LOUISIANA Community Mental Health Services Block Grant ...

Black: 1,346 52.6%
Pacific Islander: 2 0.1%
White: 498 19.5%
Child and Adolescent Response Team (CART)
Crisis services for children and youth are provided twenty-four hours a day, seven days a week.
These crisis services are referred to as the CART (Child and Adolescent Response Team) Program
and are available in all Regions/LGEs. There is a nomenclature difference in the Florida Parishes
Human Service Authority, where these services are called Children‟s Crisis Services and in
Jefferson Parishes Human Service Authority, where they are called the Children‟s Mobile Crisis
Response Team. These crisis services are available to all children and their families, not just those
eligible for mental health clinics and psychiatric hospitals. Services include telephone access at all
times with additional crisis services and referrals, face-to-face screening and assessment, crisis
respite in some areas, and access to inpatient care. The infusion of Social Service Block Grant
funds allowed for the expansion of respite care, crisis transportation, in-home crisis stabilization,
and family preservation at various locations across the state.
CART services consist of CART Crisis System Screenings (100%); CART Clients Receiving Face
to Face Assessments (75%); Clients staffed for Additional Services (e.g., in-home, out of home,
intensive respite) (25%); and Hospitalized (10%). In the preceding fiscal year, statewide
implementation indicates that there were 4,122 (100%) crisis system screenings, and 1,751 (42%)
resulted in face-to-face assessments, and only 128 (3%) resulted in the child or youth‟s psychiatric
hospitalization. In addition, 39% (1606) of those served by CART were staffed for additional
services.
After the maximum seven day period of CART crisis stabilization, youth and their families may still
require further in-home intensive services. Intensive in-home services may be provided by Family
Functional Therapy (FFT), Multi-Systemic Therapy and Intensive Case Management. Additional
services are available via referral sources include psychological evaluations, Interagency Service
Coordination, high acuity respite care and consideration of placement in Dialectical Behavior
Therapy treatment groups.
HEALTH, MENTAL HEALTH, MENTAL HEALTH REHABILITATION
SERVICES & CASE MANAGEMENT
FY 2011 – Child/Youth
Individuals with Serious Mental Illnesses often have co-occurring chronic medical problems.
Therefore, it is important to enhance a collaborative network of primary health care providers
within the total system of care. The Office of Mental Health continues to develop holistic initiatives
that offer comprehensive and blended services for vulnerable children and adults experiencing
psychiatric and physical trauma, including those in acute crisis. In addition, Louisiana‟s extensive
system of public general hospitals provides medical care for many of the state‟s indigent population,
most of whom have historically had no primary care physician. Over the past few years, OMH‟s
acute psychiatric inpatient services have been moved under the Louisiana Health Sciences Center-
Health Care Services Division (LSUHSC-HCSD), and LSU Shreveport public general hospitals. It
is believed that continuity of care is often better served under LSU and that those persons admitted
with acute psychiatric problems might then receive the best physical assessment and treatment as
well as care for their psychiatric problems. Adults who are clients of state operated mental health
PART C LOUISIANA FY 2011 PAGE 197
SECTION III: CHILD/ YOUTH PLAN – CRITERION 1
COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH SERVICES -- SYSTEM OF CARE & AVAILABLE SERVICES