Barriers for Individuals
“Among adolescents with co-occurring problems, those who received only [mental health] MH treatment improved to a significant degree across MH problems but showed no improvement on SU [substance use] problems. Similarly for adolescents with co-occurring [mental health and substance use] problems who received only SU treatment, there was improvement on SU problems but not on MH problems”.1
The researchers found that adolescents with co-occurring who received dual diagnosis treatment had lower severity of antisocial behavior and increased social supports compared to those adolescents who had a co-occurring diagnosis and only received one aspect of treatment. Social supports will be what helps an adolescent through the maintenance stage of recovery.1
What is EPSDT?
Medicaid’s Early and Periodic Screening, Diagnosis and Treatment for youth under the age of 21.
In Kentucky EPSDT has covered Intensive Outpatient (IOP) treatment, residential treatment, and inpatient treatment programs for adolescent substance abuse. It is not often used to cover outpatient treatment or case management services, two services adolescents may benefit from.
Only parties who are eligible to bill Medicaid can be approved to provide EPSDT funded services. Potential providers include the community mental health centers (CMHC) and other “health care providers”, public and private (ex. Ten Broeck, The Ridge, Rivendell, Caritas, etc),
WHAT IS OCD?
OCD is often described as actions that are excessively repeated, such as unusually frequent hand washing to assure that germs have been washed off, or turning the lock on a door a specific number of times to assure that the door is really locked. These are good examples of what a person with OCD might do, but they are not definitions of what OCD is. OCD is actually a type of anxiety disorder characterized by recurrent, unwanted thoughts, or obsessions; and/or repetitive behaviors, or compulsions. The repetitive behaviors such as hand washing, counting, checking or cleaning are often done as a way to prevent obsessions that may be invading their thoughts. Sadly the relief people with OCD feel by acting out compulsions is only temporary.
Social phobia affects an estimated 5.3 million adults across the U.S., and is the third largest mental health issue in the world. Social phobia is characterized by overwhelming anxiety and excessive self-consciousness in everyday social situations. People with persistent social phobia have a persistent, intense, and chronic fear of being watched and judged by others and of being embarrassed or humiliated by their own actions. Many times this fear is so severe it interferes with school, work, and other activities. Sometimes people with this disorder recognize their fears may be excessive or unreasonable, but are still unable to overcome them.
Substance abuse has long been an issue of concern for youth and their parents, and especially those youth with social, emotional, and/or behavioral disabilities. It’s not a new problem but an ongoing problem that seems to grow worse with every generation. Substance abuse in adolescents typically manifests itself in the form of tobacco, alcohol and more commonly, inhalants. Recent reports detail many new ways of getting “high” many times with common household products, and all are exceptionally dangerous.
CAUSES
Autism Spectrum Disorder (ASD) is the term used to describe five different disorders that hold similar characteristics. The different disorders that fall into ASD are Autism, Asperger Syndrome, Rett Syndrome, Childhood Disintegrative Disorder, and Pervasive Development Disorder Not Otherwise Specified (PDD NOS). ASD affects an estimated one of every five children, and is marked by varying degrees of impairment in communication skills, social interactions, and restricted repetitive and stereotyped patterns of behavior. ASD can usually be reliably detected by around 3 years of age, and sometimes as early as 18 months.
Information compiled from:
The Tourette Syndrome Association
www.tsa-usa.org
Traumatic Brain Injury (TBI) is an acquired injury to the brain caused by either movement of the brain within the skull or from penetration of an object into the skull, contacting the brain directly. The resulting injury(ies) causes impairment to cognitive (thinking), emotional, and/or physical functioning. Impairment may be partial or total; temporary or permanent. Some major causes of TBI are automobile or motorcycle accidents, either to the driver, passenger, or a pedestrian; gunshot wounds; shaken baby syndrome; accidents from recreational sports (i.e. football, boxing, etc.) or something as ordinary as a bad fall. Abuse and assault are also leading causes.
Sensory Integration Dysfunction (SID) is a neurological disorder. It refers to the inability to process certain information received through the senses (touch, taste, sight, sound and smell). Specifically, SID is a disruption in the process of intake, organization and output output of the sensory information. Inefficient sensory intake refers to taking in too much or too little information. With too much information, the brain is on overload and causes an individual to avoid sensory stimuli. With too little information, the brain seeks more sensory stimuli. Neurological disorganization can occur in three different manners. One way is when the brain does not receive messages because of a disconnection with neuron cells.
Self-Abusive Behaviors also referred to as self-injurious behavior or self-mutilation is the term used to describe deliberate, repetitive, impulsive, and non-lethal harming of one’s body. The most common of these behaviors is cutting, scratching, burning, hair pulling, insertion of foreign objects, and bruising or bone breaking. Other “socially acceptable” activities such as alcohol and substance abuse, and internalizing activities such as eating disorders are also considered self-abusive. If you think someone you know has an alcohol or substance abuse problem or has an eating disorder, treatment should be sought immediately.