1. Integration, Access, and Parity A Provider Perspective

2. 130 year old child serving agency Inpatient care Outpatient Care After school programming and summer camps

3. Clinically Complicated - Now Who They are NowStatistics Outpatient Services 19.3% Anxiety 16.3% Depression 14.3% ADHD 7.4% PTSD 5.0% SUD 3.8% Mood Inpatient Services 9 Failed Placements 36% Previous Psychiatric Hospitalization

4. Clinically Complicated - Future Risk IndicatorYouthCare ClientsGeneral Population Co-Occurring D/O 61%24.5% “illicit drug use” (NIH) Psychiatric Hospitalization 66%1% adult rate (NIMH) Suicidal Ideation/Self-Injury54%3.7% (CDC) Incarceration19%1% (BJS) Psychotic Disorder17%3% lifetime prevalence (CDC) Who They May Become:Potential High Utilizers

5. Why Mental Health Matters

6. Why We Should Be Concerned

7. Need vs Access

8. Opportunities for Integration From the Henry J. Kaiser Family Foundation: Universal Screening Navigators Co-Location Health Home System-Level Integration of Care

9. Why We Should Be Hopeful CDC Indicators 96% of all children in the US had a usual place of health care. 75% of all children had contact with a doctor or other health professional at some time in the last 6 months.

10. Challenges to Integration Culture clash Training Language Perspective EHR Regulatory issues