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Eligibility for CSTS Services

Individuals seeking mental health or substance abuse treatment services receive a comprehensive screening completed by a professional Social Worker or Public Health Nurse. Although the majority of screenings are done over the phone, every effort is made to accommodate any special needs callers may have.

Callers to Health Services Access are screened using criteria found in the Diagnostic and Statistical Manual of Mental Disorders (DSV-IV), and referred to the appropriate level of intensity of available psychiatric and/or psychological services.

The following list is a summary of the service eligibility criteria. For more specific questions about eligibility, contact Access at (734) 544-3050 or 1-800-440-7548 to speak to an intake specialist.

Mental Health

  • Age 18 or over
  • Has a serious mental illness based upon a series of qualifications (including but not limited to qualifying diagnosis, significant functional disability, duration of illness, or prior service utilization)
  • Substance use/abuse is not deemed to be the sole basis for the need for treatment.

Developmental Disabilities

  • A developmental disability means either of the following: 
  • If applied to an individual older than five years, a severe, chronic condition that meets all of the following requirements:
  • Is attributable to a mental or physical impairment or a combination of mental and physical impairments. 
  • Is manifested before the individual is 22 years old. 
  • Is likely to continue indefinitely. 
  • Results in substantial functional limitations in three or more of the following areas of major life activities:
  • Self-care; 
  • Receptive and expressive language; 
  • Learning; 
  • Mobility; 
  • Self-direction; 
  • Capacity for independent living; 
  • Economic self-sufficiency
  • Reflects the individual’s need for a combination and sequence of special, interdisciplinary, or generic care, treatment, or other services that are of lifelong or extended duration that are individually planned or coordinated. 


 If applied to a minor from birth to age five, a substantial developmental delay or a specific congenital or acquired condition with a high probability of resulting in developmental disability as defined in item 1 if services are not provided. 

Youth & Family Services

For children 7-17 years of age with Serious Emotional Disturbance (SED):

  • Qualifying behavioral or emotional diagnosis/disorder
  • Substantial functional impairment/limitation of major life activities
  • Sufficient duration of condition

For children from conception to three years of age who are at risk of developing emotional or behavioral problems:

  • A parent has a current or significant history of primary psychiatric diagnosis
  • A parent is 17 years of age or younger
  • A parent has a history of child abuse or neglect
  • A parent is currently or has a history of abusing substances
  • Infant is in neonatal intensive care unit
  • Infant has failure to thrive due to psychosocial causes
  • Family is otherwise deemed to be high risk due to the presence of significant stressors

Youth & Family also offers an array of services and resources to the family members of eligible children.

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