Psychiatry

Indiana Behavioral Health Access Program for Youth

More than half of young adults in the United States experience significant behavioral health problems before age 18, yet fewer than 20 percent of those who need treatment receive the care they need to thrive. The Indiana Behavioral Health Access Program for Youth (IN-BeHAPY) creates a platform to pursue a systematic program of research that addresses key clinical and implementation science questions for young adults experiencing behavioral health problems in the state.

45000
Indiana youth not receiving needed treatment for depression
28
states have launched child psychiatry access programs
128
IU School of Medicine faculty and IU Health physicians who care for children

Access to Psychiatry Care

A major barrier to youth and families accessing quality behavioral health assessment and treatment services is the severe lack of psychiatrists, psychologists and social workers in their communities, especially in rural areas. Many families seek behavioral health care in pediatric primary care clinics, but these facilities rarely have the staff or resources to meet the complex clinical needs of patients, resulting in both under-treatment and over-prescription of psychotropic medications. The Indiana Behavioral Health Access Program for Youth boosts Hoosier families’ access to quality behavioral health care, increase support to primary care clinics and establish a solid foundation for a program of innovative, externally funded pediatric behavioral health services research.

Telemedicine Platforms

Child Psychiatry Access Programs (CPAPs) link primary care clinics with behavioral health specialists via telephone and videoconference consultation. Twenty-eight states have these programs—but not Indiana. The development and launch of the Indiana Behavioral Health Access Program for Youth extends the reach of IU Health Behavioral Health and IU School of Medicine experts to underserved Indiana communities through telemedicine consultations and direct care. A team of clinical scientists, population health experts and evaluators will maximize the program’s impact.

“The long-term goal of this research program is to reduce the burden of behavioral health problems among Indiana families by optimizing a practical, effective and sustainable technology-enhanced system for delivering best-practice services.”
Leslie Hulvershorn, MD, program co-director

Quick Facts

The long-term goal of the Indiana Behavioral Health Access Program for Youth is to reduce the challenges Indiana families face when seeking care for behavioral health problems for young adults.

Through the use of sustainable technology-enhanced systems, like telemedicine, the program delivers best-practice services to the families that need it most.

Feedback from this program is collected from pediatric primary care providers throughout Indiana through surveys, focus groups and a pilot trial of the program. The program is also gathering input from participating families on how well the program works.

Program experts utilize survey and focus group data from participating families to determine how to best develop the program’s policies and procedures.

This project helps IU School of Medicine experts learn how best to promote efficient access to high-quality behavioral health care services for families seen in pediatric primary care clinics.

Information on factors that influence local use intervention during learning meetings and interviews with program users and non-users is regularly collected to identify potential facilitators and barriers to implementation and sustainability for future statewide dissemination and implementation efforts.

Child Psychiatry Access Program Project Team

Zachary W. Adams, PhD

Zachary W. Adams, PhD

Assistant Professor of Clinical Psychology
Leslie A. Hulvershorn, MD

Leslie A. Hulvershorn, MD

Associate Professor of Psychiatry