Skip to main content

Advertisement

Log in

Embracing Comprehensive Mental Health and Social Services Programs to Serve Children Under California’s Mental Health Services Act

  • Original Article
  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Authorized under California’s Mental Health Services Act (MHSA) of 2004, full service partnership (FSP) programs address social welfare and other human service needs of seriously mentally ill adults and children who are especially socially and economically vulnerable or who are untreated or insufficiently treated. Because FSP enrollment should reflect greater individual and community distress, we investigated whether counties’ enrollment of children into FSPs came from mental health system caseloads with higher crisis use, assessed trauma and substance abuse problems; and from counties which had more foster care placement, more child poverty, lower median household incomes and more unemployment. We addressed these questions in 36 counties over 34 quarters after MHSA’s onset. Results indicated greater FSP enrollment for children was associated with higher county unemployment and foster care placement rates and with mental health systems which had increasing children’s crisis rates over the study period. These findings suggest that underservice and community adversity prompt officials to adopt and make greater use of children’s FSP programming, in keeping with MHSA’s intensions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7738325.

  • Brent, D. A., & Silverstein, M. (2014). Shedding light on the long shadow of childhood adversity. Journal of the American Medical Association, 309(17), 2013–2014.

    Google Scholar 

  • Brown, E. G., Dooley, D. S., & Douglas, T. (2013). Mental health services act expenditure report, fiscal year 2013–14. State of California. Retrieved Aug 8, 2015, from http://www.dhcs.ca.gov/formsandpubs/Documents/LegislativeReports/MentalHealth/MHSA_Expend_Report-Jan-2013.pdf.

  • Bruckner, T., Kim, Y., & Snowden, L. (2014). Racial/ethnic disparities in children’s emergency mental health after economic downturns. Administration and Policy In Mental Health, 41(3), 334–342. doi:10.1007/s10488-013-0474-8.

    Article  PubMed  Google Scholar 

  • Bruckner, T., Snowden, L., Subbaraman, M., & Brown, T. (2010). Economic antecedents of medicaid-financed mental health services among youths in California. International Journal of Mental Health, 39(2), 75–91. doi:10.2753/IMH0020-7411390204.

    Article  Google Scholar 

  • Catalano, R., Goldman-Mellor, S., Saxton, K., Margerison-Zilko, C., Subbaraman, M., LeWinn, K., & Anderson, E. (2011). The health effects of economic decline. Annual Review of Public Health, 32, 431–450. doi:10.1146/annurev-publhealth-031210-101146.

    Article  PubMed  Google Scholar 

  • Cordell, K., & Snowden, L. (under review). Reducing mental health emergency services for children served through California’s full service partnerships. Medical Care.

  • Ireys, H. T., Pires, S., & Lee, M. (2006). Public financing of home and community services for children and youth with serious emotional disturbances: Selected state strategies. Washington, DC: Matematica Policy Research Inc.

    Google Scholar 

  • Mahajan, P., Alpern, E. R., Grupp-Phelan, J., Chamberlain, J., Dong, L., Holubkov, R., & Foltin, G. L. (2009). Epidemiology of psychiatric-related visits to emergency departments in a multicenter collaborative research pediatric network. Pediatric Emergency Care, 25(11), 715–720. doi:10.1097/PEC.0b013e3181bec82f.

    Article  PubMed  Google Scholar 

  • Mcleod, J. D., & Shanahan, M. J. (1996). Trajectories of poverty and children’s mental health. Journal of Health and Social Behavior, 37(3), 207–220.

    Article  CAS  PubMed  Google Scholar 

  • Mental Health Services Oversight and Accountability Commission (MHSOAC). (2013). Mental health services act (MHSA)—revenue summary. Accessed on 8/27/2015 from: http://www.mhsoac.ca.gov/MHSOAC_Publications/docs/FactSheet_RevenueSummary_060713.pdf.

  • Nava, P., Kaye, L., Achadjian, K., Beier, D., Cannella, A., Flanigan, J., & Sousa, S. (2015). Promises still to keep: A decade of the mental health services act. Sacramento, CA: Little Hoover Commission.

