Mental Health and Medical Home
"It is estimated that one in five children and adolescents have a mental health problem such as, depression, ADHD, and eating disorders, and for as many as 6 million this may be significant enough to disturb school attendance, and home and social conditions."
Despite these startling statistics, the National Institute of Mental Health (NIMH) estimates that fewer than one in five of these children receives treatment, due in part to a lack of affordability, lack of availability of specialists, and stigma. One key point of access for helping these children receive the mental health care they need is the inclusion of mental health services—provided by qualified counselors, psychologists, and social workers—in this nation's schools. Grants through the Children's Mental Health Services program have been instrumental in achieving decreased utilization of inpatient services, improvement in school attendance, and lower law enforcement contact for children and adolescents." 1
- 2007 NSCH Mental Health Chartbook State Pages
To accompany The Mental and Emotional Well-Being of Children: A Portrait of States and the Nation, just released by the MCHB, the Data Resource Center developed Mental Health Chartbook State Pages that include interactive profiles to compare state or national data on the prevalence of emotional, behavioral, and developmental conditions among children 2-17 years old and access to quality health care for children who have these conditions.
- The Mental and Emotional Well-Being of Children: A Portrait of States and the Nation 2007
Health Resources and Services Administration (HRSA)
Of nearly 7.4 million children in the United States diagnosed with emotional, behavioral, or developmental conditions, a disproportionate number do not get the mental health services they need because they are underinsured, according to a new report released by the HRSA. The report identified seven emotional, behavioral, or developmental conditions: depression, anxiety, Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder, conduct disorders, autism spectrum disorders, developmental delay, and Tourette Syndrome. Children with these conditions can benefit from a variety of therapies including counseling and medication.
"The medical home is not just a place, but a process of care that allows for the identification and tracking of children and youth with special health care needs, systematic care coordination, active care planning with families, and explicit co management with specialists..."
The national medical home movement is gaining momentum among practitioners. Much of the focus has been on the role of primary care providers. Now is an ideal time for specialists in a variety of disciplines to examine the concept of planned co-management between specialty and primary care. Co-management allows for improved “vertical” communication within the health care systems as well as better “horizontal” linkages between health care settings and other key community resources. For specialties like child psychiatry in which access is a problem or in which the demand of clinicians exceeds the supply, co-management offers opportunities for increased efficiency and reduced redundancy. Joint ventures to pilot these concepts are needed." 2
- Linking and Integrating with Primary Care: Medical Home Model for Children's Mental Health
National Technical Assistance Center in Children's Mental Health and the American Academy of Pediatrics (AAP)
Many children at risk for social, emotional, mental or behavioral issues are not consistently linked to the services and supports that they need. Primary care, as a partner with children's mental health, has an important role to play in assuring that children receive appropriate holistic and developmental care. This webinar will provided an overview of opportunities provided by the medical home model for children's mental health and primary care to strengthen their collaboration by shifting the paradigm from a referral based system to a linked and integrated system. Participants were introduced to the concept of the medical home, and examples were provided of successful primary care-mental health linkages. Opportunities for enhanced collaboration within the Affordable Care Act (Health Care Reform) were also addressed.
- Children's Mental Health and the Medical Home
Listen to David Tayloe, MD, FAAP, past president of the AAP, provide an in-depth discussion of children's mental health and the medical home during the recent Medical Home Web Summit.
AAP Children's Mental Health in Primary Care
This site houses information and resources from the AAP related to mental health, including current projects, funding opportunities, policy statements, upcoming events, literature, and information about the Task Force on Mental Health.
AAP Collaborative Mental Health Care Pedialink Course
Many—in fact, most—primary care clinicians cite a lack of referral sources as a major barrier to expanding their role in mental health care. The purpose of this course is to address this barrier. With an easy to use format, this course is available 24/7 from your home or office computer! With the Collaborative Mental Health Care Pedialink course, in 1 hour primary care clinicians will be able to:
- Identify needs that require emergency specialist care
- Determine other clinical circumstances that require specialty mental health or substance abuse services
- List key services needed by children and adolescents experiencing mental health and substance abuse problems and identify the professionals trained to provide them
- Describe methods for making effective referrals to mental health or substance abuse specialists
- Describe models of collaborative mental health practice
Enhancing Pediatric Mental Health Care: Report From the American Academy of Pediatrics Task Force on Mental Health. Pediatrics. 2010; 125: S69-125.
Bright Futures
Bright Futures, initiated by the Maternal and Child Health Bureau of the Health Resources and Services Administration, Department of Health and Human Services, is a philosophy and approach that is dedicated to the principle that every child deserves to be healthy, and that optimal health involves a trusting relationship between the health professional, the child, the family, and the community. As part of this initiative, Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents was developed to provide comprehensive health supervision guidelines, including recommendations on immunizations, routine health screenings, and anticipatory guidance. This program is administered by the American Academy of Pediatrics.
