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Dare County workshop seeks stronger links between behavioral health and justice systems
Dare County community stakeholders, local law enforcement, and members of the local court system will come together Thursday and Friday, Oct. 8-9, to develop integrated strategies to effectively identify and […]
Talkiatry Earns Joint Commission Accreditation for Behavioral Health Care
/PRNewswire/ -- Talkiatry, the nation's largest psychiatric provider group and the preferred in-network psychiatry partner for more than 70 U.S. health...
Obesity Startup Ilant Health Bets Its Revenue On Better Patient Outcomes
Founder Elina Onitskansky's Ilant Health has raised over $22 million to pair weight loss drugs with dietitians, behavioral health and peer support.
Yale School of Medicine On the Science of Childhood Anxiety, Say, Anxiety Disorders Are the Most Common Mental Health Challenges In Youth
Credit: Matt Bradbury October 5, 2026 - By Isabella Backman - Anxiety disorders are the most common mental health challenges in youth. Left untreated, they can disrupt the lives of both children and their families. The good news is that with intervention, most children will overcome these conditions. Across Yale School of Medicine, scientists are working to understand anxiety at every level, from common anxious behaviors to molecular biomarkers in the brain. They are using their findings to develop and disseminate new evidence-based treatments for childhood anxiety. Today, the go-to treatment for childhood anxiety disorders is cognitive behavioral therapy (CBT). This is a form of psychotherapy that teaches children skills for confronting anxious thoughts and helps them practice managing situations that cause anxiety. While it is the gold-standard treatment backed by considerable scientific evidence, up to 50% of children will not see sufficient benefit from CBT alone. Wendy Silverman, PhD, Alfred A. Messer Professor in the Child Study Center, co-directs the Anxiety and Mood Disorders Program alongside Eli Lebowitz, PhD, associate professor in the Child Study Center. One of their main interests is learning how to improve outcomes beyond CBT. “We’re developing cutting-edge, research-based knowledge that can reduce the suffering that anxiety causes children and their families,” says Silverman. Changing parent behavior YSM experts are investigating how to improve CBT outcomes for children by involving the parents. Silverman’s research has uncovered two main components of parent intervention that improve childhood anxiety: not enabling children to completely avoid the things that make them anxious and taking steps to enhance their autonomy. Parents may unintentionally reinforce their child’s anxiety by allowing them to avoid what makes them anxious. They also may unintentionally limit the children’s sense of autonomy by being overly intrusive. “One of the things that we take pride in is that we’ve focused on trying to understand what parents need to do, and to test our ideas and see if changing the parents’ behaviors is enhancing the effects of CBT,” Silverman says. “Our findings thus far suggest that they do." As much as CBT can be helpful, it can also be challenging to get one’s child to do the necessary steps for CBT to work. This is one important reason why Lebowitz created a novel intervention program for parents named Supportive Parenting for Anxious Childhood Emotions (SPACE). Existing intervention programs often teach parents to act as therapists for their child, such as training them on how to practice breathing exercises. “It makes sense, but this doesn’t work very well in practice,” says Lebowitz. “And part of the reason, I think, is that it’s not easy to get your kid to do things, especially if they’re not excited about doing it.” SPACE is unique because it focuses entirely on parent involvement and changing parental behavior—children are not involved in the sessions. For example, parents learn how to use supportive messages that convey confidence that their child can tolerate and manage distress. “It might sound like a parent saying to a child, ‘I get that this is really hard for you, but I know that you can handle it,’” Lebowitz says. The program also works with parents to identify the ways in which they are accommodating anxious behaviors. “We’ll pick one thing that parents are doing that is an accommodation and help them make a detailed plan for how they’re going to change that,” Lebowitz explains. Treating Anxiety in Children and Adolescents Much of the existing research on SPACE has focused on parents of children under age 14. Ongoing studies are now exploring its use with parents of older teens. “Both anxiety and accommodation can interfere with normative developmental shifts during the teen years, including increased autonomy and individuation from parents,” says Rebecca Etkin, PhD, associate research scientist in the Child Study Center. “In this sense, SPACE may be particularly well-suited for anxious teens and their parents. We want to see whether it is