兒童和青少年實證實踐
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.
多系統治療 (MST)
- MST 是一種以家庭和社區為基礎的治療，使用治療會議來解決新興的高風險行為，包括犯罪行為、反社會活動、藥物使用以及其他可能導致青少年正義參與或在家外安置的行為。
- 通過 MST，照顧者學習獨立解決培育兒童和青少年的困難的技能，以及應對其他家庭，同伴和鄰居問題的技能。
- MST emphasizes cultural responsiveness and the centering of home and community settings, as well as partnership with law enforcement and the juvenile justice system.
功能性家庭療法（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 專注於減少青少年行為問題，行為障礙，藥物使用和再次性，並改善育兒行為。
- FFT 的關鍵組成部分是家人、照顧者、寄養家庭或其他主要家庭影響的參與。
親子互動治療（PCIT）
- PCT 是針對兒童及其照顧者的專門行為管理介入。
- 通過 PCIT，治療師在與孩子進行治療遊戲時，通過無線耳機為護理人員提供即時指導，幫助照護者對孩子應用最有效的策略。
- 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.
高保真度包覆 (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.
- 從 2026 年 7 月開始，DHCS 將實施 HFW 作為根據 Medi-Cal 的全州組合服務，也作為行為健康服務法（BHSA）下的縣要求。
- 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.”