potential for harm to self or others either directly or as a consequence of being unable to maintain ADL’s and Children’s Habilitation Assessment Tool (CHAT) score of 35 or higher, or a Global Assessment Functioning (GAF) score of 40 or lower with description of specific symptoms justifying the score. 2. Child Mental Health Conditions: Child and Adolescent Intensive Temporary Behavioral Health Treatment in a Residential Setting There are two levels of PNMI services for children and adolescents with Mental Health Conditions. The child must meet all of the criteria set forth below: The child must have either an Axis I or II diagnosis from the most current version of the DSM, and The child’s disorder has lasted for at least six (6) months or is expected to last for at least one year in the future, and The has a current need for therapeutic treatment or availability of a therapeutic on-site staff response on a twenty-four hour basis, and The child’s disorder is amenable to treatment in a residential setting, and Even with intensive community intervention, including services and supports, there is significant potential that the child will be hospitalized, or there is a clear indication that the child’s condition would significantly deteriorate and would require a higher model of service than can be provided in the home and community. In addition, the child must meet the criteria below for Level I or Level II services: 97.02 ELIGIBILITY FOR CARE (cont.) Level I Criteria
potential for harm to self or others either directly or as a consequence of being unable to maintain ADL’s and Children’s Habilitation Assessment Tool (CHAT) score of 35 or higher, or a Global Assessment Functioning (GAF) score of 40 or lower with description of specific symptoms justifying the score. 2. Child Mental Health Conditions: Child and Adolescent Intensive Temporary Behavioral Health Treatment in a Residential Setting There are two levels of PNMI services for children and adolescents with Mental Health Conditions. The child must meet all of the criteria set forth below: The child must have either an Axis I or II diagnosis from the most current version of the DSM, and The child’s disorder has lasted for at least six (6) months or is expected to last for at least one year in the future, and The has a current need for therapeutic treatment or availability of a therapeutic on-site staff response on a twenty-four hour basis, and The child’s disorder is amenable to treatment in a residential setting, and Even with intensive community intervention, including services and supports, there is significant potential that the child will be hospitalized, or there is a clear indication that the child’s condition would significantly deteriorate and would require a higher model of service than can be provided in the home and community. In addition, the child must meet the criteria below for Level I or Level II services: 97.02 ELIGIBILITY FOR CARE (cont.) Level I Criteria
c2s097.docx