Centers for Disease Control and Prevention (CDC)
The CDC is an agency of the US Department of Health and Human Services whose mission is to promote health and quality of life by preventing and controlling disease, injury, and disability. The CDC has helpful information on mental health related issues, including statistical information on suicide.
Federation of Families for Children's Mental Health (FFCMH)
The FFCMH is dedicated to providing education, resources, and information to children with mental health needs and their families.
Emotional, Behavioral, and Mental Health Challenges in Children and Adolescents Knowledge Path
The knowledge path produced by the MCH Library at Georgetown University, offers resources that analyze data, describe effective programs, and report on policy and research aimed at improving access to and quality of care for children and adolescents with emotional, behavioral, and mental heath challenges
The Medical Home as a Mediator of the Relation Between Mental Health Symptoms and Family Burden Among Children with Special Health Care Needs
Ghandour RM, Perry DF, Kogan MD, Strickland BB. Academic Pediatrics
National Alliance on Mental Illness (NAMI)
The NAMI is the nation's largest grassroots mental health organization dedicated to improving the lives of children and adults living with mental illness and their families. Founded in 1979, the NAMI has become the nation's voice on mental illness. Every state has a NAMI organization and over 1,100 local communities across the country join together to meet the NAMI mission through advocacy, research, support, and education.
National Institute of Mental Health (NIMH)
An institute of the federal National Institutes on Health, the NIMH works to reduce the burden of mental illness and behavioral disorders through research on the mind, brain, and behavior. The NIMH works to achieve a better understanding, treatment, and eventually prevention of these disabling conditions that affect millions of Americans.
Pediatric and Adolescent Mental Health Emergencies in the Emergency Medical Services System
AAP Technical Report—Pediatrics. 2011;127(5):e1356-e1366.
Substance Abuse and Mental Health Services Administration (SAMHSA)
The SAMHSA is a public health agency within the Department of Health and Human Services responsible for improving accountability, capacity, and effectiveness of the nation's substance abuse prevention, addictions treatment, and mental health delivery system.
- Caring for Every Child's Mental Health Campaign
This national public information and educational campaign strives to increase public awareness about the importance of protecting and nurturing the mental health of young people, and fostering recognition that many children have mental health problems that are real, painful, and sometimes severe.
- Center for Mental Health Services (CMHS)
The CMHS leads federal efforts to treat mental illnesses by promoting mental health and preventing the development or worsening of mental illness when possible. Congress created CMHS to bring new hope to adults who have serious mental illnesses and to children with serious emotional disorders.
- Evidence-Based Practice Implementation Resource Kits
The Evidence-Based Practice Implementation Resource Kits encourage the use of evidence-based practices in mental health. The kits discusses: illness management and recovery; assertive community treatment; family psycho-education; supported employment; and co-occurring disorders treatments.
- National Suicide Prevention Lifeline
The National Suicide Prevention Lifeline 1-800-273-TALK (8255) is a 24-hour, toll-free, confidential suicide prevention hotline available to anyone in suicidal crisis or emotional distress. By dialing 1-800-273-TALK, the call is routed to the nearest crisis center in our national network of more than 150 crisis centers.
- Suicide Prevention Resource Center (SPRC)
The SPRC provides prevention support, training, and resources to assist organizations and individuals to develop suicide prevention programs, interventions and policies, and to advance the National Strategy for Suicide Prevention.
ADHD Coding Fact Sheet for Primary Care Clinicians
American Academy of Pediatrics
Features information for coding attention-deficit hyperactivity disorder (ADHD) health care services in either the office or outpatient setting.
Anxiety Coding Fact Sheet for Primary Care Pediatricians
American Academy of Pediatrics
Features information on coding for anxiety-related health services.
Depression Coding Fact Sheet for Primary Care Pediatricians
American Academy of Pediatrics
Features information on coding for depression-related health services.
Posttraumatic Stress Disorder Coding Fact Sheet for Primary Care Pediatricians
American Academy of Pediatrics
Features information on coding for posttraumatic stress disorder-related health services.
Substance Use/Abuse Coding Fact Sheet for Primary Care Pediatrics
American Academy of Pediatrics
This resource contains a comprehensive listing of codes that may be utilized by your practice when seeing patients who are managing substance abuse.
1 Statement for the Record for the U.S. House of Representatives. Committee on Appropriations, Subcommittee on Labor, Health and Human Services and Education. FY 2004 on behalf of the AAP. May 14, 2003.
2 Cooley, WC, Improving Care for Children with Chronic Conditions: The Primary Care Medical Home. AACAP News. September/October 2004.
