Mga Kasanayang Batay sa Katibayan ng mga Bata at Kabataan
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.
Multi-Systemic Therapy (MST)
- Ang MST ay isang pang-pamilya at pang-komunidad na paggamot na gumagamit ng mga sesyon ng therapy upang tugunan ang mga umuusbong na mataas na panganib na pag-uugali kabilang ang pag-uugaling kriminal, anti-sosyal na aktibidad, paggamit ng substance, at iba pang mga pag-uugali na maaaring humantong sa pagkakasangkot sa hustisya ng kabataan o paglalagay sa labas ng tahanan.
- Sa pamamagitan ng MST, natututo ang mga tagapag-alaga ng mga kasanayan upang independiyenteng matugunan ang mga paghihirap sa pagpapalaki ng mga bata at kabataan pati na rin ang mga kasanayan upang makayanan ang iba pang mga problema sa pamilya, kasamahan, at kapitbahayan.
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
Functional Family Therapy (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.
- Nakatuon ang FFT sa pagbabawas ng mga problema sa pag-uugali ng kabataan, kaguluhan sa pag-uugali, paggamit ng substance at recidivism, at pagpapabuti ng mga pag-uugali ng pagiging magulang.
- Ang isang kritikal na bahagi ng FFT ay ang paglahok ng pamilya, mga tagapag-alaga, foster family o iba pang pangunahing impluwensyang nakabase sa tahanan.
Parent-Child Interaction Therapy (PCIT)
- PCT ay a espesyal na interbensyon sa pamamahala ng pag-uugali para sa mga bata at kanilang mga tagapag-alaga.
- Sa pamamagitan ng PCIT, ang isang therapist ay nagbibigay sa mga tagapag-alaga ng in-the-moment na coaching sa pamamagitan ng wireless headset habang nakikibahagi sila sa therapeutic play kasama ang kanilang anak, na tumutulong sa mga tagapag-alaga na ilapat ang pinakamabisang diskarte sa kanilang anak.
- 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.
High-Fidelity Wraparound (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.
- Simula sa Hulyo 2026, ipapatupad ng DHCS ang HFW bilang isang pambuong estadong naka-bundle na serbisyo sa ilalim ng Medi-Cal at bilang isang kinakailangan ng county sa ilalim ng Behavioral Health Services Act (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.”