Child with Emotional Disturbance (ED):
An organic disorder of the brain, or a clinically significant disorder of thought, mood, perception, orientation, memory, or behavior that:
- Is listed in the clinical manual of the International Classification of Diseases (ICD-9 CM), current edition, code range 290.0 to 302.99 or 306.0 to 316.0 or the corresponding code in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-MD), current edition, Axes I, II, or III; and
- Seriously limits a child’s capacity to function in primary aspects of daily living such as personal relations, living arrangements, work, school, and recreation.
“Emotional disturbance” is a general term and is intended to reflect all categories of disorder described in the DSM-MD, current edition as “usually first evident in childhood or adolescence.”
Child with Severe Emotional Disturbance (SED):
A child who has an emotional disturbance and who meets one of the following criteria:
- The child has been admitted to inpatient treatment/residential treatment or is at risk of being admitted, within the last three years;
- The child is a MN resident and is receiving inpatient treatment or residential treatment for an emotional disturbance through the interstate compact;
- A mental health professional has determined the child has one of the following:
- Psychosis or clinical depression;
- Risk of harming self or others as a result of emotional disturbance; or
- Psycho pathological symptoms as a result of being a victim of physical/sexual abuse or psychic trauma within the past year.
A mental health professional has determined the child has a significantly impaired home, school or community functioning lasting at least one year or presents a risk of lasting at least one year, as a result of emotional disturbance.
The term “child with serve emotional disturbance” shall be used only for purposes of county eligibility determinations. In all other written and oral communications, case mangers, mental health professionals, mental health practitioners, and all other providers of mental health services shall use the term “child eligible for mental health case management” in place of “child with severe emotional disturbance.”
Determines a recipient's eligibility for mental health services, must be conducted by a mental health professional, and is a written evaluation of a person's:
- Current life situation and sources of stress, including reasons for referral;
- Current functioning and symptoms;
- History of current mental health problem, including important developmental incidents, strengths, and vulnerabilities;
- Diagnosis, including whether or not the person has SED or is SPMI; and
- Needed mental health services.
A functional assessment is an evaluation by a case manager or a recipient's functional impairment that restricts or prevents a recipient from functioning at the highest possible level of independence, and identifies, as appropriate:
- Mental health symptoms and needs as presented in a diagnostic assessment;
- Use of drugs and alcohol;
- Vocational and educational functioning;
- Social functioning, including the use of leisure time;
- Interpersonal functioning, including relationships;
- Self-care and independent living;
- Medical and dental health;
- Financial assistance needs;
- Housing and transportation needs;
- Current living conditions; and
- Other needs and problems.
Results of the functional assessment are used to develop the goals and objectives of an ICSP/IFCSP.
IFCSP (Individual Family Community Support Plan):
A written plan of action developed by a case manager and based on diagnostic and functional assessments, coordinated with an ITP, identifying specific services needed by the child with SED and the child's family, to:
- Treat the symptoms and dysfunctions determined in the diagnostic assessment;
- Relieve conditions leading to an emotional disturbance and improve the personal well-being of the child;
- Improve family functioning;
- Enhance daily living skills;
- Improve functioning in education and recreation settings;
- Improve interpersonal and family relationships;
- Enhance vocational development; and
- Assist in obtaining transportation, housing, health services, and employment.
Mental Health Professional:
A Licensed Psychologist (LP), Licensed Marriage and Family Therapist (LMFT), Licensed Independent Clinical Social Worker (LICSW), Clinical Nurse Specialist (CNS-MH), Psychiatric Nurse Practitioner (PNP), or Psychiatrist (MD).
The wrap-around process involves a team of professionals working with family members to develop a plan to improve the lives of children and families with complex needs, using a service-driven, needs based approach to care.
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