effective during this distinct developmental window.” Unfortunately, many families in need of CBT face barriers, including limited availability of services and geographic constraints. One way to improve access is digital interventions. Silverman and her team are developing an evidence-based digitized intervention program for parents that they can access directly from their computer or smart phone. “The work we’re doing will be one of the very few parent interventions that is digitized and importantly tested for effectiveness,” she says. Creating interventions for anxiety-related challenges Silverman and Lebowitz recently received a generous gift to develop and test other interventions that help parents reduce other child anxiety-related behavioral and emotional difficulties, such as restrictive eating and unexplained somatic symptoms. One of these projects in particular focuses on understanding the risks of social media and its potential benefits, including offering a sense of connection. “A lot of research has focused on the idea that social media is harmful and the less of it the better,” says Lebowitz. “But we actually see is that this is not quite right—there are negatives, but there are also positives. So, we’re trying to get a little bit more nuanced of a picture.” The team is working with teens with social anxiety and their parents over an extended period to better understand their social media habits and how their anxiety levels affect engagement with different platforms. The teens will answer questions sent to an app on their phones about mood and social media usage in an effort to capture emotional responses as they unfold. “We hope to develop interventions that can help make the best of social media while protecting against the more problematic effects,” Lebowitz says. The brain’s role in anxiety Researchers are also testing therapies to address anxiety at the neurological and molecular levels. In collaboration with Dylan Gee, PhD, professor of psychology in Yale's Faculty of Arts and Sciences, and Hilary Blumberg, MD, John and Hope Furth Professor of Psychiatric Neuroscience at Yale School of Medicine, Lebowitz and Silverman are using brain imaging to identify changes in a child’s brain before and after parents enroll in SPACE. In one study, children viewed anxiety-inducing images while undergoing magnetic resonance imaging (MRI); the researchers conducted scans with and without the children’s parents nearby. Before SPACE, children’s brains were better able to activate the regulatory circuitry needed to turn off an anxious response when their parents were nearby. But after SPACE, children could activate this circuitry even without the parent around. “As parents work on gradually reducing some of their accommodations, you can see a child get better at regulating their own fear system in the brain,” Lebowitz says. “It’s remarkable.” Research into the molecular underpinnings of anxiety can also inform new childhood anxiety treatments. In a recent study, Lebowitz, Silverman, and Flora Vaccarino, MD, Harris Professor in the Child Study Center, discovered that a protein known as fibroblast growth factor 2 (FGF2) could be protective from the toxic effects of stress. FGF2 levels in children and their parents were linked to the children’s risk of developing anxiety and depression, the study showed. The findings could help explain why some children who are exposed to early life trauma such as poverty or abuse are more prone to developing mental health disorders. And FGF2 could be a target for treatment. “This is very novel because it starts to give a clue to what is the molecular chain that connects those lived experiences to the actual psychological outcomes,” Lebowitz says. New ways to study and treat childhood anxiety Michael Crowley, PhD, associate professor in the Child Study Center, collaborates with Silverman and Lebowitz to study the role that attention plays in development and maintenance of childhood anxiety. There is a large body of research that shows that anxious children, like anxious adults, are prone to focus on threatening stimuli such as angry faces compared with neutral faces. This has led to innovative interventions that involve attention retraining. The idea is that if experts train children to look away from threatening stimuli, it may reduce their anxiety—especially children with social anxiety who are most prone to attend to threats. The researchers have just completed a clinical trial for attention retraining with 10- to 14-year-olds with social anxiety disorders and are currently analyzing the findings. Besides this innovative attention retraining research, as Crowly notes, “I like to design tasks that are engaging to kids,” Crowley says. “My goal is to assess something without the kids knowing what we are assessing.” With this goal in mind, Crowley has created a virtual game, named Boom, to study threat processing in children with anxiety disorders. The game is similar to that of hot potato—the child and three digital players take turns virtually passing a ball to