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STATEWIDE MENTAL HEALTH YOUTH SERVICESARE CALIFORNIA YOUTH UTILIZING THE PHYSICAL AND MENTAL HEALTH CARE ENTITLED TOTHEM? PART IHEALTH CARE SYSTEM AND HEALTH INDICATORS: YOUTH IN GENERAL AND MEDI-CAL YOUTHNATIONAL SURVEY OF CHILDREN’S HEALTH (2019-2020) Child did not receive care in a well-functioning system:o U.S.: 84%o CA: 89% Child did not receive transition services to adult care:o U.S.: 82%o CA: 79% Child did not have personal doctor or nurse:o U.S.: 35%o CA: 47% Child health coverage did nor meet mental and behavioral needs:o U.S.: 39%o CA: 45% Child did not receive preventative medical and dental care:o U.S.: 38%o CA: 44% Child did not receive effective care coordination:o U.S.: 34%o CA: 35% Child had difficulty getting needed referral(s):o U.S.: 19%o CA: 24% Vast majority of parents with youth on public health insurance believe the health care system is poor Nearly 25% report difficulties acquiring referrals Roughly 45% say coverage does not meet their child’s mental health needsHEALTH DISPARITIES BY RACE/ETHNICITY (2020) * Black:o Childhood Immunization Statuso Developmental Screeningso Immunizations for Adolescentso Weight Assessmento Counseling for Nutritiono Counseling for Physical Activity Native American:o Developmental Screeningso Weight Assessmento Counseling for Nutritiono Counseling for Physical Activity Asian:o Developmental Screeningso Weight Assessment Hispanic/Latino:o Developmental Screenings Native Hawaiian/Pacific Islander:o Developmental ScreeningsJUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICES Other:o Developmental Screeningso Weight AssessmentWhite:o Childhood Immunization Statuso Developmental Screeningso Immunizations for Adolescentso Weight Assessmento Counseling for Nutritiono Counseling for Physical ActivityBlack, Native American and white youth on Medi-Cal perform worse than other racial/ethnic groups forvarious health indicatorsAll groups face a disparity in receiving developmental screenings* Medi-Cal managed care data: health indicators below each race/ethnicity involves a disparityCALIFORNIA HEALTH INTERVIEW SURVEY (2020) * Parental concern of child’s development asked by providers:o Non-Medi-Cal: 64%o Medi-Cal: 57% Received any psychological or emotional counseling in past year:o Non-Medi-Cal: 9%o Medi-Cal: 10% Have usual place to go to when sick or need health advice:o Non-Medi-Cal: 88%o Medi-Cal: 87% Doctor or professional referred child to specialist regarding development:o Non-Medi-Cal: 14%o Medi-Cal: 18% Condition of teeth fair/poor:o Non-Medi-Cal: 9%o Medi-Cal: 16% Medi-Cal parents are less likely to have coverage prioritize their child’s development and dental needsrelative to those with other health care coverage* This section includes data on children and youth under 21 years oldMENTAL ILLNESS & ACCESS TO CARE: CA VS. U.S. YOUTH RANKING (2021) Indicator:o At least 1 major depressive episode (MDE) in past year: CA Youth: 14% U.S. Youth: 14% CA Rank: 19o Severe MDE: CA Youth: 9% U.S. Youth: 10% CA Rank: 11o Substance use disorder in past year: CA Youth: 4% U.S. Youth: 4% CA Rank: 27o With MDE who did not receive services: CA Youth: 66% U.S. Youth: 60% CA Rank: 45JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICESWith severe MDE and received treatment (7-25 visits/year): CA Youth: 25% U.S. Youth: 27% CA Rank: 39o Identified with emotional disturbance for an individualized education program (IEP): CA Youth: 4% U.S. Youth: 8% CA Rank: 44California ranks 33rd out of the 51 in addressing youth mental health and accessIt is among the lowest ranked regarding