188. Teenage Pregnancy: Supporting Moms and Babies

Think teen pregnancy rates are an unsolvable crisis? Think again! In this episode you’ll hear about the plummeting teen pregnancy statistics with the insight of pediatric veteran Dr. Pat Flanagan. With rates dropping a staggering 70% since the '90s, we unravel the intricate web of education, contraception, and internet resources that made this decline possible. Host, Dr. Lia Gaggino and Dr. Pat Flanagan, dive deep into the transformative power of integrated behavioral health within pediatric practice. It's evident that when we support early relational care and address social determinants of health, we can make a significant positive impact on the youngest members of our society. By providing teen moms and parents with the necessary resources, from social workers to family specialists, we foster resilience and pave the way for a healthier next generation. Don't miss out on the heartening stories of change and progress. Brace yourself for an all-inclusive conversation on the strategies that are shaping a new generation of informed, empowered young individuals–This episode serves as a beacon of hope - prepare yourself to be spurred into action.

[07:58 -12:44] Pediatric Behavioral Health Integration Strategies

• Importance of identifying and addressing challenges before they become diagnosable conditions.
• Screen for depression, anxiety, substance use, and social-emotional issues in teens and children.
• Prioritizing toddlers' and preschoolers' social-emotional development for improved outcomes.
• Recognizing the significance of maternal depression and its impact on pediatric care.

[12:45 - 18:22] Learning from Young Mothers: Lessons in Resilience and Capacity

• Describes the inspirational aspect of watching young parents overcome challenges.
• Paints a picture of the young mothers' journey from uncertainty to empowerment through their children.
• Talks about the ability of young mothers to persevere despite difficult circumstances.
• Reflects on the capacity of these mothers to manage their responsibilities and find happiness.s introduced.

[18:23 - 27:52] Funding and Sustainability of Pediatric Behavioral Health Services

• Mental health care in pediatric practices relies on a hybrid funding model.
• Billable diagnosis like substance use and mental health issues only fund a fraction of services.
• Pediatric practices face more billing limitations compared to adult settings.
• Funding issues aside, integrated behavioral health is crucial for comprehensive pediatric care.sitive outcomes.

[27:53 - 37:32] Integrated Behavioral Health Strategies in Pediatric Care

• Integrated behavioral health is crucial, with an emphasis on prevention and early intervention.
• Funding for integrated care is a common struggle, underscoring the need for sustainable models.
• Major hospitals can back social workers despite hurdles.
• The AMA's series on integrated behavioral health is an informative tool.

[37:33 - 44:04] Closing segment Takeaway

Links to resources mentioned on the show

Care Transformation Collaborative – Rhode Island (CTC-RI) https://ctc-ri.org

DULCE – Developmental Understanding and Legal Collaboration for Everyone https://cssp.org/our-work/project/dulce/

AAP Mental Health Practice Tools and Resources: