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Accessible: Accessibility is how easily a person who needs a service or treatment can get the service or treatment when they need it. For example, a specific type of therapy may be offered, but if the therapy is not offered at times or locations that are convenient for children, youth and their families, the services may not be accessible.

Behavioral Health: Behavioral health is a term that includes both mental health and substance use.

Building Bridges: The Building Bridges Initiative (BBI) focuses on practices and funding strategies that result in better treatment outcomes for children and youth who are treated in psychiatric residential treatment facilities. BBI also focuses on positive outcomes over time after a child or youth leaves a psychiatric residential treatment facility.

Center of Excellence: A Center of Excellence supports service array development through implementation technical assistance, creative financing options, training, coaching, education, continuous quality improvement monitoring and outcomes evaluation. A Center of Excellence connects providers, state agencies, local jurisdictions and purveyors to ensure that effective implementation leads to improved outcomes and builds on existing systems reform efforts.

Cultural and Linguistic Competence: Cultural competence is the integration and transformation of knowledge, behaviors, attitudes and policies that enable policy makers, professionals, caregivers, communities, consumers and families to work effectively in cross-cultural situations. Cultural competence is a developmental process that evolves over an extended period of time. Individuals, organizations and systems are at various levels of awareness, knowledge and skills along the cultural competence continuum. When providers, public agencies, and organizations are culturally competent, information is communicated in a way that is respectful of differences across cultures and that information is easily understood by children, youth, and their families, including those with limited English proficiency, low literacy, or disabilities.

Family Driven: Families have a primary decision making role in the care of their own children as well as the policies and procedures governing care for all children in their community, State, tribe, territory and nation. This includes choosing supports, services, and providers; setting goals; designing and implementing programs; monitoring outcomes; and determining the effectiveness of all efforts to promote the mental health of children and youth.

Mental Health: Mental disorders involve changes in thinking, mood and/or behavior. Mental disorders can happen once, infrequently or be more long lasting in nature. Mental health is the term that describes the treatment and understanding of mental health disorders.  Mental disorders may frequently happen with substance use disorders.

System of Care: A system of care is a method of addressing children's behavioral health needs. It is developed on the basis that the behavioral and mental health needs of children, adolescents and their families can be met within their home, school and community environments. These systems involve interagency collaboration, and are also developed around the principles of being child-centered, family-driven, strength-based and culturally competent.

Waiver: Waivers are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid.

Youth Guided: Youth are engaged as equal partners in creating systems change in policies and procedures at the individual, community, state and national levels. Youth can help develop plans for infusing a youth-guided approach throughout the system of care, including plans for training and supporting youth in positions of leadership and system transformation.


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