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.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• PLANNING COMMITTEE FOR THE WORKSHOP ON FUNDING OPPORTUNITIES FOR EVIDENCE-BASED PREVENTION AND INTERVENTIONS TO PROMOTE CHILDREN'S BEHAVIORAL HEALTH
• FORUM ON PROMOTING CHILDREN'S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH
• Reviewers
• Abbreviations and Acronyms
• 1. Overview and Highlights of the Workshop
  • HIGHLIGHTS OF THE WORKSHOP
  • ORGANIZATION OF THE WORKSHOP SUMMARY
  • REFERENCES
• 2. Responding to the Challenge
  • AN EPIDEMIC OF MENTAL, BEHAVIORAL, AND DEVELOPMENTAL PROBLEMS
  • CHANGING THE OPERATING SYSTEM
  • TOWARD HEALTH CARE 3.0
  • CHANGING THE POLITICAL AGENDA
  • LEADING A CULTURAL CHANGE
  • PREVENTION IN THE AFFORDABLE CARE ACT
  • REFERENCES
• 3. Funding: Opportunities, Threats, and Potential for Innovation
  • INTEGRATING SERVICES AT THE STATE LEVEL
  • PROMOTING INTEGRATION THROUGH THE INSURANCE SYSTEM
  • BEHAVIORAL HEALTH IN THE HEALTH CENTER PROGRAM
  • INNOVATIONS THAT CAN PROMOTE INTEGRATION
  • THE INTEGRATION OF BEHAVIORAL HEALTH AND PRIMARY CARE
  • METRICS AND MEASUREMENTS THAT CAN PROMOTE INTEGRATION
• 4. Implementing Innovations at the State and Local Levels
  • INTEGRATED INTERVENTIONS IN OREGON
  • BEHAVIORAL HEALTH INITIATIVES IN MASSACHUSETTS
  • COMBINING PRIMARY CARE AND BEHAVIORAL HEALTH IN OHIO
  • INTEGRATING PSYCHOLOGISTS WITH MEDICAL TEAMS IN CINCINNATI
  • BARRIERS AT THE STATE AND LOCAL LEVELS
• 5. Intermediary Groups for Two-Generation Approaches
  • COMMUNITY INITIATIVES FOR VULNERABLE CHILDREN
  • INTEGRATED CARE IN EAST TENNESSEE
  • INTEGRATED CARE IN SCHOOL-BASED HEALTH CENTERS
  • POLICIES TO PROMOTE A TWO-GENERATION APPROACH
  • BUSINESS SUPPORT FOR BEHAVIORAL HEALTH INTERVENTIONS
  • WORKFORCE NEEDS
• 6. Implementing Innovations in Primary Care
  • A PRIMARY CARE PROGRAM IN THE BRONX
  • PREVENTION USING THE BRIGHT FUTURES GUIDELINES
  • ACCESSING MENTAL HEALTH EXPERTISE IN MASSACHUSETTS
  • A MEDICAL INFORMATICS SYSTEM IN INDIANA
• 7. Implementing Innovations in Other Settings
  • THE CHILD WELFARE SYSTEM
  • IMPLEMENTING EVIDENCE-BASED PROGRAMS
  • HEAD START AS A MODEL OF INTEGRATION
  • INTEGRATED PROGRAMS IN SCHOOLS
  • INTEGRATING HEALTH INTO SCHOOLS
  • REFERENCE
• 8. The Research Landscape for Primary Care and Children's Behavioral Health
  • RESEARCH ON INTEGRATED SERVICES
  • RESEARCH ON PARENTAL INVOLVEMENT
  • REFERENCES
• 9. Looking Forward: Reflections for Public Policy
  • ESTABLISHING A HEALTHY TRAJECTORY
  • OPPORTUNITIES FOR PROMOTING BEHAVIORAL HEALTH
  • THE ROLES OF FAMILIES
  • TRANSLATIONAL RESEARCH AND PRIMARY CARE INNOVATIONS
  • PAYMENT REFORMS AND WORKFORCE DEVELOPMENT
  • FRAMING AND DELIVERING MESSAGES
  • HEALTH CARE SETTINGS
  • RESEARCH NEEDS
  • BLAME AND RESPONSIBILITY
  • MAKING THINGS HAPPEN
• APPENDIXES
  • Appendix A. Workshop Statement of Task
  • Appendix B. Workshop Agenda
  • Appendix C. Biographies of Workshop Speakers

Rapporteurs: Steve Olson and Noam I. Keren.

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.