each other’s gloves. At some point, the ball turns into a bomb, and as the bomb lands in each player’s glove, the outline of the glove turns yellow. The goal is to avoid having the bomb go off in your glove. What isn’t obvious is that the game is designed to measure different types of threatening stimuli, both ambiguous and direct. In the game, the direct threat occurs as the bomb is traveling towards your glove. The ambiguous threat is the yellow outlined glove as it is unknown where the bomb will travel next. While children play the game, Crowley’s team measures their brain activity using electroencephalography (EEG). The researchers have discovered that in kids with anxiety, the brain reacts more strongly to ambiguous threats than it does in their peers, but less strongly to direct threats. They believe that the initial abnormally large brain response to not knowing where the bomb is going impairs the brain's ability to properly respond when the threat is actually traveling the child’s way. “The brains of children with anxiety are unable to differentiate between threats you need to do something about and those that are not your problem.” Michael Crowley, PhD, develops innovative games for studying anxiety in children and adolescents.Credit: Matt Bradbury Based on these insights, Crowley hopes to study whether interventions like attention training could restore appropriate threat processing. Crowley’s team is also working on a test called the Balloon Risk Avoidance Task, which evaluates risk-taking and avoidance behaviors. It features a digital balloon that is full of air and about to burst. Kids have six seconds to let air out of the balloon. The more air they let out, the less risk they face that the balloon will pop. But at the same time, the balloon becomes less valuable as it deflates. “The more air you keep in the balloon, the more points you get,” Crowley explains. So far, the researchers have found that when the balloons pop unexpectedly, teens with social anxiety show distinct brain responses. Studying these responses can help psychologists understand the underlying pathways driving the various manifestations of anxiety. The genetics of anxiety When Thomas Fernandez, MD, associate professor in the Child Study Center and of psychiatry, was still in training, there was a lot of excitement about understanding the genetics associated with autism spectrum disorder. Since then, scientists have identified around 250 genes associated with autism. The genetic contribution to anxiety disorders, on the other hand, has historically received less attention. Anxiety is less heritable than autism, but the genetic contribution for anxiety disorders that emerge in childhood may be higher than for anxiety disorders overall. While scientists estimate the heritability of anxiety disorders in general to be around 30% to 50%, some studies suggest higher heritability for certain childhood-onset anxiety presentations. “I saw firsthand how researchers in the field went about finding vulnerability genes for autism,” Fernandez says. “So, we’re using a very similar playbook for childhood anxiety.” “I saw firsthand how researchers in the field went about finding vulnerability genes for autism. So, we’re using a very similar playbook for childhood anxiety.” Thomas Fernandez, MD Associate Professor In the Child Study Center and in Psychiatry Now, Fernandez and Emily Olfson, MD, PhD, assistant professor in the Child Study Center, are studying children and their parents to identify genetic changes that are present in the child but not the parents, known as “de novo mutations.” “All of us have some de novo mutations—maybe about 50 to 100 sprinkled throughout the genome,” Olfson says. “But when they occur within the coding regions of genes, they can be really disruptive.” Previous research shows that people with autism have higher rates of damaging de novo mutations than the general population. In 2022, Olfson, Lebowitz, Silverman, and Fernandez published a study on 68 children and their families that found that children with anxiety had similarly high levels of these mutations. Studying de novo mutations can help point the researchers to where they should be looking for genes associated with anxiety. “The end game is using the genes to steer us toward the right part of biology that we can then target to come up with better treatments,” Fernandez says. Building on those findings, the team is now studying more families to better understand how these de novo mutations, along with other genetic and environmental factors, shape pediatric anxiety disorders. They recently received a National Institutes of Health grant to enroll 750 new families over the next five years. Olfson is the principal investigator, with co-investigators Lebowitz, Fernandez, Silverman, and Shuangge Steven Ma, PhD, department chair and professor of biostatistics at Yale School of Public Health. Neurodevelopment, Risk Genes, and Mental Health Conditions - The Olfson Lab Joel Gelernter, MD, Foundations Fund Professor of Psychiatry, is interested in how