Nearly 15,000 youth are in state custody
and about a fourth of them have complex issues including mental illness, developmental disabilities, and kids from the juvenile justice system, some involved in felony-level crimes.
Foster children's health care is covered by Medicaid while they are in custody. Medicaid is required to meet their physical, developmental, and mental health needs, but while screening and diagnosis for behavioral health conditions is common among foster youth, appropriate and available treatment for those with aggressive behaviors resulting from mental illness, developmental disabilities or trauma is in short supply.
"It is truly additional trauma. It can worsen acute symptoms," Dr. Katherine Junger, associate medical director of mental and behavioral health for Cincinnati Children's Hospital Medical Center, said of kids stuck at the hospital. The nation's largest pediatric psychiatric unit with 100 inpatient beds, Cincinnati Children's had 22 youth in its emergency room waiting for placement in April. Another 22 children remained in inpatient beds because appropriate home- or community-based treatment was unavailable.
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