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The Indiana Behavioral Health Access Program for Youth: Five Years of Statewide Implementation
Zachary W Adams1, Michael P Smoker1, Ashlyn Burns1
1Department of Psychiatry, Indiana University School of Medicine, Indianapolis.
Psychiatric Services (Washington, D.C.)
|October 17, 2025
Summary
The Indiana Be Happy program successfully supported primary care providers in managing pediatric mental health needs. This child psychiatry access program improved access to care and provider confidence across the state.
Area of Science:
- Child and Adolescent Psychiatry
- Health Services Research
- Pediatric Mental Health
Background:
- Pediatric mental health needs are rising, straining primary care resources.
- Child psychiatry access programs (CPAPs) aim to bridge this gap by supporting primary care providers (PCPs).
- The Indiana Behavioral Health Access Program for Youth (Be Happy) was established to address these challenges.
Purpose of the Study:
- To evaluate the implementation outcomes of the Be Happy program over its first five years.
- To identify lessons learned from the program's operation and impact on pediatric mental health care access.
Main Methods:
- Analysis of program utilization data from 2019-2024.
- Inclusion of PCP characteristics, consultation details, psychiatrist impressions, and PCP feedback.
- Geographic data covering 87 of Indiana's 92 counties.
Main Results:
- Over 3,000 consultations provided for children and adolescents statewide.
- Commonly addressed conditions included anxiety, ADHD, and depression, with a focus on medication and therapy.
- Same-day consultations led to half of cases being managed within primary care, with high PCP satisfaction and increased confidence.
Conclusions:
- Child psychiatry access programs effectively address workforce shortages and empower PCPs.
- Targeted outreach to rural areas and integration into training are crucial for CPAP success.
- Future research should focus on patient outcomes and program sustainability.
Keywords:
Behavioral Health CareChild Psychiatry Access ProgramChildren and AdolescentsPrimary CareRemote ConsultationTelehealthMore Related Videos
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