630.097. Comprehensive children's mental health service system to be developed--team established, members, duties--plan to be developed, content--evaluations to be conducted, when.

Comprehensive children's mental health service system to bedeveloped--team established, members, duties--plan to bedeveloped, content--evaluations to be conducted, when.

630.097. 1. The department of mental health shall develop, inpartnership with all departments represented on the children's servicescommission, a unified accountable comprehensive children's mental healthservice system. The department of mental health shall establish a stateinteragency comprehensive children's mental health service system teamcomprised of representation from:

(1) Family-run organizations and family members;

(2) Child advocate organizations;

(3) The department of health and senior services;

(4) The department of social services' children's division, divisionof youth services, and the division of medical services;

(5) The department of elementary and secondary education;

(6) The department of mental health's division of alcohol and drugabuse, division of mental retardation and developmental disabilities, andthe division of comprehensive psychiatric services;

(7) The department of public safety;

(8) The office of state courts administrator;

(9) The juvenile justice system; and

(10) Local representatives of the member organizations of the stateteam to serve children with emotional and behavioral disturbance problems,developmental disabilities, and substance abuse problems.

The team shall be called "The Comprehensive System Management Team". Thereshall be a stakeholder advisory committee to provide input to thecomprehensive system management team to assist the departments indeveloping strategies and to ensure positive outcomes for children arebeing achieved. The department of mental health shall obtain input fromappropriate consumer and family advocates when selecting family members forthe comprehensive system management team, in consultation with thedepartments that serve on the children's services commission. Theimplementation of a comprehensive system shall include all state agenciesand system partner organizations involved in the lives of the childrenserved. These system partners may include private and not-for-profitorganizations and representatives from local system of care teams and thesepartners may serve on the stakeholder advisory committee. The departmentof mental health shall promulgate rules for the implementation of thissection in consultation with all of the departments represented on thechildren's services commission.

2. The department of mental health shall, in partnership with thedepartments serving on the children's services commission and thestakeholder advisory committee, develop a state comprehensive children'smental health service system plan. This plan shall be developed andsubmitted to the governor, the general assembly, and children's servicescommission by December, 2004. There shall be subsequent annual reportsthat include progress toward outcomes, monitoring, changes in populationsand services, and emerging issues. The plan shall:

(1) Describe the mental health service and support needs ofMissouri's children and their families, including the specialized needs ofspecific segments of the population;

(2) Define the comprehensive array of services including servicessuch as intensive home-based services, early intervention services, familysupport services, respite services, and behavioral assistance services;

(3) Establish short- and long-term goals, objectives, and outcomes;

(4) Describe and define the parameters for local implementation ofcomprehensive children's mental health system teams;

(5) Describe and emphasize the importance of family involvement inall levels of the system;

(6) Describe the mechanisms for financing, and the cost ofimplementing the comprehensive array of services;

(7) Describe the coordination of services across child-servingagencies and at critical transition points, with emphasis on theinvolvement of local schools;

(8) Describe methods for service, program, and system evaluation;

(9) Describe the need for, and approaches to, training and technicalassistance; and

(10) Describe the roles and responsibilities of the state and localchild-serving agencies in implementing the comprehensive children's mentalhealth care system.

3. The comprehensive system management team shall collaborate todevelop uniform language to be used in intake and throughout the* provisionof services.

4. The comprehensive children's mental health services system shall:

(1) Be child centered, family focused, strength based, and familydriven, with the needs of the child and family dictating the types and mixof services provided, and shall include the families as full participantsin all aspects of the planning and delivery of services;

(2) Provide community-based mental health services to children andtheir families in the context in which the children live and attend school;

(3) Respond in a culturally competent and responsive manner;

(4) Emphasize prevention, early identification, and intervention;

(5) Assure access to a continuum of services that:

(a) Educate the community about the mental health needs of children;

(b) Address the unique physical, behavioral, emotional, social,developmental, and educational needs of children;

(c) Are coordinated with the range of social and human servicesprovided to children and their families by local school districts, socialservices, health and senior services, public safety, juvenile offices, andthe juvenile and family courts;

(d) Provide a comprehensive array of services through an integratedservice plan;

(e) Provide services in the least restrictive most appropriateenvironment that meets the needs of the child; and

(f) Are appropriate to the developmental needs of children;

(6) Include early screening and prompt intervention to:

(a) Identify and treat the mental health needs of children in theleast restrictive environment appropriate to their needs; and

(b) Prevent further deterioration;

(7) Address the unique problems of paying for mental health servicesfor children, including:

(a) Access to private insurance coverage;

(b) Public funding, including:

a. Assuring that funding follows children across departments; and

b. Maximizing federal financial participation;

(c) Private funding and services;

(8) Assure a smooth transition from child to adult mental healthservices when needed;

(9) Coordinate a service delivery system inclusive of services,providers, and schools that serve children and youth with emotional andbehavioral disturbance problems, and their families through state agenciesthat serve on the state comprehensive children's management team; and

(10) Be outcome based.

5. By August 28, 2007, and periodically thereafter, the children'sservices commission shall conduct and distribute to the general assembly anevaluation of the implementation and effectiveness of the comprehensivechildren's mental health care system, including an assessment of familysatisfaction and the progress of achieving outcomes.

(L. 2004 S.B. 1003)

*Word "the" does not appear in original rolls.