different anxiety disorders differ genomically. “We are studying social phobia, panic disorder, and generalized anxiety disorder, working to understand why people differ in their risk to these specific anxiety disorders and evaluating various risk factors,” he says. Gelernter was recently involved in one of the largest studies to date of the genomics underlying anxiety disorder. The study included around 122,000 people with anxiety disorders and around 730,000 without. It found that some genetic differences associated with anxiety were linked to signaling that helps reduce overactivity in the nervous system. Many anxiety medications available today work by targeting this process. “It’s nice when the biology that you get out of a large genome-wide study ratifies things that we already know because that can help increase confidence in further findings from the study,” Gelernter says. Uncovering the neurobiology of psychiatric disorders John Krystal, MD, Robert L. McNeil, Jr. Professor of Translational Research and chair of the Department of Psychiatry, is interested in the neurobiology of psychiatric disorders, including post-traumatic stress disorder (PTSD), of which anxiety is a major symptom. In the late 1980s, Krystal’s team discovered that the drug yohimbine activated symptoms in patients with PTSD. “This was the first time we could link a specific biological mechanism to the symptoms of PTSD,” Krystal says. At the time, he adds, this finding was highly controversial. “A lot of people felt that PTSD was a purely psychological syndrome that didn’t have an underlying biology.” Since then, Krystal has dived deep into understanding the neurobiology of PTSD to learn how to better treat it. His team is evaluating the use of ketamine and psychedelics. These would be among the first treatments to be developed specifically for PTSD. They may also be applicable for other disorders including anxiety disorders, Krystal adds. An important gap in PTSD treatment is the absence of biological tests that inform how to best help patients manage their PTSD symptoms. A doctor doesn’t diagnose cancer based on how they feel. Rather, they use tests of the biology of the cancer to determine the best course of treatment. “And we can’t do that in any psychiatric disorder other than Alzheimer’s disease,” Krystal says. “But now we are building a foundation for this approach to the treatment of anxiety disorders for the first time.” Source: Yale School of Medicine
Fairfax Behavioral Health opens Lynnwood outpatient clinic
Branches Lynnwood will provide group therapy and medication management with a new focus on neurodivergent teens and adults.
Seaside Women’s Care wins state award for integrated health care
Program pairs women’s health visits with behavioral care and practical help
Santa Fe’s Southwestern College marks 50 years of teaching behavioral health practitioners
The heart of Southwestern College, which is headquartered off Airport Road, is its on-campus Tierra Nueva Counseling Center.
NAMI New Mexico to host behavioral health community forum
The free event invites residents to ask city and county leaders tough questions about the region’s behavioral health system.
Layoffs, Closures Planned at Newport Healthcare, Clarvida, Comprehensive Life Resources
A slew of youth behavioral health programs are closing, resulting in a wave of layoffs. Comprehensive Life Resources, Newport Healthcare and
Pacific Clinics Selected as New Provider for Nevada County Behavioral Health Crisis Services
Pacific Clinics now operates Nevada County's reopened Crisis Stabilization Unit, offering 24/7 support, peer partners, and upcoming Mobile Crisis services
It’s Time We Reframe Healthcare Organizational Culture Using Behavioral Science
Data, behavioral insights, and experimentation can be used to understand how stress, motivation, and trust shape company culture. Positively changing company culture leads to direct improvements in patient health outcomes, clinician wellbeing, and company performance.
Pacific Clinics Selected as New Provider for Nevada County Behavioral Health Crisis Services
Nevada County Behavioral Health has selected Pacific Clinics as its new contracted provider for behavioral health crisis services, including the Crisis Stabilization Unit (CSU), which reopens today.Th
New Spartanburg behavioral health center to expand youth’s access to mental health care
Spartanburg Regional Healthcare System announced the opening of a new Adolescent Behavioral Health Unit to help expand access to youth mental health care.
New teen behavioral health center to opening in Spartanburg
A new behavioral health center is opening in Spartanburg.
KU faculty member receives inaugural endowed professorship in applied behavioral science
Isaac Melanson, an assistant professor of applied behavioral science whose research specializes in helping people with intellectual and developmental disabilities, has been chosen as the inaugural recipient of the Donald M. Baer and Elsie M. Pinkston Endowed Professorship. The three-year term took effect July 1.
