This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Web of Science (2)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Foy, J. M.
Right arrow Articles by Horowitz, D. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Foy, J. M.
Right arrow Articles by Horowitz, D. A.
Related Collections
Right arrow Neurology & Psychiatry
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Facebook   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

PEDIATRICS Vol. 110 No. 6 December 2002, pp. 1232-1237

SPECIAL ARTICLE

Working to Improve Mental Health Services: The North Carolina Advocacy Effort

Jane Meschan Foy, MD*, Marian F. Earls, MD{ddagger} and David A. Horowitz, MD§

* Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina
{ddagger} UNC-Chapel Hill, the Moses H. Cone Memorial Hospital Pediatric Teaching Program and Guilford Child Health, Greensboro, North Carolina
§ UNC-Chapel Hill, Triangle Pediatric Center, Cary, North Carolina

--> Poor reimbursement of pediatricians for behavioral and developmental services and the disarray of children’s mental health services in the state led leaders of the North Carolina chapter of the American Academy of Pediatrics to organize an advocacy effort with the following objectives: 1) to articulate pediatricians’ perspective on the current crisis in delivering and coordinating children’s behavioral health services; 2) to represent the collective voice of both academic and community pediatricians in dialogue with mental health providers, Medicaid leaders, and the health and mental health segments of state government; 3) to build consensus about an achievable plan of action to address pediatricians’ reimbursement and systems issues; 4) to develop a full and appropriate role for pediatricians as providers and, potentially, coordinators of behavioral health care; and 5) to facilitate implementation of Medicaid changes, as a first step in carrying out this plan. This article describes the 24-month process that achieved these objectives.

Key Words: mental health • advocacy • Medicaid

Abbreviations: NC, North Carolina • MH, mental health • AAP, American Academy of Pediatrics • SCHIP, State Children’s Health Insurance Program • SHP, state health plan • DMA, Division of Medical Assistance

Received for publication Jan 29, 2002; Accepted Jun 12, 2002.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Facebook Facebook   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 CLIN PEDIATRHome page
J. Williams, S. E. Shore, and J. M. Foy
Co-location of Mental Health Professionals in Primary Care Settings: Three North Carolina Models
Clinical Pediatrics, July 1, 2006; 45(6): 537 - 543.
[Abstract] [PDF]

Home page
 PediatricsHome page
G. Fairbrother, J. Stuber, S. Galea, B. Pfefferbaum, and A. R. Fleischman
Unmet Need for Counseling Services by Children in New York City After the September 11th Attacks on the World Trade Center: Implications for Pediatricians
Pediatrics, May 1, 2004; 113(5): 1367 - 1374.
[Abstract] [Full Text] [PDF]