Health Policy Changes to Ameliorate the Youth Mental Health Crisis

Abstract

Approximately 20% of American youth suffer from a mental health concern, and 80% have never received any services. In 2018, suicide became the second leading cause of death in children ages 10–14 years. Preventative care is freely provided by most medical insurance plans and recommended by state and professional organizations, but barriers prevent care access and early intervention, resulting in long-term consequences. To promote early identification and intervention, evaluation with validated mental health screening tools should be completed according to clinical guidelines at each wellness visit or visit for a mental health concern. Payers must sufficiently reimburse NPs, PCPs, and healthcare systems for screening tools used during all wellness visits, focused mental health visits, and follow-up care. Health policy change and legislative and NP support are essential to provide vital services for youth mental healthcare.