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*** UPDATED x2 *** Pritzker hires children’s behavioral health services czar, establishes interagency working group, claims this will improve service delivery by end of year

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* Press release excerpt

Building on the administration’s funding increases for child welfare and wellbeing, today Governor Pritzker announced the Children’s Behavioral Health Transformation Initiative to evaluate and redesign the delivery of behavioral health services for children and adolescents in the State of Illinois.

The Governor tasked the Initiative with building a coordinated, inter-agency approach to ensure young people with significant behavioral health needs receive the community and residential services they need to thrive while providing parents, guardians, and family members with transparency and clarity in the process. The initiative will provide a transformation blueprint by the end of 2022. The Governor also named Chapin Hall child welfare expert Dana Weiner, PhD, as Director of the Children’s Behavioral Health Transformation Initiative.

“I’m launching the Children’s Behavioral Health Transformation Initiative to evaluate and redesign the systems that support our most vulnerable kids and adolescents – so that down the line, Illinois families will be better able to access holistic, wraparound support for children in need,” said Governor JB Pritzker. “Under the leadership of nationally recognized child welfare expert Dana Weiner, PhD, and six state agency heads, this Initiative will deliver a transformative blueprint by the end of the year.” […]

Governor Pritzker has increased funding for DCFS from $1.2 billion in FY2019 to $1.55 billion in FY2022 with a proposed additional increase to $1.8 billion this coming fiscal year. The Governor’s proposed fiscal year 2023 budget provides a new investment of $7 million for a completely redesigned independent living program which will better support youth transitioning out of DCFS’ care.

Additionally, the Pritzker Administration recently launched an $86 million effort to support local efforts to develop comprehensive school systems grounded in mental health and trauma.

The FY2023 budget also includes $150 million to fully implement the Pathways to Success program at DHFS, which helps Medicaid-enrolled children under age 21 who have complex behavioral health needs and require intensive services and support. The program will begin upon federal CMS approval without any additional implementation action from the GA. […]

At Governor Pritzker’s direction, HFS, DHS, DCFS, ISBE, DPH and DJJ have put together an interagency working group to better support children in need of behavioral health services and their families, whether they access services in their community, at their school, or through a residential program. The Children’s Behavioral Health Transformation Initiative turns that collaboration into a formal, step-by-step review of existing systems in order to better support Illinois children and families.

The Children’s Behavioral Health Transformation Initiative will examine:

The pandemic has only made the need for improvements more urgent. Data from the Centers for Disease Control and Prevention (CDC) found that the proportion of children’s mental health-related emergency department (ED) visits among all pediatric ED visits increased and remained elevated through October 2020. Compared with 2019, the proportion of mental health-related visits for children aged 5-11 and 12-17 years increased 24 percent and 31 percent, respectively.

* Gov. Pritzker was asked about the connection of this plan to the latest DCFS crises that we’ve already been discussing here today

Well, that’s precisely what this is about, right, to make sure that we’re coordinating systems and services so that people don’t have to sit for 117 days or, as we heard, for sometimes longer and without getting the services they need. And parents, of course, are desperately need. Foster parents and others. And so, look, we’ve put tremendous resources in already to try to staff up, to make sure that we’re serving these kids, to make sure that we’re, at DCFS for example, hiring up to standards here. And then very importantly, creating residential beds that got destroyed under the prior administration. 500 residential beds went away. And I think everybody here that’s been involved in the system of providing these services knows that these don’t come back, like, with the snap of a finger. It takes literally years to go build back up those. And that’s why we all are committed to the consistency of systems.

Thoughts?

*** UPDATE 1 *** Cook County Public Guardian Charles Golbert…

This is a positive, albeit long overdue, step for children and families. Of course, the devil is in the details, and I look forward seeing the comprehensive blueprint promised by the end of the year.

It must be noted that this is not an answer to DCFS’s placement crisis. And children in DCFS care don’t have months and years to wait for the placements and services they need.

Just yesterday a Cook County Juvenile Court judge held DCFS Director Marc Smith in contempt of court for the seventh time this year for failing to place children appropriately in violation of court orders. This most recent contempt finding involved a boy DCFS has kept in a shelter for more than a year, in violation of court orders, because DCFS doesn’t have a placement for him. This youth doesn’t have another year to wait for more studies.

I hope that this initiative will be implemented in a robust manner with the sense of urgency needed.

