Achieving Behavioral Health
Equity for Children, Families,
and Communities
PROCEEDINGS OF A WORKSHOP
Sarah M. Tracey, Erin Kellogg, Clarissa E. Sanchez, and Wendy Keenan
Rapporteurs
Forum for Children’s Well-Being: Promoting Cognitive, Affective, and Behavioral Health for Children and Youth
Roundtable on the Promotion of Health Equity
Board on Children, Youth, and Families
Division of Behavioral and Social Sciences and Education
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
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This activity was supported by contracts between the National Academy of Sciences and the American Board of Pediatrics (unnumbered award); Centers for Disease Control and Prevention (200-2011-38807, TO #69); Conrad N. Hilton Foundation (17605); Doris Duke Charitable Foundation (2018120); Health Resources and Services Administration (HHSH250201500001I); and Robert Wood Johnson Foundation (74234). Additional support came from the American Academy of Child and Adolescent Psychiatry, the American Academy of Pediatrics, the American Psychological Association, Autism Speaks, the Global Alliance for Behavioral Health and Social Justice, the National Federation of Families for Children’s Mental Health, the Nemours Children’s Health System, the Society for Child and Family Policy and Practice, the Society of Pediatric Psychology, and ZERO TO THREE. 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: 978-0-309-48805-1
International Standard Book Number-10: 0-309-48805-2
Digital Object Identifier: https://doi.org/10.17226/25347
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. (2019). Achieving Behavioral Health Equity for Children, Families, and Communities: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25347.
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STEERING COMMITTEE FOR THE WORKSHOP ON ACHIEVING HEALTH EQUITY IN CHILDREN’S COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH
WILLIAM R. BEARDSLEE, Baer Prevention Initiatives; Department of Psychiatry (chairman emeritus), Boston Children’s Hospital; Department of Child Psychiatry, Harvard Medical School
FELESIA R. BOWEN, Center for Urban Youth and Families, Rutgers University School of Nursing;1 College of Nursing, Medical University of South Carolina2
ANGELA DIAZ, Department of Pediatrics and Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai; Mount Sinai Adolescent Health Center
KIMBERLY EATON HOAGWOOD, Department of Child and Adolescent Psychiatry, School of Medicine, New York University
UMA KOTAGAL, Cincinnati Children’s Hospital Medical Center
ANDY SHIH, Autism Speaks
DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice; Boston University School of Public Health
___________________
1 Until May 2018.
2 From June 2018.
FORUM FOR CHILDREN’S WELL-BEING: PROMOTING COGNITIVE, AFFECTIVE, AND BEHAVIORAL HEALTH FOR CHILDREN AND YOUTH
WILLIAM R. BEARDSLEE (Cochair), Baer Prevention Initiatives; Department of Psychiatry (chairman emeritus), Boston Children’s Hospital; Department of Child Psychiatry, Harvard Medical School
C. HENDRICKS BROWN (Cochair), Departments of Psychiatry and Behavioral Sciences, Preventive Medicine, and Medical Social Sciences, Feinberg School of Medicine, Northwestern University
RUMELI BANIK, Child Well-being Program, Doris Duke Charitable Foundation
HAROLYN M.E. BELCHER, Johns Hopkins University School of Medicine; Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute
THOMAS F. BOAT, University of Cincinnati College of Medicine (dean emeritus); Cincinnati Children’s Hospital Medical Center
FELESIA R. BOWEN, Center for Urban Youth and Families, Rutgers University School of Nursing;1 College of Nursing, Medical University of South Carolina2
RAHIL D. BRIGGS, ZERO TO THREE; Department of Pediatrics, Montefiore Medical Group
DEBBIE I. CHANG, Policy and Prevention, Nemours
NATHANIEL Z. COUNTS, Mental Health America
MARTHA B. DAVIS, Robert Wood Johnson Foundation
ALEXA EGGLESTON, Domestic Programs, Conrad N. Hilton Foundation
LYNDA GARGAN, National Federation of Families for Children’s Mental Health
J. DAVID HAWKINS, School of Social Work, University of Washington
CARMEN J. HEAD, American Academy of Child and Adolescent Psychiatry
KIMBERLY EATON HOAGWOOD, Department of Child and Adolescent Psychiatry, School of Medicine, New York University
JENNIFER W. KAMINSKI, Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention
KELLY J. KELLEHER, Center for Innovation in Pediatric Practice; Health Services Research and Community Health and Services Research, The Research Institute at Nationwide Children’s Hospital
