Mental Health Services for Children

Mental Health Services For Children A Transformational Initiative For Our Region And Beyond

CHKD: SERVING CHILDREN SINCE 1961 •

206 bed hospital

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Level I Pediatric Trauma Center and Surgery Center Designation

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200 medical and surgical subspecialists in 13 locations

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Home of EVMS Department of Pediatrics

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UVA collaborations – Cardiac Surgery & C

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3,400 employees

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1,200 King’s Daughters in 50 Circles

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750 Volunteers

And now, a new era has begun with CHKD’s commitment to children’s mental health

FY2018 CHKD INPATIENT DAYS - BY PAYOR

Tricare

Private Insurance

4,165 9%

13,687 30%

Self Pay / UCC 1%

Other 0%

Medicaid 26,863 60%

HIGHEST MEDICAID UTILIZATION OF ANY HOSPITAL IN THE COMMONWEALTH – BY MORE THAN DOUBLE

DEMAND FOR PEDIATRIC MENTAL HEALTH SERVICES

The Mental Health Crisis Hits Home 

Community Health Needs Assessment – Access to mental health care was the top priority in 2013 and again in 2016 and again in 2019!

2013 – From a Pediatrician in Hampton Roads: “...a note about what it is like in the trenches here... ADHD, OCD, Depression, ODD are taking up an inordinate amount of time for community pediatricians.”

“It used to be that Otitis Media (ear infection) was the big pathology that we took care of. Now it is the above... I am stymied here and have little to no assistance. It is like fighting a battle and I am not armed.”

75% of children with psychiatric needs are first seen in the primary care setting

CHKD MENTAL HEALTH OUTPATIENT VOLUME UP 300%

Visits/consults went from 3,425 in FY15 to more than 14,000 in FY18.

Peaked at 500+ children on outpatient wait list.

What We Offer Today

Outpatient services

ConsultLiaison

Norfolk, Virginia Beach, Chesapeake, and Newport News.

Support of patients and families with cooccurring medical and mental health needs.

Crisis Evaluation Services Staffed 24/7/365 via our emergency department.

Tele-Mental Health Currently serving one pediatric practice, have plans to expand to several more.

A RECENT DAY AT CHKD

Overdosed on Tylenol, break up, no previous mental health history, in liver failure.

Severe aggression toward younger sibling, military family, separated, suicide attempt and admission in 2016.

Actively suicidal with increasing depressive symptoms, a plan to take own life.

Suicidal, significant past history of mental health concerns, living with biological relatives, multiple previous psychiatric hospitalizations.

Actively suicidal, victim of bullying, parental discord, daily thoughts of wanting to end life.

History of bipolar disorder, hearing voices telling him to harm others, witnessed domestic abuse between parents throughout childhood.

Liver transplant patient, overdosed on medication, can no longer live like this.

The reality ‌ this is now just another day at CHKD

LIGHTING THE WAY For Children’s Mental Health • 60 Inpatient Beds • Partial Hospitalization Program • Intensive Outpatient Program • Expanded Outpatient Treatments Over 400 employees 2022 Building Opening 200+ Million Dollar Investment

CHKD Expansion Plans Will Increase Access and Reduce Wait Times for Children in Need By 2025, CHKD will provide over 48,000 outpatient visits – and, more than 2,500 children will be served as inpatients.

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Children 5 and under

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Children with neurodevelopmental disorders including autism

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Eating/Feeding disorders

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Chronic medical and co-occurring mental illness

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Somatic symptom disorders

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General psychiatric concerns

Bringing Excellence and Innovation to Hampton Roads

Recruit, train, and hire the best.

Establish academic center with child and adolescent psychiatry fellowship program.

Expand Offer outpatient integrated services to care for coinclude IOP, occurring PHP, and physical and telemedicine emotional programs. needs.

Provide inpatient psychiatric hospital services.

FROM VISION TO REALITY AN INVESTMENT IN OUR CHILDREN AND OUR REGION This initiative can only happen if every sector of our community steps forward to support CHKD in the delivery of mental health services that our children need and deserve.         

State, Local, and Federal Resources Economic Development Resources Corporate Support Individual Philanthropists Civic Groups Patients and Families Community Agencies, Providers and Payers Foundations The entire community

Family Based Care

Lighting The Way for Children’s Mental Health A New Era Dawns in Hampton Roads

Thank You!