Practice Setting Summary

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The practice setting I am currently interning at is the Community Mental Health for Ingham, Clinton, and Eaton counties (CEICMH), specifically within the Families Forward department. This department within the CEICMH works closely with children who are experiencing serious emotional disturbances and behavioral concerns, as well as offering needed support to their family. The services provided include inpatient and outpatient therapy, emergency services and urgent care, early intervention services, and wraparound services. My role within Families Forward is as an intern in the Wraparound program. Wraparound facilitators provide service to families by creating a plan to help the family navigate through the child’s treatment process to assure…show more content…
CEICMH uses the Child and Adolescent Functional Assessment Scale (CAFAS) assessment to rate children’s behaviors in several domains, and this helps to identify their needs for treatment. Patients are assessed when they first come in for services, every three months after the initial assessment during their treatment process, and again at termination of treatment. When a child has their first assessment at intake, they are assessed on their past three months of behavior. Then, at each reassessment throughout their treatment, they are rated on their past month of behaviors per CEICMH policy.
CEICMH only service patients who have Medicaid, however, there is another option for those children under 18 who do not qualify for Medicaid under their parents. The patient can apply for a Social Emotional Disturbance Wavier (SEDW), which will allow the child Medicaid for a year and then they can reapply. In order to qualify for the SEDW, the child must have scored a minimum of 120 on their CAFAS assessment. When children qualify for the SEDW, they can receive services through CEICMH, and they are required to have Wraparound services as
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However, Lucy’s CAFAS score had decreased in the few months she had been receiving treatment and medication, so her current score did not meet the minimum 120 that she needs to qualify for the SEDW.
The therapist working with Lucy was very concerned for her safety, so she decided to redo her CAFAS assessment taking into account Lucy’s behaviors before she started any treatment. After the reassessment, Lucy scored over a 120, which meant she would qualify for the SEDW.
However, the Wraparound facilitator assigned to the case has to sign the application for the waiver. The facilitator did not feel comfortable signing the waiver, as she felt it was falsifying Lucy’s score and violating CEICMH’s policy for the CAFAS assessment. Without the signature of the Wraparound facilitator, Lucy’s SEDW was
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