{"id":65037,"date":"2024-05-28T11:15:37","date_gmt":"2024-05-28T18:15:37","guid":{"rendered":"https:\/\/lapost.us\/?p=65037"},"modified":"2024-05-28T11:15:37","modified_gmt":"2024-05-28T18:15:37","slug":"medi-cal-expands-access-to-mental-health-substance-use-treatment","status":"publish","type":"post","link":"https:\/\/lapost.us\/?p=65037","title":{"rendered":"Medi-Cal Expands Access to Mental Health, Substance Use Treatment"},"content":{"rendered":"<div class=\"td_block_wrap tdb_single_author tdi_59 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_59\">\n<div class=\"tdb-block-inner td-fix-index\">\n<div class=\"tdb-author-name-wrap\"><span class=\"tdb-author-by\">By<\/span><a class=\"tdb-author-name\" href=\"https:\/\/ethnicmediaservices.org\/author\/selen-ozturk\/\">Selen Ozturk<\/a><\/div>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_date tdi_60 td-pb-border-top td_block_template_1 tdb-post-meta\" data-td-block-uid=\"tdi_60\">\n<div class=\"tdb-block-inner td-fix-index\"><i class=\"tdb-date-icon tdc-font-fa tdc-font-fa-calendar\"><\/i><time class=\"entry-date updated td-module-date\" datetime=\"2024-05-22T11:20:00-07:00\">May 22, 2024<\/time><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_subtitle tdi_61 td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_61\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>California is on the national front lines of making mental health and substance use disorder care easier to access for patients of Medi-Cal.<\/p>\n<\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_featured_image tdi_62 tdb-content-horiz-left td-pb-border-top td_block_template_1\" data-td-block-uid=\"tdi_62\">\n<div class=\"tdb-block-inner td-fix-index\"><img loading=\"lazy\" decoding=\"async\" class=\"entry-thumb td-animation-stack-type0-2\" title=\"health care\" src=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care.png\" sizes=\"auto, (max-width: 2402px) 100vw, 2402px\" srcset=\"https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care.png 2402w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-300x162.png 300w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-1024x553.png 1024w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-768x415.png 768w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-1536x830.png 1536w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-2048x1107.png 2048w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-150x81.png 150w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-696x376.png 696w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-1068x577.png 1068w, https:\/\/ethnicmediaservices.org\/wp-content\/uploads\/2024\/05\/health-care-1920x1038.png 1920w\" alt=\"\" width=\"2402\" height=\"1298\" \/><\/div>\n<\/div>\n<div class=\"td_block_wrap tdb_single_content tdi_63 td-pb-border-top td_block_template_1 td-post-content tagdiv-type\" data-td-block-uid=\"tdi_63\">\n<div class=\"tdb-block-inner td-fix-index\">\n<p>California is on the national front lines of making mental health and substance use disorder care easier to access for patients of Medi-Cal, its version of Medicaid.<\/p>\n<p>At an Ethnic Media Services\u00a0<a href=\"https:\/\/ethnicmediaservices.org\/media-briefings\/how-medi-cal-transformation-is-expanding-access-to-behavioral-health-care-services\/\">briefing<\/a>, Department of Health Care Services (DHCS) leaders and community health care providers explained how Medi-Cal is helping Californians needing mental health and substance use disorder treatment lead healthier lives.<\/p>\n<h2 class=\"wp-block-heading\">An overview of behavioral health<\/h2>\n<p>Behavioral health, including mental health and substance use, is just as important as physical health, and the outcomes are intertwined,\u201d said Paula Wilhelm<strong>,<\/strong>\u00a0interim deputy director of behavioral health services at DHCS.<\/p>\n<p>Medi-Cal, California\u2019s Medicaid program, provides coverage for one in three \u2014 or 15 million \u2014 Californians.<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"Jii9iMsoUZI\"><iframe loading=\"lazy\" id=\"widget2\" title=\"\u2018Care Is Available\u2019 \u2013 Medi Cal Expands to Include Mental Health Services\" src=\"https:\/\/www.youtube.com\/embed\/Jii9iMsoUZI?list=PLDf_WRdtSH6eSxhqllN1r0x0KHHiZcE69\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Paula Wilhelm, Interim Deputy Director, Behavioral Health, California Department of Health Care Services, discusses the expanded mental and behavioral healthcare services now available to Medi-Cal patients.<\/em><\/figcaption><\/figure>\n<p>To make it easier for members to access care, Medi-Cal is partnering with community organizations to provide behavioral care like mental health and substance use disorder screening, outpatient therapy and inpatient treatment.