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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Opportunities to Promote
Children’s Behavioral Health

Health Care Reform and Beyond

WORKSHOP SUMMARY

Steve Olson and Noam I. Keren, Rapporteurs

Forum on Promoting Children’s Cognitive,
Affective, and Behavioral Health

Board on Children, Youth, and Families

Institute of Medicine

Division of Behavioral and Social Sciences and Education

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THE NATIONAL ACADEMIES PRESS

Washington, DC

www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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THE NATIONAL ACADEMIES PRESS   500 Fifth Street, NW   Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and the American Academy of Pediatrics (Unnumbered Award); the American Board of Pediatrics (Unnumbered Award); the Assistant Secretary for Planning and Evaluation (HHSP23337021); Autism Speaks (Unnumbered Award); the Centers for Disease Control and Prevention (200-2011-38807, TO #16); the Department of Justice Office of Juvenile Justice and Delinquency Prevention (2013-MU-MU-0002); the National Institutes of Health (HHSN26300035); the Robert Wood Johnson Foundation (71071); and the Substance Abuse and Mental Health Services Administration (HHSP23337029). Additional support came from the American Orthopsychiatric Association, the American Psychological Association, the Community Anti-Drug Coalitions of America, the Hogg Foundation for Mental Health, the Society for Child and Family Policy and Practice, the Society of Clinical Child and Adolescent Psychology, and the Society of Pediatric Psychology. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-37774-4
International Standard Book Number-10: 0-309-37774-9
DOI: 10.17226/21795

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2015 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Cover credit: Stevecoleimages via iStockphoto.

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to promote children’s behavioral health: Health care reform and beyond: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Ralph J. Cicerone is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.national-academies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

PLANNING COMMITTEE FOR THE WORKSHOP
ON FUNDING OPPORTUNITIES FOR EVIDENCE-
BASED PREVENTION AND INTERVENTIONS TO
PROMOTE CHILDREN’S BEHAVIORAL HEALTH1

MARY ANN McCABE (Chair), Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Associate Clinical Professor of Pediatrics, School of Medicine, George Washington University; Affiliate Faculty in Psychology, George Mason University

THOMAS F. BOAT, Professor of Pediatrics and Dean Emeritus, University of Cincinnati College of Medicine; Cincinnati Children’s Hospital Medical Center

DAVID A. BRENT, Academic Chief of Child and Adolescent Psychiatry and Professor of Psychiatry, Pediatrics, and Epidemiology, School of Medicine, University of Pittsburgh

WILMA P. CROSS, Senior Public Health Advisor, Office of Disease Prevention, National Institutes of Health

COSTELLA GREEN, Branch Chief, Division of Community Programs, Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration

J. DAVID HAWKINS, Endowed Professor of Prevention, Social Development Research Group, School of Social Work, University of Washington

KIMBERLY E. HOAGWOOD, Society of Clinical Child and Adolescent Psychology, American Psychological Association; Professor and Vice Chair for Research, Department of Child and Adolescent Psychiatry, School of Medicine, New York University

LAUREL K. LESLIE, Board of Directors, American Board of Pediatrics; Professor of Medicine and Pediatrics, Tufts University School of Medicine; Director, Center for Aligning Researchers and Communities for Health, Tufts Clinical and Translational Science Institute; Vice President of Research, American Board of Pediatrics

JENNIFER NG’ANDU, Program Officer, Robert Wood Johnson Foundation

RUTH PEROU, Acting Mental Health Coordinator, Program Performance and Evaluation Office, Centers for Disease Control and Prevention

EVE E. REIDER, National Center for Complementary and Integrative Health, National Institutes of Health

______________

1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

GAIL F. RITCHIE, Public Health Analyst, Substance Abuse and Mental Health Services Administration

PAT SHEA, Deputy Director, Office of Technical Assistance, National Association of State Mental Health Program Directors

BELINDA E. SIMS, Health Scientist Administrator, Prevention Research Branch, Division of Epidemiology, Services and Prevention Research, National Institute on Drug Abuse

JOSÉ SZAPOCZNIK, Professor and Chair, Department of Public Health Sciences; Director, Miami Clinical Translational Science Institute; Director, Center for Family Studies, University of Miami

