Payment for the new psychosocial rehabilitation services for children and adolescents and advanced consultations by mental health professionals from the Compulsory Health Insurance Fund (CHIF) was started. This will help to ensure that patients with mental and behavioural disorders receive more and much wider range of services that they require and in order they could successfully integrate into society and fully enjoy their life.
Health professionals consistently point out that parents and custodians must always take care not only for physical but also for mental health and development of the children. This is very important because children are reluctant to talk about these problems or they simply do not notice them. This is why adults must take care of this. Although many of those problems are successfully solved by adults together with the child, there happen to be cases where help of professionals is also required to deal with the mental health problem of the child.
According to Žydrūnė Baigienė, the Adviser of the Services Expertise and Control Division of the National Health Insurance Fund under the Ministry of Health (NHIF), it is important in such cases to seek professional advice in a timely manner because the earlier the necessary assistance is provided, the more successfully the child's health problems will be solved. The representative of the NHIF reminds that mental health care for children can be provided at a mental health centre where professionals from various fields work.
"These new psychosocial rehabilitation services for children and adolescents are designed to help patients with mental and behavioural disorders. Referral from child and adolescent psychiatrist is required in order to receive these services. They can be prescribed in the event of patient's emotional disorder after prolonged stressful situations, for example, such as conflicting divorce of the parents, situations requiring integration or reintegration into the community, school and family, or when it is necessary to strengthen social relations, social and self-help skills and adaptation of the patient", - says Ž. Baigienė.
According to the representative of the NHIF, depending on the severity of the patient's disease symptoms and the level of functioning of the mentally ill individual, psychosocial rehabilitation services can be provided both at the outpatient level and in inpatient department. During them, such methods as individual, group or family psychotherapy, development of social skills, environmental therapy, various art therapy methods, and psychoeducation are applied.
These new services are provided by a team of professionals: child and adolescent psychiatrist, medical psychologist, social worker, mental health nurse, other professionals (psychotherapist, occupational therapist, physiotherapist, art therapist and others) as needed.
Rehabilitation can be short-term, with the duration of up to 40 calendar days (during this period, up to 12 services are provided) or long term, with the duration of up to 9 months and 35 visits that are prescribed for the patient - it is up to the treating physician to decide on this matter. Rehabilitation in inpatient department (up to 15 bed-days) is only prescribed after inpatient psychiatric treatment.
"Advanced consultation by child and adolescent mental health professionals consisting of three visits is another new specialized outpatient service paid from the NHIF which from now on will be available to children and adolescents. It is prescribed by a psychiatrist when thorough examination of the mental state is required. Consultation is provided to the same patient no more than twice a calendar year", - says Ž. Baigienė.
According to her, these services are provided by a team of professionals, it consists of child and adolescent psychiatrist and medical psychologist. The team of professionals may also include social worker and/or mental health nurse.
The NHIF invites you:
Your questions are welcome by email firstname.lastname@example.org or phone: local (8 5) 232 2222, international +370 5 232 2222