Illinois Gov. JB Pritzker will announce a plan to give children access to mental health treatment

A mental health crisis among children in Illinois will be fought by streamlining and easing access to necessary treatment and coordinating between six separate state agencies, Gov. J.B. Pritzker plans to announce Friday.

A report examining the capacity and condition of Illinois’ response to behavioral health in young people has been in the works for nearly a year. It sketches avenues to help families understand mental illness, then make it easier for them to get required care without wrangling among disparate state agencies. A copy of the report was obtained in advance by The Associated Press.

“It’s all really geared toward creating an experience for families, where the boundaries between those different state agencies that are there to serve them are less visible,” said Dana Weiner, whom Pritzker tabbed for the initiative. She is on loan from the Chapin Hall Center for Children at the University of Chicago, where she is senior policy fellow.

“What families (should) experience is a simplified, centralized, clear way to get access to services to understand what their children are struggling with and to identify the things that might help address those challenges,” Weiner.

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The deterioration of mental health among children predates the COVID-19 pandemic. But with the spread of the coronavirus the Centers for Disease Control and Prevention in 2021 found 44% of American children had depressive episodes lasting at least two weeks and nearly half had thought about suicide, according to the report.

Friday’s announcement marks the beginning of work to ready the plan for implementation, a report on which Pritzker expects by October. There’s $22.8 million in the governor’s fiscal 2024 budget proposal to complete the planning.

The report identifies technological, practical, legislative and other means for marshaling the expertise among the Departments of Human Services, Children and Family Services, Juvenile Justice, Healthcare and Family Services, Public Health and the State Board of Education.

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The program must be agile for responding to changing needs, given the volatility of mental illness, the report says. It suggests widespread screening of children which might telegraph future suffering and emphasizes the necessity of early intervention.

Recognizing problems quickly is critical, Weiner said. The U.S. Surgeon General discovered in a 2021 study that on average, there is an 11-year gap between recognizing a child’s potential mental health issue and that child getting treatment.

“I’m optimistic because in all of the cases that I’ve listened to and worked on over the last year, there are opportunities to intervene earlier when problems aren’t as severe,” Weiner said. “We can reduce the number of false starts or missed opportunities.”

At the same time, the report recognizes the need to provide incentives to draw people to the field, both by making education more attainable but also drawing upon paraprofessionals or aides to conduct critical work which doesn’t need extensive formal education. With worker shortages hampering many sectors, finding qualified people to fill crucial roles might be one of the effort’s bigger challenges.

But help is available in existing “touch points” in children’s lives — teachers and pediatricians, for example, as well as parents, Weiner said. It doesn’t mean the teacher is the health care provider, but is the recipient of the necessary information to be able to refer a child who needs help.

Asked for her message to parents of troubled children, Weiner said, “We are going to make this easier for you to care for your children and to obtain needed services as well as important information to help you understand how to keep your kids healthy and strong.”

Oregon State Hospital restricts treatment time on alleged criminals

A federal judge has ruled that the Oregon State Hospital must impose strict limits on the length of time it treats patients accused of crimes who need mental health treatment.

Judge Michael W. Mosman’s ruling seeks to ease the psychiatric hospital’s overcrowding, speed up patient admission and stop people waiting for admission from languishing in jail, The Oregonian/OregonLive reported Monday.

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Effective immediately, the hospital must release “aid-and-assist” patients accused of misdemeanors within 90 days of admission, and those accused of felonies within six months of admission. Aid-and-assist are patients found by a judge unable to participate in their own defense at trial.

The judge’s decision overrules an Oregon law that says the hospital can hold an aid-and-assist patient for up to three years, or the maximum amount of time that a person could have been sentenced to prison for their alleged crime, whichever is shorter.

Disability Rights Oregon and Metropolitan Public Defenders requested the order after protesting the hospital’s lengthy admission delays. Disability Rights Oregon in 2002 won a court order that required the hospital to admit aid-and-assist patients within seven days so they can begin mental health treatment quickly.

The hospital has struggled to meet that timeline, and the COVID-19 pandemic exacerbated the problem.

Emily Cooper, legal director for Disability Rights Oregon, said she was “relieved” by Mosman’s decision.

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“It’s a very promising first step,” Cooper said.

The hospital said approximately 100 people should be discharged immediately under the new timeline. They will be released to treatment centers in their home counties over the next six months, according to state hospital spokesperson Amber Shoebridge.

The request to strictly limit treatment times was based on a court-ordered review of the state hospital’s admissions policies conducted this year by Michigan-based mental health expert Dr. Debra Pinals.

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Pinals’ report suggested the hospital gradually decrease its wait times for patients, aiming for an average of 22 days or fewer at the start of August; 11 days by January; and to be back in compliance with the 2000 federal court order, averaging 7 days or fewer, by mid-February.

The hospital was not on track to meet that goal, prompting Disability Rights Oregon to request new admissions guidelines.

Cooper, the Disability Rights Oregon attorney, said a lack of community mental health beds remains a problem, but a recent surge of state funds dedicated to mental health services should help accommodate patients as they return to their home counties.