<\/p>\n<p>To get these services, members can call their\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/services\/medi-cal\/Pages\/CountyOffices.aspx\">local county\u2019s<\/a>\u00a024-hour access line.<\/p>\n<p>\u201cOne thing we continue to hear from our MediCal members is that the complexity of navigating the healthcare system can keep people from accessing care,\u201d said Wilhelm.<\/p>\n<p>DHCS is transforming Medi-Cal to address this through measures like the\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/services\/MH\/Pages\/MH_Prop63.aspx\">Mental Health Services Act<\/a>\u00a0funding substance use disorder and serious mental health conditions; expanding early intervention and housing support; and the\u00a0<a href=\"https:\/\/www.dhcs.ca.gov\/Pages\/CalAIM-BH-Initiative-FAQ-No-Wrong-Door-And-Co-Occurring-Treatment.aspx\">No Wrong Door<\/a>\u00a0policy making appropriate, covered treatment available to all members.<\/p>\n<h2 class=\"wp-block-heading\">Youth mental health<\/h2>\n<p>The youth mental health crisis is the defining public health issue of our time according to the U.S. Surgeon General, and Medi-Cal is being transformed to address it through the\u00a0<a href=\"https:\/\/cybhi.chhs.ca.gov\/\">Children and Youth Behavioral Health Initiative<\/a>, a $4.7 billion investment part of Governor Newsom\u2019s Master Plan for Kids\u2019 Mental Health.<\/p>\n<p>\u201cFor over a decade, outcomes for youth have been worsening,\u201d said Autumn Boylan, deputy director of the Office of Strategic Partnerships at DHCS. \u201cHalf of all lifetime cases of diagnosable mental illnesses emerge for youth by age 14, and 75 percent begin by age 24.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"rnbctKZx5s0\"><iframe loading=\"lazy\" id=\"widget4\" title=\"Early Intervention a Key Component of Newsom\u2019s Master Plan for Kids\u2019 Mental Health\" src=\"https:\/\/www.youtube.com\/embed\/rnbctKZx5s0?list=PLDf_WRdtSH6eSxhqllN1r0x0KHHiZcE69\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Autumn Boylan, Deputy Director, Office of Strategic Partnerships, California Department of Health Care Services, discusses the focus and strategy of Governor Newsom\u2019s Master Plan on Kids\u2019 Mental Health.<\/em><\/figcaption><\/figure>\n<p>In California, 284,000 kids have major depression, and 66% don\u2019t get treatment.<\/p>\n<p>To address this crisis, \u201cwe\u2019re focusing our mental health care not only on hospitals and clinics, but also schools, where youth spend most of their time,\u201d said Boylan.<\/p>\n<p>\u201cWe\u2019re working with K-12, community college, University of California and California State University systems to have more reimbursed counselors; implement mindfulness and social skills programs; and invest in community interventions,\u201d she added, \u201cparticularly for youth of color, those who are low-income, LGBTQ+, justice-involved and facing housing challenges,\u201d she added.<\/p>\n<h2 class=\"wp-block-heading\">Behavioral health in Humboldt County<\/h2>\n<p>\u201cOur Medi-Cal contract has let us grow over the last few years to become one of the larger programs providing mental health and substance use care in Humboldt County,\u201d said Jennifer Oliphant, director of the Chekws: Hope for Tomorrow program at<a href=\"https:\/\/twofeathers-nafs.org\/\">\u00a0Two Feathers Native American Family Services<\/a>\u00a0in McKinleyville. \u201cWe\u2019ve built up intensive and rehabilitative care, workforce training with local universities, cultural workshops, peer counseling and horse therapy.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"Sxwzc8PtAcQ\"><iframe loading=\"lazy\" id=\"widget6\" title=\"Medi Cal\u2019s \u2018Profound\u2019 Impact on Rural Mental Health Services\" src=\"https:\/\/www.youtube.com\/embed\/Sxwzc8PtAcQ?list=PLDf_WRdtSH6eSxhqllN1r0x0KHHiZcE69\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Jennifer Oliphant, LCSW, Chekws: Hope for Tomorrow Program Director at Two Feathers Native American Family Services, explains how expanded Medi-Cal funding has enabled her rural community to establish mental healthcare services for the region\u2019s youth.<\/em><\/figcaption><\/figure>\n<p>In 2022, Two Feathers was also able to begin its youth leadership development program employing teenagers in adult-led groups to learn how to be future employees, develop social and emotional skills, go on college tours and learn about local cultural practices.<\/p>\n<p>\u201cWe had one youth come in a few years ago who was struggling with substance use and on the fence about whether to seek counseling,\u201d said Oliphant. \u201cThey entered our youth leadership program and got connected with a peer group, and then was motivated to get connected with our counselors \u2026 they\u2019ve been with us nearly two years now and the change has been remarkable as they\u2019ve stabilized their health issues and isolation while learning job skills and connecting with their community.