PCIT)
- La PCT es una intervención especializada en el manejo de la conducta para niños y sus cuidadores.
- A través de PCIT, un terapeuta proporciona a los cuidadores entrenamiento en el momento a través de un auricular inalámbrico mientras participan en el juego terapéutico con su hijo, ayudando a los cuidadores a aplicar las estrategias más efectivas con su hijo.
- PCIT is focused on decreasing child behavior challenges (e.g., aggression, noncompliance, and tantrums), increasing positive parent behaviors (e.g., therapeutic play, effective prompts), and improving the caregiver-child relationship through structured interactions.
Envolvente de alta fidelidad (HFW)
- HFW is a team-based and family-centered evidence-based practice that includes an “anything necessary” approach to care for children and youth living with the most intensive mental health or behavioral challenges.
- HFW is regarded as an alternative to out-of-home placement for children with complex needs, by providing intensive services in the family’s home and community.
- A partir de julio de 2026, DHCS implementará HFW como un servicio combinado en todo el estado bajo Medi-Cal y como un requisito del condado bajo la Ley de Servicios de Salud Conductual (BHSA).
- On July 31, 2025, the California Department of Healthcare Services (DHCS) released the High-Fidelity Wraparound Concept Paper. DHCS describes its initial vision for Medi-Cal HFW payment and monitoring policies and associated updated standards for service delivery in both Medi-Cal and the Behavioral Health Services Act (BHSA), in alignment with national standards and state best practices. DHCS invites the public to comment on the concepts presented in this paper and provide responses to the specific questions for stakeholder input that are noted throughout. Comments are due by 5:00 p.m. PT, August 28, 2025. Comments may be submitted to BH-CONNECT@dhcs.ca.gov with the subject line “Comments on Proposed Medi-Cal HFW Service Requirements Aligned with National Practice Standards.”