Current through Register Vol. 48, No. 38, September 20, 2024
a)
Behavioral health services are available to all children and youth for whom the
Department has placement and care responsibility.
b) The child's behavioral health needs shall
be assessed as the child enters care as a part of the integrated assessment and
on an ongoing basis through the Administrative Case Review or through the
completion of the Child and Adolescent Needs and Strengths (CANS) assessment
tool anytime a change in the level of service is considered.
c) The behavioral health services provided
shall be based on the child's needs and may be provided at the site of the
program, residential facility, foster home or other appropriate place. The
placement provider shall assist in arranging for the child to receive the
behavioral health services from an outside provider when those services are
required to meet the child's clinical needs.
d) Behavioral health services include, but
are not limited to:
1) Assessment is the
evaluation of an individual's development, behavior, intellect, interests,
personality, cognitive processes, emotional functioning and/or social
functioning, for the purpose of identifying needs and developing
recommendations for services and/or intervention. Assessment methods include
interviewing, systematic observation and/or psychometric testing.
2) Evidence-based treatments, sometimes
referred to as empirically validated treatments or empirically supported
therapy, are clinical practices that have been clearly described and are
supported by scientific research and evidence.
3) Psychosocial rehabilitation addresses the
specific needs of persons who have a severe mental illness or psychiatric
disability. The broad goals of psychosocial rehabilitation are to improve the
child's or youth's skills and functioning and to develop the environmental
supports necessary to maintain the child or youth in a foster home, school and
the community.
4) Specialized
foster care is a foster or adoptive home in which specialized services are
provided to meet the emotional, behavioral, developmental or medical needs of a
child placed in the home. Children in specialized foster care may require a
wheel chair or a feeding tube, have a severe visual or speech impairment, or
have disorders such as compulsive behaviors, mental retardation, substance
abuse problems or a mental illness.
5) Transition planning services are the
assessments, activities and support services needed to assist an adolescent in
his or her preparation for self-sufficiency in adulthood. Transition planning
services begin when the youth is age 141/2 years and continues until the youth
is discharged from the guardianship of DCFS.
6) Transition planning for youth who have a
developmental disability shall be based on an assessment of cognitive
functioning, adaptive functioning and capacity for independent living. Skill
areas may include personal care, food preparation, safety precautions, use of
public transportation, money management and vocational interests and
abilities.
7) Integrated assessment
(IA) is a comprehensive interview and standardized clinical screening process
with children and their parents/guardians, conducted immediately following the
child's removal from the home. The purpose of this assessment is early
evaluation of the child's developmental, medical, educational,
social-emotional, and mental health functioning and needs, to assess the
child's response to trauma and to develop recommendations for services and
interventions that support the child's need for safety, well-being and
permanency.
8) Early intervention
(EI) means the developmental/educational, social and health services provided
to infants and toddlers (0 to 3 year of age) designed to maximize their
development. Early intervention services include such services as speech and
language services, occupational therapy, physical therapy, medical/health
services, and psychological and social work services, Early intervention
services are provided to children who are developmentally delayed, have
conditions that typically result in delay, or are at risk of substantial
developmental delay.
9) Mental
health services are treatment services for developmental, behavioral, emotional
and mental disorders that may affect children and interfere with normal
development and functioning. Mental health services include, but are not
limited to, examination, diagnosis, evaluation, treatment, pharmaceuticals and
aftercare.
A) Screening of children for whom
the Department is legally responsible who are at risk for psychiatric
hospitalization shall be provided in accordance with 59 Ill. Adm. Code 131
(Children's Program), and shall be based on a referral to the State's Crisis
and Referral Entry Service (CARES) (see 59 Ill. Adm. Code
131.20) .
B) Community mental health services for
children for whom the Department is legally responsible shall be provided in
accordance with 59 Ill. Adm. Code 132 (Medicaid Community Mental Health
Services Program). These services shall be provided by entities certified by
the Department, the Department of Human Services or the Department of
Corrections to provide mental health services and that are enrolled in the
Illinois Medical Assistance program pursuant to 89 Ill. Adm. Code
120.
10) The
Department's Early Childhood Program conducts developmental and
social-emotional screenings of children in foster care, birth to age five
years, to assess developmental, social-emotional and/or mental health needs.
Early childhood intervention provides support to caregivers to promote the
child's development in key domains such as communication, attachment and
mobility, to promote the child's coping and confidence, and to prevent the
emergence of future problems.
11)
Substance abuse services are activities that are designed to reduce, defer or
eliminate substance abuse and/or chemical dependency through the use of
prevention, treatment and ongoing recovery programs. Services provided by the
Department include screening, referral, treatment, drug-testing and aftercare.
Substance abuse services are available to children and adults.
12) Child and Adolescent Needs and Strengths
(CANS) is an inventory that is used universally within the Department to
evaluate a child's functioning and strengths in multiple domains. CANS tool
does not provide a clinical diagnosis, but rather a focus for treatment. CANS
is completed during the integrated assessment and at specified junctures during
the child's or youth's time in care.
13) Trauma treatment is comprised of a
variety of therapeutic services and interventions, including the type of
placement, that are provided within a Trauma-Informed System that recognizes
that most children in the child welfare system have been exposed to significant
traumatic experiences and require a broad range of individual and community
supports and behavioral health services. Trauma services provided by the
Department are evidence-based and have been proven to facilitate recovery from
trauma.