The Growing Need for Pediatric Behavioral Health: Exploring New Care Models

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The COVID-19 pandemic has profoundly impacted the mental health of children and adolescents, with rates of behavioral health conditions skyrocketing in its wake. The isolation, uncertainty, and stress of the pandemic have left many young people struggling with anxiety, depression, trauma, and other behavioral health issues—challenges that can have long-term effects on their development and well-being. Addressing these issues requires a comprehensive approach, and this is where Pediatric Behavioral Health Integration plays a critical role. However, finding appropriate care for young patients remains a significant challenge. Limited access to mental health services and the complexity of navigating the healthcare system can feel overwhelming for families seeking support. Pediatric Behavioral Health Integration aims to bridge these gaps, providing families with the care and resources they need.

The need for effective solutions is urgent. As the demand for pediatric behavioral health services continues to rise, healthcare providers and experts are exploring innovative approaches to address these challenges. One promising solution is strengthening partnerships between pediatric behavioral health providers and primary care practices. Pediatric Behavioral Health Integration is key to providing more effective, accessible, and coordinated care for children struggling with mental health issues.

The Role of Pediatricians in Mental Health Care

According to Natalie Schneider, CEO of Fort Health, “Three out of four kids start the mental health journey in that pediatrician’s office. It is the largest on-ramp to reach these kids.” Pediatricians play a critical role in identifying behavioral health issues early and helping families navigate the next steps. However, the challenge lies in the fact that many pediatricians do not have reliable referral partners for mental health care, making it difficult to connect families with the right services. Schneider explained that the lack of dependable referral pathways often leaves pediatricians struggling to find appropriate resources for their patients.

This is where integrated care models, such as the one developed by Fort Health, could make a significant difference. Fort Health provides pediatric telehealth services, connecting children and families with behavioral health providers remotely. Their model focuses on partnering with pediatricians to provide a “wraparound” approach that keeps pediatricians engaged and informed throughout the treatment process. Regular updates on a child’s clinical progress ensure that pediatricians stay involved in the care plan and can support families as they navigate the mental health journey.

By embracing Pediatric Behavioral Health Integration, Fort Health is improving coordination and communication between healthcare providers. This approach reduces the burden on pediatricians, who may otherwise feel overwhelmed by the mental health needs of their patients. It also ensures that children receive timely and appropriate care without the frustration of having to search for providers on their own. Schneider emphasized that this model not only benefits patients, but also helps pediatricians by reducing the “abrasion” or frustration they experience when trying to find reliable behavioral health resources for their patients.

The Business Case for Integrated Care

The integration of pediatric behavioral health services with primary care providers is not only beneficial for patients but also has clear business advantages for healthcare providers. As healthcare costs continue to rise, finding cost-effective ways to deliver care is essential. By forming partnerships with pediatricians, behavioral health providers can lower customer acquisition costs and create a more sustainable business model. As Shiv Bhavnani, senior associate at Two Bridge and founder of GIMBHI, explained during the panel discussion at Behavioral Health Business’ INVEST event, partnering with primary care providers can help behavioral health companies lower their customer acquisition costs and build a path to profitability.

Bhavnani emphasized that leveraging primary care as a source of referrals has been a successful strategy not just in pediatric mental health, but in adult mental health care as well. By tapping into the established relationships that pediatricians have with families, behavioral health providers can reach a larger pool of potential patients who are already seeking help. This approach can also help build trust with families, as they are more likely to accept mental health care when it is recommended by their trusted pediatrician.

Fort Health’s experience underscores the importance of these partnerships for business success. Initially, the company experimented with a direct-to-consumer (D2C) model, but the conversion rates were “atrocious,” according to Schneider. Families who found Fort Health through direct marketing were less likely to engage with the services, possibly because they lacked the trust and familiarity that comes with a pediatrician’s referral. However, once Fort Health shifted its focus to building partnerships with pediatricians and utilizing their networks for referrals, the company saw a significant improvement in conversion rates. Pediatricians know their patients and families, and they are in a unique position to identify which families are ready for mental health treatment.

The Potential of School-Based Behavioral Health Care

While pediatrician partnerships are a promising solution, schools also represent a valuable opportunity for expanding mental health services to children and adolescents. Schools are often where children spend a significant amount of their time, and they provide an ideal setting to reach students who may not otherwise seek out mental health care. In recent years, school-based behavioral health services have become more prevalent, with virtual behavioral health providers partnering with school districts to offer telehealth services to students.

For example, in February, Hazel Health, a school-based telehealth company, announced a $24 million partnership with the Los Angeles and Compton Unified School Districts. These types of partnerships are helping to make mental health care more accessible to students, particularly those who may face barriers to accessing traditional in-person care. However, as Dan Davidson, president of Galen Mental Health, pointed out, “For schools, we found that it’s a very long sales cycle. And it’s very difficult.” Schools are often bureaucratic and difficult to work with, and the process of securing partnerships can be frustrating for behavioral health providers. Despite these challenges, the potential for schools to serve as a gateway for mental health care is immense.

Focusing on Preventive Care

One area where schools could make a significant impact is in the realm of preventive care. Bhavnani highlighted the importance of taking a more public health-focused approach to youth mental health, emphasizing that prevention is key. “Thirty percent of youth suffer from a mental health issue. By providing care once the problem becomes an actual clinical level, are you doing root canals but not doing regular cleanings and checkups?” he asked. In other words, waiting until a mental health issue becomes severe before offering treatment is akin to waiting until a dental problem is serious enough to require a root canal, rather than addressing it early with routine care.

Schools and universities are prime environments to implement preventive mental health programs. Initiatives such as mental health first aid training, psychological education, and wellness programs could help students develop the skills and awareness needed to address mental health issues before they escalate. These programs could be implemented in a variety of settings, from middle schools to universities, creating a more supportive and proactive approach to mental health in educational environments.

Conclusion: A Path Forward for Pediatric Behavioral Health

The mental health needs of children and adolescents have never been more pressing. The COVID-19 pandemic has exacerbated these issues, leaving families searching for accessible, reliable care. As the demand for pediatric behavioral health services continues to rise, Pediatric Behavioral Health Integration, such as partnerships between primary care providers and behavioral health specialists, is essential in improving access to care.

By integrating behavioral health services with primary care, pediatricians and behavioral health providers can work together to offer a more coordinated, effective care experience for children. Furthermore, expanding mental health care to schools and focusing on prevention could help address mental health issues before they reach a crisis point. The future of pediatric behavioral health care lies in breaking down barriers between providers, schools, and families, ensuring that every child has access to the support they need to thrive.


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