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2006-02-06-YSC-rpt
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2006-02-06-YSC-rpt
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13 <br /> due to reimbursement rates from insurers. The Council <br /> on Aging is a wonderful program. <br /> In general, services in Lexington have gotten worse in <br /> recent years. Processes are slow and laborious; there is <br /> no coordination of services. <br /> Replace is still serving youth well, I believe. <br /> There are a lot of suffering kids. They have to rely on <br /> their parents to access services and pay with their own <br /> insurance, but with more complicated cases they don’t <br /> get what they need unless the family has sufficient funds. <br />School-based mental health services are needed in order <br /> to avoid dependence on the quality of their own health <br /> care insurance and resources. <br /> Lexington relies on a system of private practitioners <br /> to provide services to kids, which is inadequate. In <br /> Cambridge, there is a citywide crisis team, and <br /> counselors in the schools and teen centers. Newton <br /> also has a coordinated response. <br /> We asked the providers what they believed were the major unmet mental health <br />needs of residents of Lexington. A paucity of youth services headed the list (54 percent), <br />with an additional 14 percent citing a need for more help for children and for parenting. <br />Support groups and group psychotherapy services were mentioned by 9 percent, and <br />another 9 percent cited a shortage of geriatric services. <br /> We also asked the providers to identify serious impediments, if any, they met in <br />the course of their work. HMO regulations and related management actions were named <br />by 31 percent, and insufficient state funding was cited by 27 percent. Burdensome <br />amounts of required paperwork was cited by 14 percent and 29 percent identified a variety <br />of other impediments. <br /> When we asked whether each provider estimated the conditions affecting mental <br />health challenges for Lexington residents were changing, 71 percent said they thought that <br />conditions were worsening, 25 percent did not know or were not sure, and 4 percent said <br /> <br />
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