Mental Health Services in Juvenile Justice: Who Pays? What Gets Paid For? And Who Gets to Decide?
| Cataloged on:
Apr. 22, 2013
ANNOTATION: “Providing effective mental health services for youths in the juvenile justice system raises complex policy questions, including: Who pays? What services get paid for? And who gets to decide? The answers to these questions are changing rapidly, as financing shifts from specialized programs to broad-based insurance such as Medicaid. This brief provides an overview of the changing financing streams and federal health care reform, and explores the opportunities and challenges facing mental health and social service providers, juvenile justice practitioners, and others who want to have a seat at the policy table” (p. 1). Sections of this brief are: background; financing is shifting from specialized programs to broad-based insurance—juvenile justice grants, mental health grants, Medicaid and the Children’s Health Insurance Program (CHIP), private insurance and out-of-pocket, and the uninsured; changes in mental health care call for more collaboration—mental health in primary care, and collaborating with Medicaid; federal health care reform is reshaping health care delivery—primary care, medical homes, accountable care organizations (ACOs), and challenges and opportunities. Bar charts show federal juvenile justice spending, federal mental health spending, health insurance for children under age 19 by mental health status, and total health expenditures paid by payer type for children under 19.