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Clair County
Community Mental Health. They provide services for individuals with mental
health illnesses and substance abuse problems who have Medicaid or who
qualify for other public insurance plans. The mission statement for
Community Mental Health is, Promoting Discovery & Recovery Opportunities
for Healthy Minds & Bodies. Some services offered include adults with
mental illnesses, children with serious emotional disturbances, adults and
children with intellectual or developmental disabilities, adults & children with
substance use disorders, and adults with co-occurring mental health &
substance use disorders. They also have emergency crisis services that are
open to anyone who needs them during crisis times. They aim to promote
recovery with these services instead of just treating the mental illnesses and
disabilities that the clients have.
The clients seen at Community Mental Health vary in age, gender,
race, and illness. They can be anywhere from a 2 year old who was
diagnosed with autism to an 80 year old with schizophrenia. The only real
similarity between all of the clients is that most of them are in a lower
income level and have Medicaid as their primary health insurance. The main
clients seen in the department I have been working in are children under 18
who have developmental disabilities, DD, or severe emotional disturbances,
SED. There are many different programs for these children to be enrolled in
where they can learn social skills, coping skills, and life skills. Most of the
programs are free to these people.
child must have MiChild insurance and go through the Access number we
provide. After they call the Access number they will be scheduled to meet
with an intake nurse or social worker. The person doing the intake will then
decide if they qualify for services. To qualify for the DD program, children
must have a specific diagnosis or group of diagnosis. We do not see children
who are only diagnosed with ADD or ADHD; they must have another
condition to qualify for either DD services or SED services. Once they are in
one of the two programs they will be assigned a worker within the childrens
department who will then go through the process of finding what services
they child would benefit from.
Once these children are in the system they will do large annual
assessments and periodic reviews throughout the year. Every year the
worker will go to the childs home to do their Individual Plan of Service and
Biopsychosocial assessment. During this meeting the worker will discuss with
the parent and child what is working for them, what is not, and what changes
they wish to make. They will then create goals that either the child wants to
meet or the parents want them to meet by the end of the plan. Using this
plan they can decide what services the child qualifies for and what services
they will receive. Most children will all receive the monthly medication
reviews and individual counseling. The other services are on an individual
basis. After this meeting the worker will meet with the child every three to
six months for their periodic review. During these reviews they will discuss
progress on the goals in the plan and see if any changes need to be made. If
any changes are made during these meetings, they will only be in effect until
their next annual Plan of Service meeting, and then everything will be
reevaluated.
Termination of services is very different for the two groups of children
we see. Most of our DD children will continue to receive services. Since these
children will always have their developmental disability they will just age out
of childrens. Once they turn 18, they will often just be transferred to the
adult department and continue to receive their services. The SED children
are where it can get a little confusing. Every three month the SED children
will be evaluated to see what their CAFAS score is. Once their CAFAS score is
below 50 they will begin the process of being discharged from the SED
program. If they never get below the CAFAS score of 50 they will age out of
the program when they turn 18. Once they turn 18, the services with the
childrens department will be terminated and they will have to reapply to the
adult program. In order for the SED children to receive adult services they
have to meet a whole new list of requirements and often have some sort of
mental illness diagnosis.
St. Clair County Community Mental Health is very committed to the
community around it. The Community Mental Health website states, St.
Clair County CMH is a valued and essential part of the communities it serves.
St. Clair County CMH seeks meaningful ways to provide supports in response
to under met or unmet community needs. St. Clair County CMH believes that