加州投資 6,700 萬美元擴大針對兒童、青少年和年輕人的心理健康早期介入專案​​ 

您需要知道的：加州正投入數百萬美元來支援全州兒童、青少年和年輕成人的心理健康和福祉。​​ 

SACRAMENTO- 健康照護服務部 (DHCS) 今天與心理健康服務監督與責任委員會 (MHSOAC) 合作，向 30 個縣的 99 個組織撥款6700 萬加元，以擴大早期介入計劃和實踐，為加州的兒童、青少年和年輕成人提供心理健康和保健服務。​​ 

“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:​​ 

• 創造和擴大早期介入專案和實踐，以減少恥辱，擁抱心理健康，增加社區聯繫，並提供獲得文化回應服務的機會。​​ 
• 為兒童和青少年提供一個安全的空間，以尋找社區，支持和建議。​​ 
• 增加早期干預，以便有或有高風險行為健康狀況的兒童和青少年可以在條件升級並需要更高水平的照護之前獲得服務。​​ 
• 透過改善家長、照顧者和兒童的公平方式獲得服務，以文化和語言方面包容，以符合重點人群的需求的方式來減少健康差異（見第 4 頁）。​​ 
• 根據加州健康場所指數的數據，將一半以上的資金分配給需求最高的縣，優先考慮資金的公平分配。​​ 
• 透過早期介入，減少使用更敏銳的服務（例如急診部、住院住院）。​​ 
  

「加州對於實證性干預和經證實的社區定義實證實踐的投資是前所未有的，我們致力於在照護連續過程中的所有階段為兒童、青少年和年輕成人提供支援 - 從預防開始到早期干預、治療和康復，」加州健康& 人力服務局局長 Mark Ghaly 博士說。「及早識別心理健康狀況和及早介入可以拯救生命」。​​ 

投資於特定類型的照護：在此機會下獲得資助的模式包括但不限於，針對精神病初發 (FEP) 的協調專科照護 (CSC)、藍調計畫、青少年文化資訊與彈性家庭式治療 (CIFFTA)、Familias Unidas、青少年資源豐富計畫 (RAP-A)、青少年行動危機回應，以及其他各種針對兒童、青少年和年輕成人的早期介入計畫。​​ 

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 是針對 11-15 歲青少年的通用抗逆力建構方案，結合認知行為和人際關係的方法，以改善應變技巧、建立抗逆力並促進正面發展。該計畫由一項支援家長建立健康家庭環境的家長計畫 (RAP-Parents) 加以補充。本計畫的認知行為部分可讓參加者學習並練習認知重組和問題解決的方法。​​ 

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.​​ 

BIGGER PICTURE:此獎項由 CYBHI 資助，CYBHI 是一項數十億美元的行為健康投資，也是州長改造加州精神健康系統的重要組成部分。這些計劃著重公平，以兒童及青少年的聲音、優勢、需求、優先考量及經驗為中心，特別是對於那些風險最高的兒童及青少年。他們也會推動轉型系統的變革，並利用持續的學習作為改變和改善兒童與青少年成果的基礎。進一步了解紐森州長的心理健康運動。​​ 

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