___________________
1 Until May 2018.
2 From June 2018.
UMA KOTAGAL, Cincinnati Children’s Hospital Medical Center
LAUREL K. LESLIE, American Board of Pediatrics; Department of Medicine and Pediatrics, Tufts University School of Medicine
DINA LIESER, Maternal and Child Health Bureau, Health Resources and Services Administration3
MARY ANN McCABE, Society for Child and Family Policy and Practice; Society of Pediatric Psychology; Department of Pediatrics, George Washington University School of Medicine; Department of Applied Developmental Psychology, George Mason University
MARY JANE ROTHERAM-BORUS, Child Psychiatry and Biobehavioral Sciences, Global Center for Children and Families, Center for HIV Identification, Prevention, and Treatment Services, Department of Psychiatry, University of California, Los Angeles
ANDY SHIH, Autism Speaks
JOSÉ SZAPOCZNIK, Department of Public Health Sciences, Miami Clinical Translational Science Institute, Center for Family Studies, University of Miami
VERA FRANCES “FAN” TAIT, American Academy of Pediatrics
W. DOUGLAS TYNAN, Integrated Health Care, American Psychological Association
DEBORAH KLEIN WALKER, Global Alliance for Behavioral Health and Social Justice; Boston University School of Public Health
DAVID WILLIS, Maternal and Child Health Bureau, Health Resources and Services Administration4
Forum Staff
WENDY KEENAN, Forum Director
SARAH M. TRACEY, Associate Program Officer5
ERIN KELLOGG, Research Associate6
MARY GHITELMAN, Senior Program Assistant7
MARGARET KELLY, Senior Program Assistant8
CLARISSA E. SANCHEZ, Fellow, Archer Center Graduate Program in Public Policy, University of Texas Health Science Center9
___________________
3 From May 2018.
4 Until Arpil 2018.
5 Until September 2018.
6 From September 2018.
7 September 2017–January 2018.
8 From July 2018.
9 May–August 2018.
Board on Children, Youth, and Families Staff
NATACHA BLAIN, Board Director
PAMELLA ATAYI, Program Coordinator
ANTHONY BRYANT, Financial Associate
Acknowledgments
This Proceedings of a Workshop was 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 National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings: Harolyn M.E. Belcher, Center for Diversity in Public Health Leadership Training, Kennedy Krieger Institute, Johns Hopkins University School of Medicine; Eugene E. Garcia, Mary Lou Fulton Teachers College, Arizona State University (emeritus); and Tatiana Perrino, Department of Public Health Sciences, University of Miami Miller School of Medicine.
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by Patrick H. Deleon, F. Edward Herbert School of Medicine and the Graduate School of Nursing, Uniformed Services University of the Health Sciences. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur(s) and the National Academies.
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Contents
1 Introduction to the Workshop and Proceedings
2 Introduction to Health Equity and Social Determinants of Health
3 Opportunities for Advancing Behavioral Health Equity Through State and Local Policy
4 Addressing Quality and Access: Promoting Behavioral Health in Rural Communities
6 Accelerating the Rate of Learning Through Population-Based Research Strategies
7 Creating Partnerships and Engaging Communities
8 Implementing Family-Focused Preventive Interventions
9 Adopting Restorative Policies and Practices to Achieve Health Equity
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