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r The Center for Emotional and Behavioral Health — Child/Adolescent Psychiatric Mental Health Clinic — IRC - CSAC Be PROGRAM NEED STATEMENT (Entire Section B not to exceed one page) 1 . a) What is the unacceptable condition requiring change? b) Who has the need? c) Where do they live? d) Provide local, state, or national trend data, with reference source, that corroborates that this is an area of need. Loss of function in a child ' s life as a result of stress or psychiatric disorder interferes with their ability to perform in school, maintain relationships and meet the ordinary demands of life. As reported in the proceedings based on the Surgeon General ' s Conference on mental health, the nation is facing a public crisis in mental healthcare for infants, children, and adolescents. Many children have mental health problems that interfere with normal development and functioning. According to the Surgeon General ' s report 20% of the children are estimated to have mental disorders with at least mild functional impairments . Five to nine percent of children ages 9 to 17 have serious emotional disturbances, (e. g. : anxiety disorder, mood disorders, disruptive disorder, schizophrenia, substance abuse, eating disorders and attention deficit disorders) . Applying the national prevalence rates to Indian River County, 20% of the children, or 4,609 children and adolescents may have a diagnosable disorder or functional impairment. Five to nine percent, or 1 , 152 to 2,074 children and adolescents may have a serious emotional disorder. Suicide is the fourth leading cause of death among youth ages 10- 14 and third among youth ages 15 -24, as per the Center for Disease Control Statistics, 2001 . Unmet need for services remains as high now as it was 20 years ago . Recent evidence compiled by the World Health Organization indicates that by the year 2020, childhood neuropsychiatric disorders will rise proportionately by over 50 percent, internationally, to become one of the five most common causes of morbidity, mortality, and disability among children. There is broad evidence that the nation lacks a unified infrastructure to help these children who are not identified as having mental health problems, who do not receive services, and end up in jail . Children and families are suffering because of missed opportunities for prevention and early identification, fragmented treatment services, and low priorities for resources . (Surgeon General ' s Conference on Mental Health, June 2000) . This program seeks to provide early intervention for children suffering from psychiatric and mental health disorders to prevent debilitative effects of mental illness and maintain function. 2 . a) Identify similar programs that are currently serving the needs of your targeted population ; b) Explain how these existing programs are under-serving the targeted population of your program. Similar programs available for Indian River County residents are limited to the Suncoast Mental Health Center which provides a child psychiatrist 2 days a month for up to 8- 16 hours a month. The Center for Emotional and Behavioral Health has served 388 unduplicated children, year to date. The number of children served in FY 2004 was 350 . We anticipate a 20% increase this year. As per the national trend data, this may only represent 50 percent of the children needing services . Pediatricians in the area are not comfortable treating psychiatric disorders and defer such treatment to psychiatrists . Therefore it is a reasonable assumption that children ' s mental health services will continue to be a priority need. The Center for Emotional and Behavioral Health was able to accommodate for the growth because of funding from the Children ' s Services Advisory Committee. 6