Tomorrow marks the 18-month anniversary of DHH’s Coordinated System of Care (CSOC) and the Louisiana Behavioral Health Partnership (LBHP). This managed care system for behavioral health is still very much a work in progress. I remain hopeful that it will become something excellent for Louisiana’s children and families. However, I fear progress is showing signs of fatigue. In recent weeks…
Posts tagged as “coordinated system of care”
The policies, procedures, regulations and rules of Louisiana’s Coordinated System of Care must not become concrete too quickly. The System still requires significant tweaks. The Coordinated System of Care is the Department of Health and Hospitals’ Medicaid-funded (and consequently, Medicaid-restricted) reorganization of the former child welfare system. I believe it is still too early to shout, “Success!”, because, in important…
Note: This article from May, 2013, introduced the ideas that Louisiana lacked sufficient Therapeutic Group Home services for children and that the gap in child well-being infrastructure was negatively impacting child well-being. By its own count, Louisiana needs at least 34 Therapeutic Group Homes (of no more than 8 beds each per DHH) located throughout our state. Today Louisiana has…
April 6, 2013 – Simple analogies often make obvious what complexity obscures. While speaking to our Board of Directors this week, it struck me that Residential Care in Louisiana is now much like a swimming pool – but one not yet fully constructed. A good pool has a place for every swimmer. In this analogy, Foster Care is the wading…
Never in Louisiana’s history has our state’s child welfare system been more highly regulated. Never has so much significant change occurred in such a compressed period of time than during the last 18 months. I’ll summarize it like this: We now have federal regulations being interpreted by state regulations to create a coordinated system of behavioral health care from four…