VERA FRANCIS “FAN” TAIT, Associate Executive Director, Department of Child Health and Wellness, American Academy of Pediatrics

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

FORUM ON PROMOTING CHILDREN’S COGNITIVE,
AFFECTIVE, AND BEHAVIORAL HEALTH1

WILLIAM R. BEARDSLEE (Co-Chair), Director, Baer Prevention Initiatives; Chairman Emeritus, Department of Psychiatry, Boston Children’s Hospital; Gardner/Monks Professor of Child Psychiatry, Harvard Medical School

C. HENDRICKS BROWN (Co-Chair), Professor, Departments of Psychiatry, Behavioral Sciences, and Preventive Medicine, Feinberg School of Medicine, Northwestern University

KAREEMAH ABDULLAH, Director, National Community Anti-Drug Coalition Institute; Vice President of Training Operations, Community Anti-Drug Coalitions of America

DARA BLACHMAN-DEMNER, Social Science Analyst, Crime, Violence, and Victimization Research Division, National Institute of Justice

THOMAS F. BOAT, Professor of Pediatrics and Dean Emeritus, University of Cincinnati College of Medicine; Cincinnati Children’s Hospital Medical Center

FELESIA R. BOWEN, Assistant Professor and Director, Center for Urban Youth, School of Nursing, Rutgers, The State University of New Jersey

DAVID A. BRENT, Academic Chief of Child and Adolescent Psychiatry and Professor of Psychiatry, Pediatrics, and Epidemiology, School of Medicine, University of Pittsburgh

LAUREN CALDWELL, Director, Children, Youth, and Families Office; Public Interest Directorate, American Psychological Association

WILMA P. CROSS, Senior Public Health Advisor, Office of Disease Prevention, National Institutes of Health

RICHARD G. FRANK, Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services

AMY GOLDSTEIN, Associate Director for Prevention, National Institute of Mental Health

COSTELLA GREEN, Branch Chief, Division of Community Programs, Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration

RICK HARWOOD, Deputy Executive Director, National Association of State Alcohol and Drug Abuse Directors

______________

1Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

J. DAVID HAWKINS, Endowed Professor of Prevention, Social Development Research Group, School of Social Work, University of Washington

KIMBERLY E. HOAGWOOD, Society of Clinical Child and Adolescent Psychology, American Psychological Association; Professor and Vice Chair for Research, Department of Child and Adolescent Psychiatry, School of Medicine, New York University

COLLEEN HORTON, Policy Program Officer, Hogg Foundation for Mental Health, University of Texas at Austin

KELLY J. KELLEHER, Director, Center for Innovation in Pediatric Practice; Vice President of Health Services Research and Community Health and Services Research, The Research Institute at Nationwide Children’s Hospital

UMA KOTAGAL, Senior Vice President for Quality, Safety and Transformation; Executive Director, James M. Anderson Center for Health Systems Excellence, Cincinnati Children’s Hospital Medical Center

LAUREL K. LESLIE, Board of Directors, American Board of Pediatrics; Professor of Medicine and Pediatrics, Tufts University School of Medicine; Director, Center for Aligning Researchers and Communities for Health, Tufts Clinical and Translational Science Institute; Vice President of Research, American Board of Pediatrics

MARY ANN McCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Associate Clinical Professor of Pediatrics, School of Medicine, George Washington University; Affiliate Faculty in Psychology, George Mason University

JENNIFER NG’ANDU, Program Officer, Robert Wood Johnson Foundation

JENNIFER OPPENHEIM, Public Health Advisor, Director, Project LAUNCH (Linking Actions for Unmet Needs in Children’s Health), Center for Mental Health Services, Substance Abuse and Mental Health Services Administration

LAWRENCE A. PALINKAS, Albert G. and Frances Lomas Feldman Professor of Social Policy and Health, Director, Behavior, Health and Society Research Cluster, School of Social Work, University of Southern California

RUTH PEROU, Acting Mental Health Coordinator, Program Performance and Evaluation Office, Centers for Disease Control and Prevention

EVE E. REIDER, National Center for Complementary and Integrative Health, National Institutes of Health