Global Health & WASH: October 2026 Funding Opportunities (26 new opportunities)
41 opportunities on the Global Health & WASH page this cycle, 26 of them new. The health money on this page is mostly research money, and much of it is aimed at people early in their careers. Funder after funder, from the TANGO2 Research Foundation’s Research Pathways grants to the South African Medical Research Council’s Early Investigators Programme to the National Ataxia Foundation and Alex’s Lemonade Stand Foundation, is funding early-career investigators and the institutions that host them, with a clear tilt toward researchers based in or from the Global South, from AMBSO in Uganda to Kenya’s CONNECT-VAX network to Ersilia’s AI Incubator for African drug discovery. The money is organized by disease as much as by need: narrow foundations, the Parkinson’s Foundation, NTAP for neurofibromatosis, the RUNX1 Research Program for an inherited blood disorder, each run their own grant, so the question for an applicant is less which health problem you work on than which foundation owns your disease. The largest European cheques go to consortia only, with the European Innovation Council putting up to EUR €4 million behind a single healthy-ageing project and UNITE up to EUR €1 million behind each cross-border digital health team. Water sits apart, almost entirely in applied utility research: the Water Research Foundation’s cluster of USD $250,000 to $500,000 projects, each built around a utility problem from sewer laterals to reuse treatment. And the biggest single pot is public: HRSA is renewing community health center service areas with awards of up to USD $10 million each. This post is for paid subscribers. This helps support the time and effort it takes to curate and organize these opportunities. Subscribe To keep this accessible to everyone who needs it, we’re happy to offer pay what you can rates. You can find more details here. Open Opportunities 2027 Building the Field of Health Advocacy Grant, Georgia Health Initiative. *New!* *Closing soon!* Georgia Health Initiative, a nonprofit private foundation focused on health equity, is opening its 2027 Building the Field of Health Advocacy Grant to strengthen the organizations that push for healthier systems across the state. The Initiative treats advocacy as infrastructure, backing one-year projects that range from urgent responses to shifting federal policy to longer arc campaigns on housing, behavioral health, care access, and food security. It wants coalitions that elevate community voice, apply an equity lens, and arrive ready to deploy concrete strategies, and it deliberately seeks variety in issues, communities, and organizational size. The optional webinar and required lobbying training signal a funder investing in a durable field, not one grant cycle. The strongest fits are Georgia nonprofits and public agencies ready to turn advocacy readiness into systems change. Geographies: United States. Who can apply: Tax-exempt 501(c)(3) public charities, state or local government agencies, or coalitions/collaboratives using a 501(c)(3) fiscal sponsor, that work in Georgia on behalf of Georgians and align with the mission, vision, and values of Georgia Health Initiative. Only one application per organization, though an organization may be listed as a partner or subcontractor on multiple applications. Funding amount: Organizations can apply for up to USD $80,000 per project; the Initiative anticipates investing a total of USD $1.36 million. Targeted Sectors / SDGs: Governance, Policy & Advocacy · SDG3; SDG10. Deadline: October 2, 2026. Learn more and apply here. TDD Research Pathways Grant, TANGO2 Research Foundation. *New!* *Closing soon!* The TANGO2 Research Foundation, working with a founding gift from Tango2UK, is opening its TDD Research Pathways Grant to fund early-career investigators anywhere in the world who study TANGO2 Deficiency Disorder. The foundation is using this money to seed pilot work and to build a research community around a rare disorder that few labs currently study. It wants to back emerging scientists, clinicians, and trainees who will stay with this field, not one-off projects, which is why it requires a committed mentor and real institutional support and asks each applicant for a plan for future contributions. The design rewards promise and persistence over track record. The strongest fits are students, residents, postdoctoral fellows, and new investigators ready to commit to TANGO2 research. Geographies: Global. Who can apply: Early-career investigators worldwide, including undergraduate, graduate, and medical trainees, postdoctoral fellows, residents, and clinical or research fellows. Early-career investigators must hold a PhD, MD, or equivalent doctoral degree and be within 10 years of that degree or within 5 years of initiating rare disease research, engaged in postdoctoral research at an academic institution, teaching hospital, or nonprofit research institute. Currently enrolled trainees and transitional PhD candidates beginning a postdoctoral appointment at a nonprofit institution by July 1, 2026 are also eligible. All applicants must identify a qualified mentor with relevant TDD or rare disease research experience and demonstrate institutional support. Funding amount: Up to USD $15,000. Targeted Sectors / SDGs: Innovation, Science & Technology. Deadline: October 2, 2026. Learn more and apply here. Call for Expression of Interest (EOI): AMBSO Impact Research Initiative, Africa Medical and Behavioral Sciences Organization (AMBSO). *Closing soon!