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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Special Article

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

Jane Meschan Foy, Marian F. Earls and David A. Horowitz
Pediatrics December 2002, 110 (6) 1232-1237; DOI: https://doi.org/10.1542/peds.110.6.1232
Jane Meschan Foy
*Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina
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Marian F. Earls
‡UNC-Chapel Hill, the Moses H. Cone Memorial Hospital Pediatric Teaching Program and Guilford Child Health, Greensboro, North Carolina
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David A. Horowitz
§UNC-Chapel Hill, Triangle Pediatric Center, Cary, North Carolina
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Abstract

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.

  • mental health
  • advocacy
  • Medicaid
  • Received January 29, 2002.
  • Accepted June 12, 2002.
  • Copyright © 2002 by the American Academy of Pediatrics

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Pediatrics
Vol. 110, Issue 6
1 Dec 2002
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Working to Improve Mental Health Services: The North Carolina Advocacy Effort
Jane Meschan Foy, Marian F. Earls, David A. Horowitz
Pediatrics Dec 2002, 110 (6) 1232-1237; DOI: 10.1542/peds.110.6.1232

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Working to Improve Mental Health Services: The North Carolina Advocacy Effort
Jane Meschan Foy, Marian F. Earls, David A. Horowitz
Pediatrics Dec 2002, 110 (6) 1232-1237; DOI: 10.1542/peds.110.6.1232
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  • Article
    • Abstract
    • NORTH CAROLINA’S SETTING AS DESCRIBED IN DECEMBER 1998
    • NC’s ASSETS
    • THE PROCESS
    • NEXT STEPS
    • LESSONS LEARNED ABOUT WORKING WITH STATE GOVERNMENT
    • APPROACHES TO MEDICAID
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Subjects

  • Psychiatry/Psychology
    • Psychiatry/Psychology

Keywords

  • mental health
  • advocacy
  • medicaid
  • 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
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