providing services to youth with major depressive episodes andidentifying emotional disturbance early ono MEDI-CAL/CHIP YOUTH: PERFORMANCE IN HEALTH CARE QUALITY MEASURESCalifornia performs worse than the median delivering Medi-Cal children and youth the following services:o Immunizations for young childreno Developmental screenings for young childreno Well-child visits for children and youtho Dental care for children and youtho Follow-ups with children prescribed ADHD medicationPRIMARY AND PREVENTATIVE CARE (2020)CALIFORNIA VS. OTHER STATES: % OF MED-CAL ENROLLEESIMMUNIZATIONS Measles, Mumps and Rubella (MMR)(By Age 2):o California: 87.1%o Median: 88.2% Human Papillomavirus (HPV) Vaccine Series (By Age 13):o California: 44.9.8%o Median: 36.5%SCREENINGS Developmental (0 to 3):o California: 22.2%o Median: 35.6% Chlamydia (16 to 20):o California: 61.4%o Median: 48.7%WELL-CHILD VISITS 6 or More (0 to 15 months):o California: 54.6%o Median: 65.6% 1 or More (3 to 6):o California: 72.7%o Median: 70.4% 1 or More (12 to 21):o California: 51.3%o Median: 53.2%DENTAL CARE Received at Least 1 Preventative Service (1 to 20):o California: 39.3%o Median: 41.5%BEHAVIORAL AND MENTAL HEALTH SERVICES (2020)CALIFORNIA VS. OTHER STATES: % OF MED-CAL ENROLLEESHOSPITALIZATIONS FOR MENTAL ILLNESS: 6 TO 17 YEARS JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICESFollow-up within 7 days:o California: 67.8%o Median: 45.6% Follow-up within 30 days:o California: 82.1%o Median: 66%CHILDREN PRESCRIBED ADHD MEDICATION: 6 TO 12 YEARS 1 Follow-up During 30-Day Initiation:o California: 45.3%o Median: 46.6% At least 2 Follow-ups in the 9 Months Post-Initiation:o California: 56.2%o Median: 57.4%METABOLIC MONITORING FOR YOUTH ON ANTIPSYCHOTICS: 1 TO 17 YEARS Received Blood Glucose Testing:o California: 60.7%o Median: 54% Received Cholesterol Testing:o California: 43.5%o Median: 38.1% Received Blood Glucose and Cholesterol Testing:o California: 42.5%o Median: 35.4%YOUTH ON ANTIPSYCHOTICS: 1 TO 17 YEARS Use of First-Line Psychosocial Care:o California: 67.5%o Median: 65% SOURCESNational Survey of Children’s HealthCalifornia Health Interview SurveyCalifornia Department of Health Care Services- 2020 Health Disparities ReportMental Health America: Youth Ranking 2021Center for Medicare & Medicaid Services- Child Core SetARE CALIFORNIA YOUTH UTILIZING THE PHYSICAL AND MENTAL HEALTH CARE ENTITLED TOTHEM? PART IIMEDI-CAL/CHIP MENTAL HEALTH SERVICES: ALL YOUTH UTILIZATIONSPECIALTY MENTAL HEALTH SERVICES (SMHS) * (2019-2020) Youth 0-20 eligible for SMHS: roughly 5.79 million Youth Receiving SMHS: roughly 256,000 Penetration**:o At least 1 visit: 4%o At least 5 visits: 3%* Children and youth under 21 years old receiving SMHS through county mental health programs based on approved claims for Medi-Caleligible beneficiaries** Penetration rate is calculated by taking total youth who received 1 SMHS visits divided by total Medi-Cal eligible youth for that fiscal yearBY SEX: Penetration (1 visit):JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICES o Female: 4%o Male: 5%Penetration (5 visit):o Female: 3%o Male: 3%Of the nearly 2.8 million female and 3 million male youth eligible for SMHS, about 4% of females and 5%of males received at least 1 service respectivelyBY AGE: Penetration (1 visit):o Children 0-2: 1%o Children 3-5: 2%o Children 6-11: 5%o Children 12-17: 7%o Youth 18-20: 4% Penetration (5 visit):o Children 0-2: 1%o Children 3-5: 2%o Children 6-11: 4%o Children 12-17: 5%o Youth 18-20: 3%BY RACE/ETHNICITY: Penetration (1 visit):o Native American: 7%o Asian/Pacific Islander: 2%o Black: 7%o Hispanic/Latino: 