    Google Scholar 

  • Nock, M. K., & Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: Analysis of the National Comorbidity Survey. Journal of Abnormal Psychology, 115(3), 616–623. doi:10.1037/0021-843X.115.3.616.

    Article  PubMed  Google Scholar 

  • Odgers, C. L., Burnette, M. L., Chauhan, P., Moretti, M. M., & Reppucci, N. D. (2005). Misdiagnosing the problem: Mental health profiles of incarcerated juveniles. The Canadian Child and Adolescent Psychiatry Review, 14(1), 26–29.

    PubMed  PubMed Central  Google Scholar 

  • Osher, T. W., & Osher, D. M. (2002). The paradigm shift to true collaboration with families. Journal of Child and Family Studies, 11(1), 47–60.

    Article  Google Scholar 

  • Pagliaro, L., & Pagliaro, A. M. (2012). Handbook of child and adolescent drug and substance abuse: Pharmacological, developmental, and clinical considerations. Hoboken, NJ, USA: Wiley.

    Google Scholar 

  • Pecora, P. J., White, C. R., Jackson, L. J., & Wiggins, T. (2009). Mental health of current and former recipients of foster care: A review of recent studies in the USA. Child & Family Social Work, 14(2), 132–146. doi:10.1111/j.1365-2206.2009.00618.x.

    Article  Google Scholar 

  • Scott-Lee, L. (2007). Early and periodic screening, diagnosis, and treatment (EPSDT) chart documentation manual. Sacramento, CA: The California Institute for Mental Health. doi:10.1097/00006324-197910000-00007.

    Google Scholar 

  • Snowden, L. R., & Bruckner, T. A. (2014). Economic contractions’ neglected impact on African Americans’ mental health. Urban ills: Twenty-first-century complexities of urban living in global contexts (vol. 2). (pp. 37-52) Lexington Books/Rowman & Littlefield, Lanham, MD.

  • Snowden, L. R., Masland, M. C., Wallace, N., & Fawley, K. (2009). Associating supplemental case management activities with ethnic minority children’s reduced use of psychiatric emergency services. Psychological Services, 6(2), 117–125. doi:10.1037/a0015346.

    Article  Google Scholar 

  • Snowden, L. R., Masland, M., Wallace, N., Fawley-King, K., & Evans-Cuellar, A. (2008). Increasing California children’s medicaid-financed mental health treatment by vigorously implementing medicaid’s early periodic screening, diagnosis, and treatment (EPSDT) program. Medical Care, 46(6), 558–564.

    Article  PubMed  Google Scholar 

  • Stuckler, D., & Basu, S. (2013). The body economic. Why austerity kills?. New York: Basic Books.

    Google Scholar 

  • Suter, J. C., & Bruns, E. J. (2009). Effectiveness of the wraparound process for children with emotional and behavioral disorders: A meta-analysis. Clinical Child and Family Psychology Review, 12(4), 336–351. doi:10.1007/s10567-009-0059-y.

    Article  PubMed  Google Scholar 

  • Tucker, J. S., Edelen, M. O., Ellickson, P. L., & Klein, D. J. (2011). Running away from home: A longitudinal study of adolescent risk factors and young adult outcomes. Journal of Youth and Adolescence, 40(5), 507–518. doi:10.1007/s10964-010-9571-0.

    Article  PubMed  Google Scholar 

  • Turner, J. C., & TenHoor, W. J. (1978). The NIMH community support program: Pilot approach to a needed social reform. Schizophrenia Bulletin, 4(3), 319–349. doi:10.1093/schbul/4.3.319.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katharan D. Cordell.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cordell, K.D., Snowden, L.R. Embracing Comprehensive Mental Health and Social Services Programs to Serve Children Under California’s Mental Health Services Act. Adm Policy Ment Health 44, 233–242 (2017). https://doi.org/10.1007/s10488-016-0717-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-016-0717-6

Keywords

Navigation