加州投资 6700 万美元扩大针对儿童、青少年和年轻人的心理健康早期干预计划​​ 

您需要知道的加州正在投入数百万美元支持全州儿童、青少年和年轻人的心理健康和幸福。​​ 

萨克拉门托--卫生保健服务部（DHCS）与心理健康服务监督与问责委员会（MHSOAC）合作，今天向 30 个县的 99 个组织拨款6700 万美元，用于扩大早期干预计划和实践，为加州的儿童、青少年和年轻成年人提供心理健康和保健服务。​​ 

“By investing in these programs, we can make a real difference in the lives of children and young people in California,” said DHCS Director Michelle Baass. “These investments will increase early identification of behavioral health concerns, prevent escalation to more intensive services, such as emergency department visits or inpatient hospitalizations, and improve quality of life and positive outcomes for children and youth into adulthood.”​​ 

Today’s awards are part of Governor Gavin Newsom’s Children and Youth Behavioral Health Initiative (CYBHI), a cornerstone of the Master Plan for Kids’ Mental Health.​​ 

“The Commission appreciates the opportunity to work with DHCS to award these funds and extend the impact of the Governor’s investment in child and youth mental health,” added Toby Ewing, Ph.D., Executive Director of MHSOAC. “California is leading the nation in early intervention for mental health, and these essential resources are part of a broader effort to fundamentally transform how we deliver care across the state.”​​ 

WHY THIS MATTERS: National research indicates 50 percent of all lifetime mental health conditions (e.g., anxiety, depression, mood disorders, psychosis) are evident in youth by age 14, with the number growing to 75 percent by age 24. However, only a small percentage of young people get the help they need early enough as symptoms develop.​​ 

TAKING ACTION EARLY: Early behavioral health intervention is essential to slow symptoms and the progression of mental illnesses that can lead to social isolation, poor functioning, and premature death. By expanding successful Evidence-Based Practices and Community-Defined Evidence Practices (EBP/CDEP) models throughout the state, California will improve access to critical programs to meet the early intervention needs of children and youth, including mental and behavioral health needs, housing, education and employment support, and linkages to other services.​​ 

Collectively, California’s investments will:​​ 

• 创建和扩大早期干预计划和实践，以减少耻辱感、促进心理健康、增强社区联系并提供文化响应服务。​​ 
• 为儿童和青少年提供一个安全的空间来寻求社区、支持和建议。​​ 
• 增加早期干预，以便患有行为健康问题或具有高风险的儿童和青少年能够在病情恶化并需要更高水平的护理之前获得服务。​​ 
• 通过提高父母、看护者和儿童获得服务的公平机会，在文化和语言上包容重点人群的需求，减少健康差距（见第 4 页）。​​ 
• 根据加州健康场所指数的数据，优先将一半以上的资金分配给最需要的县，从而实现资金的公平分配。​​ 
• 通过早期干预减少对更高敏锐度服务（例如急诊科、住院治疗）的使用。​​ 
  

"加利福尼亚州卫生& 人类服务局局长 Mark Ghaly 博士说："加利福尼亚州在循证干预和经过验证的社区定义的循证实践方面的投资是前所未有的，我们致力于为儿童、青少年和年轻成人提供持续护理过程中各个环节的支持--从预防开始，到早期干预、治疗和康复。"早期发现精神健康状况和早期干预可以挽救生命"。​​ 

投资于特定类型的护理：在此机会下获得资助的模式包括（但不限于）针对首次精神病发作 (FEP) 的协调专业护理 (CSC)、蓝调计划、基于文化的青少年灵活家庭治疗 (CIFFTA)、家庭团结 (Familias Unidas)、青少年资源丰富计划 (RAP-A)、青少年移动危机响应以及其他各种针对儿童、青少年和年轻成人的早期干预计划。​​ 

EXAMPLES OF WORK BEING FUNDED: CSC-FEP is a recovery-oriented treatment program that primarily serves adolescents and young adults, typically ages 15-25, experiencing their first episode of psychosis. CSC-FEP promotes shared decision-making and uses a team of specialists who work with the client to create a personal treatment plan. The goal is to help youth with FEP who are often frightened and confused to restore adaptive functioning. Specialists offer psychotherapy, medication management geared to individuals with FEP, family education and support, case management, and work or education support.​​ 

“This critical investment by DHCS will expand high quality coordinated specialty care for first episode psychosis in youth and young adults to new communities and enhance services for current programs, which will increase opportunities for individuals to lead full and happy lives,” said Tara Niendam, Ph.D., Professor in Psychiatry and Executive Director of U.C. Davis Early Psychosis Programs.​​ 

RAP-A 是一项针对 11-15 岁青少年的通用复原力建设计划，它综合了认知行为和人际交往方法，以提高应对技能、建设复原力并促进积极发展。该计划还辅以一项家长计划（RAP-Parents），为家长建立健康的家庭环境提供支持。该计划的认知行为部分使参与者能够学习和实践认知重组和解决问题的方法。​​ 

HOW WE GOT HERE: Over the past 18 months, DHCS engaged with more than 1,000 diverse stakeholders and key implementation partners across California, including youth, families and caregivers, Local Educational Agencies and educators, health care providers and payers, behavioral health experts, and community-based organizations. DHCS prioritized listening to children, youth, and families, with more than 300 children and youth, via focus groups, surveys, and regular advisory body meetings.​​ 

Through an extensive community engagement process, DHCS selected a limited number of EBPs/CDEPs to consider expanding throughout the state, subject to further refinement based on an assessment of sustainable financing mechanisms, including Medi-Cal and commercial coverage and/or other funding streams. DHCS published its grant strategy, which details the goals of the grant program across six distinct rounds of funding.​​ 

更广阔的图景：该奖项由 CYBHI 提供资金支持，CYBHI 是对行为健康的一项数十亿美元的投资，也是州长改革加州精神健康系统的重要组成部分。它们注重公平，以儿童和青年的声音、优势、需求、优先事项和经历为中心开展工作，尤其是那些面临最大风险的儿童和青年。他们还推动变革性的系统变化，并将持续学习作为改变和改善儿童与青少年成果的基础。进一步了解纽森州长的心理健康运动。​​ 

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