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This document serves as a toolkit for primary care providers participating in the MassHealth Children’s Behavioral Health Initiative. It provides guidelines and resources for implementing and managing
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How to fill out Primary Care Behavioral Health Screening Toolkit for the MassHealth Children’s Behavioral Health Initiative (CBHI)

01
Obtain the Primary Care Behavioral Health Screening Toolkit from the MassHealth CBHI website.
02
Familiarize yourself with the purpose and components of the toolkit.
03
Gather necessary information about the child, including health history and current behavioral concerns.
04
Follow the instructions in the toolkit to complete each section systematically.
05
Utilize screening tools included in the toolkit to assess the child's behavioral health.
06
Document responses accurately and ensure all areas are addressed.
07
Review completed toolkit for any additional notes or follow-up actions needed.
08
Submit the completed toolkit as per the guidelines provided by MassHealth CBHI.

Who needs Primary Care Behavioral Health Screening Toolkit for the MassHealth Children’s Behavioral Health Initiative (CBHI)?

01
Primary care providers involved in the care of children enrolled in the MassHealth program.
02
Mental health professionals seeking to understand the behavioral health needs of children.
03
Parents and guardians of children who require behavioral health assessments.
04
School personnel who may be involved in the behavioral health support of students.
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The Strengths and Difficulties Questionnaire (SDQ) is a self-administered behavioral questionnaire that screens children and youth ages 3-16 years using 25 items on five scales: 1) emotional problems, 2) conduct problems, 3) hyperactivity and inattention, 4) peer relationships, and 5) prosocial behaviors.
A screening tool is a standardized set of questions used to identify issues in a child that require further investigation.
The Massachusetts Child Psychiatry Access Project (MCPAP), established in 2005 after a successful pilot, connects PCPs with mental health specialists to provide advice and coordinate referrals to community-based therapists.
Research has shown that primary care practices can be successful in offering short-term, time-limited treatments in-house for mental health concerns, such as depression and anxiety. Using simple screening and scoring measures (see below) can also increase screening and referral efforts.
Mental Health Screening Tools General Health Questionnaire (GHQ) Generalised Anxiety Disorder (GAD-7) Insomnia Severity Index (ISI) Patient Health Questionnaire (PHQ) for Depression. Depression, Anxiety and Stress Scale (DASS-21)
Children's Behavioral Health Initiative (CBHI) Helping MassHealth children with behavioral, emotional, and mental health needs and their families with integrated behavioral health services and a comprehensive, community-based system of care.
The Patient Health Questionnaire-4 (PHQ-4) is an ultra-brief instrument that measures depressive and anxiety symptoms.

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The Primary Care Behavioral Health Screening Toolkit for the MassHealth Children’s Behavioral Health Initiative (CBHI) is a resource designed to aid primary care practitioners in screening for behavioral health issues in children and adolescents. It provides guidelines and tools to facilitate early detection and intervention.
Health professionals participating in MassHealth who provide care to children and adolescents are required to file the Primary Care Behavioral Health Screening Toolkit as part of routine behavioral health screenings.
To fill out the Primary Care Behavioral Health Screening Toolkit, providers should follow the provided guidelines which include completing screening forms, documenting observations, and ensuring all relevant behavioral health information is accurately reported.
The purpose of the toolkit is to improve the identification and management of behavioral health issues among children and adolescents in the primary care setting, thereby enhancing overall health outcomes.
The information that must be reported includes demographic details, screening results, referral information, and any additional notes regarding the child's behavioral health status and treatment recommendations.
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