*** UPDATE 2 *** Kyle Hillman with the National Association of Social Workers, Illinois Chapter…

We join other advocates in support of this new initiative Governor Pritzker is embarking on (in his fourth year of office) to address the mental health crisis children have been facing. While we are still unsure how this new initiative will work differently than groups like the Illinois Children’s Mental Health Partnership, any new effort is always welcomed. We do hope this new blueprint initiative though doesn’t delay efforts to address a mental health crisis both within DCFS and within our schools that need an immediate response and a sense of urgency that has been greatly lacking.

posted by Rich Miller
Friday, Mar 18, 22 @ 11:06 am

Comments

  1. “The initiative will provide a transformation blueprint by the end of 2022.”

    Friday announcement of a task force to report back after the election.

    Got it.

    Comment by Minnie Pearl Jam Friday, Mar 18, 22 @ 11:18 am

  2. I see long term proposals that may or may not improve on the current situation. While you can’t snap your fingers and fix the whole thing instantly, there is such a thing as a short term strategy to address immediate needs. In other words, what are you doing today and next week etc to improve things in the short term? These kids don’t have time to wait for your czar or task force or blue ribbon committee or whatever to develop their grand plan. They need help TODAY.

    Comment by Captain Obvious Friday, Mar 18, 22 @ 11:26 am

  3. This fellow has a press conference for every failure in his administration.
    How about doing something today about the children involved in the contempt citations?
    Hats off to the Public Guardian and the Judge in these cases that actually care about these children and are doing something to help and protect them.

    Comment by Back to the Future Friday, Mar 18, 22 @ 11:27 am

  4. It’s a step, maybe even a good one.

    But one of the first rules of political survival is: when faced with a crisis, reorganize.

    Time will tell if they are just rearranging deck chairs on the Titanic.

    Comment by RNUG Friday, Mar 18, 22 @ 11:46 am

  5. Need some new chairs.

    Comment by Dotnonymous Friday, Mar 18, 22 @ 11:58 am

  6. Love the shade from Hillman. I wish other groups would push this Gov like this a little more.

    Comment by SWSider Friday, Mar 18, 22 @ 12:21 pm

  7. Beyond politicking, this has to work. The current situation is unacceptable. Governor’s own, right OW?

    Comment by H-W Friday, Mar 18, 22 @ 12:26 pm

  8. ===Governor’s own, right…===

    Not my rule.

    It’s the rule, but not mine.

    Comment by Oswego Willy Friday, Mar 18, 22 @ 12:27 pm

  9. OW - Yep.

    Comment by H-W Friday, Mar 18, 22 @ 12:30 pm

  10. “in his fourth year in office”

    Yep. Fourth and final. Lol.

    Comment by Suburban Operative Friday, Mar 18, 22 @ 12:31 pm

  11. === Yep. Fourth and final.===

    Can’t beat someone with no one.

    While issues in governing (IDVA, DCFS, etc) you’d have to find an alternative, while Pritzker is still polling above water (in last public polling) the mouth-breathing to politics here kinda misses the point about helping kids.

    Comment by Oswego Willy Friday, Mar 18, 22 @ 12:34 pm

  12. === Yep. Fourth and final. Lol. ===

    I’d like to place a large bet against this prognostication.

    Comment by Leap Day William Friday, Mar 18, 22 @ 12:35 pm

  13. Damning with faint praise from the advocates.

    Comment by Thomas Paine Friday, Mar 18, 22 @ 12:37 pm

  14. ===faint praise from the advocates===

    While it reads true, and it’s true to what the advocates are, well, advocating, given the climate, the reality to the governing here also is looking past 2022, into 2023 and if it’s not Pritzker’s administration, which of the 5 Republicans give those allies a better advocate in the big chair?

    Comment by Oswego Willy Friday, Mar 18, 22 @ 12:49 pm

  15. Talk about faint praise from Kyle. I’d wager most social workers understand where the blame lies; namely, the Rauner administration. Too bad their lobbyist doesn’t get it.

    Comment by low level Friday, Mar 18, 22 @ 1:14 pm

  16. ===the blame lies; namely, the Rauner administration===

    His administration undoubtedly made things worse but mental health services in this state have been a train wreck for all of my 30+ years in the field. It’s a systemic problem that will take years, not months, to fix. It’s a complex problem with no easy or quick answers.

    Comment by Cubs in '16 Friday, Mar 18, 22 @ 1:45 pm

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