儿童和青少年循证实践
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.
多系统治疗（MST）
- MST 是一种以家庭和社区为基础的治疗方法，通过治疗来解决新出现的高风险行为，包括犯罪行为、反社会活动、药物滥用以及可能导致青少年司法介入或家庭外安置的其他行为。
- 通过 MST，看护者可以学习独立解决抚养儿童和青少年困难的技能，以及应对其他家庭、同伴和邻里问题的技能。
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
功能性家庭治疗（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 致力于减少青少年行为问题、品行障碍、物质使用和累犯，并改善养育行为。
- FFT 的一个关键组成部分是家庭、护理人员、寄养家庭或其他关键家庭影响因素的参与。
亲子互动疗法（PCIT）
- PCT 是一个 为儿童及其照顾者提供专门的行为管理干预。
- 通过 PCIT，治疗师可以在护理人员与孩子进行治疗游戏时通过无线耳机为他们提供即时指导，帮助护理人员对孩子应用最有效的策略。
- 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.
高保真环绕声 (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.
- 从 2026 年 7 月开始，DHCS 将实施 HFW，既作为 Medi-Cal 下的一项州级捆绑服务，也作为《行为健康服务法案》（BHSA）下的一项县级要求。
- 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.”