\u201d<\/p>\n<p>\u201cIt\u2019s devastating to see how impacted youth here are by the drug crisis,\u201d she continued. In response, \u201cWe don\u2019t have a separate substance use treatment service; rather, we\u2019ve included it in mental health services to break down barriers to access.\u201d<\/p>\n<p>\u201cExpanded Medi-Cal has let us have a sustainable, growing behavioral health program with a consistent clinical roster, whereas before we\u2019d have temporary grants here and there,\u201d Oliphant added.<\/p>\n<h2 class=\"wp-block-heading\">Behavioral health in Orange County<\/h2>\n<p>\u201cWhen I first started in 2008, we didn\u2019t have any mental health program at all, but I saw such a need for it here,\u201d said Tricia Nguyen, CEO of<a href=\"https:\/\/www.southlandintegrated.org\/\">\u00a0Southland Integrated Services<\/a>, a health clinic in Orange County which was first established as a Vietnam War refugee resettlement agency in 1979.<\/p>\n<p>Orange County is the largest Vietnamese enclave outside Vietnam, currently home to over 209,000 Vietnamese people, according to the U.S. Census \u2014 over 6% of the area\u2019s total population.<\/p>\n<p>\u201cThere\u2019s a generational mental health gaps,\u201d Nguyen explained, \u201cbetween the older generation who has suffered so much, and pass the guilt of needing to be a traditionally successful doctor, lawyer, engineer onto the kids \u2026 so we have isolation among seniors and anxiety, depression and suicide among pressured youth.\u201d<\/p>\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\">\n<div class=\"wp-block-embed__wrapper\">\n<div class=\"td-video-replacer\" data-id=\"undefined\"><\/div>\n<div class=\"youtube-embed\" data-video_id=\"1SOz_lZh1JE\"><iframe loading=\"lazy\" id=\"widget8\" title=\"Reducing the Fear and Stigma Surrounding Mental Healthcare\" src=\"https:\/\/www.youtube.com\/embed\/1SOz_lZh1JE?list=PLDf_WRdtSH6eSxhqllN1r0x0KHHiZcE69\" width=\"100%\" height=\"392\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\" data-mce-fragment=\"1\"><\/iframe><\/div>\n<\/div><figcaption class=\"wp-element-caption\"><em>Tricia Nguyen, CEO, Southland Integrated Services (formerly Vietnamese Community of Orange County) discusses the growing acceptance of mental healthcare in the Vietnamese community as well as the taboos that persist.<\/em><\/figcaption><\/figure>\n<p>The Centers for Disease Control reported in 2020 that suicide was the leading cause of death for AAPI Americans aged 10 to 19 and the second-leading cause of death for those aged 20 to 34.<\/p>\n<p>\u201cAlongside programs like senior wellness classes, veteran counseling, psychiatric rehabilitation and digital literacy workshops already,\u201d Nguyen said, \u201cMedi-Cal grants allowed us to build six-week youth wellness workshops\u201d incorporating arts and crafts, education around healthy sleep and eating, social media habits and parent communication strategies.<\/p>\n<p>\u201cThe parents feel that they\u2019ve sacrificed everything for the kids\u2019 success, while the kids feel that the parents don\u2019t care about their wellbeing,\u201d she continued. \u201cCulturally, we can be open about diabetes and hypertension, but there\u2019s still a stigma around mental health.\u201d<\/p>\n<p>\u201cAs we\u2019ve grown our behavioral health programs, I\u2019ve seen that stigma lessen,\u201d Nguyen added. \u201cParents will come in now and ask for a therapist or screening for their child. It\u2019s difficult to break taboos around mental health and substance abuse, but through these programs, we\u2019re doing it.\u201d<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>BySelen Ozturk May 22, 2024 California&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,16],"tags":[],"class_list":["post-65037","post","type-post","status-publish","format-standard","hentry","category-ca-local","category-health"],"_links":{"self":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/65037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=65037"}],"version-history":[{"count":1,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/65037\/revisions"}],"predecessor-version":[{"id":65038,"href":"https:\/\/lapost.us\/index.php?rest_route=\/wp\/v2\/posts\/65037\/revisions\/65038"}],"wp:attachment":[{"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=65037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=65037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lapost.us\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=65037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}