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Expanded Inpatient Mental Health Treatment Access for Kentucky Boys in State Care • Kentucky Lantern

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New Inpatient Treatment Program for Vulnerable Youth in Kentucky

In a significant development for the mental health landscape in Kentucky, eligible boys in the care of the Kentucky Department for Community Based Services (DCBS) or the Juvenile Justice system now have access to specialized inpatient treatment. The Cabinet for Health and Family Services announced the launch of The BIRCH, a 10-bed inpatient program designed to provide complex mental and behavioral health care for young males aged 12 to 17. This initiative marks a crucial step in addressing the needs of some of the state’s most vulnerable youth.

The BIRCH: A New Hope for Troubled Youth

Operating out of RiverValley Behavioral Health’s adolescent psychiatric hospital in Owensboro, The BIRCH program is tailored specifically for boys who have a history of challenging behaviors linked to mental health conditions. This program is particularly noteworthy as it caters to those within the DCBS system and those who are "dually committed" to the Department for Juvenile Justice (DJJ). Following a ceremonial ribbon-cutting event, the program has already begun admitting its first patients, signaling a new era of care for these young individuals.

Wanda Figueroa-Peralta, the president and CEO of RiverValley, emphasized the importance of this program, stating that it represents a "significant advancement in the care and support of our most vulnerable youth." She highlighted the commitment to providing a high level of care, ensuring that every young person has the opportunity to heal, grow, and thrive.

Understanding the Program’s Objectives

The BIRCH program aims to provide a safe and supportive environment for youth who require more intensive treatment than what is typically available in acute psychiatric hospitals. According to the Cabinet for Health and Family Services, children in this program can expect to stay longer than usual, allowing for a more comprehensive approach to their mental health needs. This extended duration is crucial for addressing the complexities of their conditions and fostering meaningful recovery.

Admission to The BIRCH is a collaborative process involving multiple stakeholders, including the Department for Behavioral Health, Developmental and Intellectual Disabilities (BHDID), the DJJ Mental Health Treatment Director, the Department for Medicaid Services, and RiverValley Behavioral Health. This multi-agency approach ensures that each child’s unique needs are carefully considered before admission.

Funding and Legislative Context

The establishment of The BIRCH is made possible through funding from a DCBS contract with the Department for Medicaid Services (DMS). This financial backing underscores the state’s commitment to improving mental health services for youth, particularly those involved in the juvenile justice system.

The announcement of The BIRCH comes on the heels of criticism from West Kentucky Republican Senator Danny Carroll, who expressed disappointment over the lack of funding for a specialized mental health facility for youth during the 2024 legislative session. Carroll had previously filed Senate Bill 242, which aimed to allocate $22 million for a dedicated mental health juvenile detention facility and establish a process for testing and treating minors with serious mental health issues within the DJJ. Although the bill passed the Senate, it ultimately did not make it through the House.

In response to the opening of The BIRCH, Carroll acknowledged that "any increase in the number of beds to serve troubled youth is a step in the right direction." He expressed hope that the legislature would revisit and finalize the mental health proposals outlined in Senate Bill 242 in the future.

Conclusion: A Step Forward for Mental Health Care

The launch of The BIRCH inpatient program represents a critical advancement in the provision of mental health care for Kentucky’s youth. By addressing the complex needs of boys in the DCBS and DJJ systems, this initiative not only offers immediate support but also lays the groundwork for a more comprehensive approach to mental health treatment in the state. As stakeholders continue to engage in productive conversations about mental health funding and resources, the hope is that programs like The BIRCH will pave the way for a brighter future for Kentucky’s most vulnerable youth.

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