- Psychiatric residential treatment: This is a 30- to 60-day program for intensive treatment to “alleviate some of the pain children are experiencing,” explained Drummond. The facility has 72 beds, but the program tries to keep the population down to 50 due to Medicaid issues in Kansas. The census is about 33 during the summer and 58-60 during the winter. The facility also has a specially designed school – not a correctional or an alternative school, but a “therapeutic school,” said Drummond. Ninety percent of the funding for the psychiatric residential treatment facility comes from the state and Medicaid.
- Outpatient department: This program provides outpatient psychotherapy and outpatient psychiatry, medication management, telepsychiatry (for rural areas), and an intensive outpatient program for substance use disorders. “We are dedicated to helping as many kids as we can” with the outpatient program, said Siegmund. There is a sliding scale – people who can afford it pay more, while some pay as little as $2 a session, he said. Local grants and Medicaid also support the outpatient treatment program.
- Autism program: Begun last year, this program includes assessment and diagnostic services, as well as interventions. In general, children in the program range from as young as 15 months to 18 years. Early intervention, the sooner the better, is the goal, said Drummond. In some cases, the patients will be older: 21 to 22 years. “I think the developmental landmarks are changing,” he said. “Being 22 doesn’t necessarily mean you’re an adult.” Because Kansas does not mandate that insurance companies pay for autism treatment, many of these programs are either funded by the state or self-pay by the parents, said Siegmund. Doesn’t the parity law mandate coverage for mental illness? “I’d love to interpret it that way, but I don’t think they see autism as a mental illness,” said Siegmund. “They see it as a neurodevelopmental illness.” Insurance will pay if there is a co-occurring disorder, such as oppositional defiant disorder or attention-deficit/hyperactivity disorder, he said. “But if you give someone in Kansas a diagnosis of autism, you won’t get paid for that.” He added: “I don’t know many kids who don’t have co-occurring disorders.”
- The street outreach services (SOS) program is design for homeless youth. Kids TLC provides case management, helping the children find housing and medical services. There is a huge problem with sex trafficking of young people, said Drummond. Ever since NAFTA, which opened up trade between Mexico and the United States, interstate highways - I-70 from California to Philadelphia and I-35 from South Texas to Minnesota - have acted as conduits for moving young people from Mexico to the Northeast, he said. Outreach to this population is done via handouts at schools, concerts, and public functions. There is also a hotline for homeless youth to call. Funding for SOS comes from grants and donations.
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