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

MARY JANE ROTHERAM-BORUS, Bat-Yaacov Professor of Child Psychiatry and Biobehavioral Sciences; Director, Global Center for Children and Families; Director, Center for HIV Identification Prevention & Treatment Services, Department of Psychiatry, University of California, Los Angeles

PAT SHEA, Deputy Director, Office of Technical Assistance, National Association of State Mental Health Program Directors

ANDY SHIH, Senior Vice President of Scientific Affairs, Autism Speaks

BELINDA E. SIMS, Health Scientist Administrator, Prevention Research Branch, Division of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse

JOSÉ SZAPOCZNIK, Professor and Chair, Department of Public Health Sciences; Director, Miami Clinical Translational Science Institute; Director, Center for Family Studies, University of Miami

VERA FRANCIS “FAN” TAIT, Associate Executive Director, Department of Child Health and Wellness, American Academy of Pediatrics

JENNIFER TYSON, Social Science Analyst, Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice

DONALD WERTLIEB, President, American Orthopsychiatric Association; Professor Emeritus, Eliot-Pearson Department of Child Development, Tufts University

Project Staff

WENDY KEENAN, Forum Director

TARA MAINERO, Associate Program Officer (until April 2015)

NOAM I. KEREN, Research Associate

ANTHONY JANIFER, Senior Program Assistant

AMANDA PASCAVIS, Senior Program Assistant (until May 2015)

CYAN JAMES, Christine Mirzayan Science and Technology Policy Graduate Fellow (January–April 2015)

Board on Children, Youth, and Families Staff

BRIDGET B. KELLY, Interim Board Director

KIMBER BOGARD, Board Director (until July 2015)

PAMELLA ATAYI, Administrative Assistant

FAYE HILLMAN, Financial Associate

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

Catherine J. Bodkin, ZERO TO THREE

Susan M. Dull, Children’s Hospital Association

Lynda E. Frost, University of Texas at Austin

Jessica Jeffrey, University of California, Los Angeles

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by Caswell A. Evans, University of Illinois at Chicago. He was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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This page intentionally left blank.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

Abbreviations and Acronyms

ACA

Patient Protection and Affordable Care Act

ACO

accountable care organization

ADHD

attention deficit hyperactivity disorder

CFHA

Collaborative Family Healthcare Association

CHICA

Child Health Improvement through Computer Automation

CHIP

Children’s Health Insurance Program

CHSTI

Child Health System Transformation Initiative

CMMI

Center for Medicare & Medicaid Innovation

CMS

Centers for Medicare & Medicaid Services

COPE

Creating Opportunities for Personal Empowerment

DCS

Department of Children’s Services

DSM-IV

Diagnostic and Statistical Manual of Mental Disorders, 4th edition

EMR

electronic medical record

HRSA

Health Resources and Services Administration

IOM

Institute of Medicine

MCPAP

Massachusetts Child Psychiatry Access Project

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
×

NASHP

National Academy for State Health Policy

NIDA

National Institute on Drug Abuse

NIH

National Institutes of Health

NRC

National Research Council

OECD

Organisation for Economic Co-operation and Development

PCPCC

Patient-Centered Primary Care Collaborative

PROMIS

Patient Reported Outcomes Measurement Information System

SAMHSA

Substance Abuse and Mental Health Services Administration

TECCS

Transforming Early Childhood Community Systems

USPSTF

U.S. Preventive Services Task Force

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2015. Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21795.
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The Patient Protection and Affordable Care Act (ACA), which was signed into law in 2010, has several provisions that could greatly improve the behavioral health of children and adolescents in the United States. It requires that many insurance plans cover mental health and substance use disorder services, rehabilitative services to help support people with behavioral health challenges, and preventive services like behavioral assessments for children and depression screening for adults. These and other provisions provide an opportunity to confront the many behavioral health challenges facing youth in America.

To explore how the ACA and other aspects of health care reform can support innovations to improve children's behavioral health and sustain those innovations over time, the Forum on Promoting Children's Cognitive, Affective, and Behavioral Health held a workshop on April 1-2, 2015. The workshop explicitly addressed the behavioral health needs of all children, including those with special health needs. It also took a two-generation approach, looking at the programs and services that support not only children but also parents and families. This report summarizes the presentations and discussions of this workshop.

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