5%o Other: 2%o Unknown: 3%o White: 6% Penetration (5 visit):o Native American: 4%o Asian/Pacific Islander: 1%o Black: 5%o Hispanic/Latino: 4%o Other: 2%o Unknown: 2%o White: 4%NON-SPECIALTY MENTAL HEALTH SERVICES (NON-SMHS) * (2019-2020) Youth 0-20 eligible for non-SMHS: roughly 5.8 million Youth Receiving non-SMHS: roughly 746,000 Penetration:o At least 1 visit: 13%o At least 5 visits: 2%* Non-SMHS consist mostly of managed care (and to a lower extent fee-for-service) services provided to beneficiaries with mild-moderate levelof mental health impairmentBY SEX: Penetration (1 visit):o Female: 12%JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICES o Male: 13%Penetration (5 visit):o Female: 2%o Male: 2%Of the nearly 350,000 female and 395,999 male youth eligible for non-SMHS, about 12% of females and13% of males received at least 1 service respectivelyBY AGE: Penetration (1 visit):o Children 0-2: 18%o Children 3-5: 11%o Children 6-11: 10%o Children 12-17: 15%o Youth 18-20: 10% Penetration (5 visit):o Children 0-2: 0.2%o Children 3-5: 2%o Children 6-11: 2%o Children 12-17: 3%o Youth 18-20: 2%BY RACE/ETHNICITY: Penetration (1 visit):o Native American: 14%o Asian/Pacific Islander: 12%o Black: 11%o Hispanic/Latino: 13%o Other: 15%o Unknown: 15%o White: 10% Penetration (5 visit):o Native American: 3%o Asian/Pacific Islander: 2%o Black: 2%o Hispanic/Latino: 2%o Other: 2%o Unknown: 2%o White: 4%MEDI-CAL/CHIP MENTAL HEALTH SERVICES: FOSTER YOUTH UTILIZATIONHOW MANY FOSTER YOUTH WERE ELIGIBLE FOR SMHS? (2019-2020) Foster youth eligible for SMHS: roughly 79,000 % of youth eligible for SMHS who are foster youth: 30%BY SEX: Female: 49% Male: 51% Male foster youth eligibles for SMHS slightly outnumber female foster youthBY AGE: Children 0-2: 18%JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICES Children 3-5: 16%Children 6-11: 26%Children 12-17: 28%Youth 18-20: 12%54% of foster youth eligible for SMHS were ages 6 to 18BY RACE/ETHNICITY: Black: 18% Hispanic: 43% Other: 16% White: 22% 43% of foster youth eligible for SMHS were Hispanic/LatinoHOW MANY FOSTER YOUTH RECEIVED SMHS? (2019-2020) Foster Youth Receiving SMHS: roughly 39,000 Penetration:o At least 1 visit: 50%o At least 5 visits: 38%BY SEX: Penetration (1 visit):o Female: 49%o Male: 51% Penetration (5 visit):o Female: 48%o Male: 52% Male foster youth slightly higher users of SMHS than femalesBY AGE: Penetration (1 visit):o Children 0-2: 9%o Children 3-5: 16%o Children 6-11: 31%o Children 12-17: 35%o Youth 18-20: 9% Penetration (5 visit):o Children 0-2: 6%o Children 3-5: 14%o Children 6-11: 33%o Children 12-17: 38%o Youth 18-20: 9% Ages 0 to 2 and 18 to 20 under-utilizing SMHSBY RACE/ETHNICITY: Penetration (1 visit):o Black: 19%o Hispanic/Latino: 45%o Other: 15%o White: 22% Penetration (5 visit):o Black: 20%o Hispanic/Latino: 45%JUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
STATEWIDE MENTAL HEALTH YOUTH SERVICESSOURCESooOther: 14%White: 22%California Department of Health Care Services- Performance Dashboard AB 470 Report ApplicationCalifornia Department of Health Care Services- Performance Dashboard Children and Youth in Foster CareJUDICIAL COUNCIL OF CALIFORNIACENTER FOR FAMILIES, CHILDREN & THE COURTS (CFCC)CONTACT SAFIA.BELAYADI@JUD.CA.GOV FOR QUESTIONSGOT FEEDBACK? TAKE A QUICK SURVEY HERE
Received any psychological or emotional counseling in past year: o Non-Medi-Cal: 9% o Medi-Cal: 10% Have usual place to go to when sick or need health advice: o Non-Medi-Cal: 88% o Medi-Cal: 87% Doctor or professional referred child to specialist regarding development: o Non-Medi-Cal: 14% o Medi-Cal: 18%
