子供と若者の証拠に基づく実践
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.
多全身療法(MST)
- MSTは、犯罪誘発行動、反社会的活動、薬物使用、および少年司法の関与や家庭外への配置につながる可能性のあるその他の行動など、新たな高リスク行動に対処するために治療セッションを使用する家族およびコミュニティベースの治療法です。
- MSTを通じて、介護者は、子供や青少年を育てる際の困難に自立して対処するスキルだけでなく、他の家族、仲間、近隣の問題に対処するスキルも学びます。
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
ファンクショナル・ファミリー・セラピー(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は、思春期の行動問題、行動障害、薬物使用、再犯を減らし、子育て行動を改善することに焦点を当てています。
- FFTの重要な要素は、家族、介護者、里親、またはその他の主要な在宅ベースの影響の関与です。
親子相互作用療法(PCIT)
- PCTは、子供とその保護者のための専門的な行動管理介入です。
- PCITを通じて、セラピストは、介護者が子供と治療的な遊びをしながら、ワイヤレスヘッドセットを介してその瞬間のコーチングを提供し、介護者が子供に最も効果的な戦略を適用できるように支援します。
- 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.
ハイファイラップアラウンド(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.
- 2026 年 7 月から、DHCS は Medi-Cal に基づく州全体のバンドル サービスとして、また行動 保健サービス法 (BHSA) に基づく郡の要件として HFW を導入します。
- 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.”