* The Africa Medical and Behavioral Sciences Organization is inviting expressions of interest for its Impact Research Initiative, which funds early-stage pilot studies and proof of concept work on priority health challenges. AMBSO is a Ugandan research organization backing bold ideas that can grow into larger studies, and its tracks span antimicrobial resistance, epidemic preparedness, artificial intelligence for diagnostics, HIV prevention, climate and health, cancer, maternal and child health, and non-communicable diseases. The small award size and direct-cost-only rule point to a funder that wants evidence rather than overhead, and that favors projects able to attract follow-on money or use AMBSO’s own research infrastructure. Eligibility runs worldwide, welcoming researchers and institutions inside and outside Africa. The strongest fits are researchers with a feasible pilot that generates policy-ready evidence. Geographies: Global. Who can apply: Open worldwide to researchers, academic institutions, and research organizations whose work aligns with generating high-impact health evidence. Independent researchers are eligible if affiliated with an academic or research institution. Doctoral students are encouraged to apply as part of a research team led by a faculty Principal Investigator. Community-based organizations and other eligible entities may apply. Projects may be implemented inside or outside Uganda. Funding amount: Up to USD $10,000 per project, with no minimum funding threshold. Targeted Sectors / SDGs: SDG3. Deadline: October 2, 2026. Learn more and apply here. Entrepreneurs for Resilience 2027 (E4R27), Swiss Re Foundation. *Closing soon!* Swiss Re Foundation is opening the tenth edition of Entrepreneurs for Resilience, which backs healthcare social enterprises expanding affordable, quality primary care for low-income communities across low- and middle-income countries. The Foundation is using catalytic, blended funding plus multi-year advisory to take risk out of scaling, helping proven models reach more people sustainably rather than stay stuck at pilot size. It looks to back brick-and-click enterprises that pair physical care with digital tools and build affordability through savings, payments, or microinsurance, ideally integrated with public health systems. Requiring earned revenue, real customer scale, and gender-inclusive teams signals that this is growth capital for commercially serious ventures, not seed money. The strongest fits are established, revenue-generating healthcare enterprises ready to scale access for underserved populations. Geographies: Global. Who can apply: For-profit and hybrid healthcare social enterprises serving low-income and underserved populations in low- and middle-income countries, using combined physical and digital (brick-and-click) healthcare delivery models. Applicants must demonstrate measurable social impact, generate at least 50% of income through earned revenue, have been established no later than December 2023, already serve at least 50,000 people with potential to scale, and have at least 30% low-income customers. Preference for gender-inclusive enterprises with at least one female founder or at least 30% women in management. Funding amount: Pilot funding of up to USD $45,000 for the 6-8 shortlisted social enterprises; up to USD $1 million in blended funding (up to USD $600,000 unconditional plus up to USD $400,000 conditional) shared among 3-4 finalists over a two-year implementation period; total programme funding approximately USD $1.3 million. Targeted Sectors / SDGs: Innovation, Science & Technology · SDG3; SDG5. Deadline: October 4, 2026. Learn more and apply here. Horizon HealthTech 2026, IIITD Innovation & Incubation Center. *Closing soon!* IIITD Innovation and Incubation Center is opening Horizon HealthTech 2026, a nine-month MedTech incubation cohort run under the aegis of BIRAC EDGE for founders building medical devices, diagnostics, surgical and interventional tools, or remote monitoring. The center is backing teams that already hold a validated proof of concept and want to reach a tested prototype, pairing each founder with a named expert and clinical validation through a hospital partner. What they seek to back is Indian health technology that can survive real clinical scrutiny and regulatory review, not slideware. The structure, with lab access, CDSCO guidance, IP support, and investor connects, signals a program built to make startups ready for follow-on capital. The strongest fits are early-stage MedTech teams with defensible IP and a working path from bench to bedside. Geographies: India. Who can apply: Early-stage teams/startups with a validated idea/proof of concept (TRL 3 onwards) working on medical devices, diagnostics, surgical/interventional technologies, or remote monitoring, holding IP or with potential to generate IP. Funding amount: No cash award amount is stated on the official program page. Benefits are in-kind: prototyping lab and equipment access, clinical/hospital validation (Max Healthcare), expert mentorship, CDSCO regulatory guidance, IP filing support, workspace, cloud credits and tools, and investor connects. Run under the aegis of BIRAC EDGE and builds a path to follow-on Government/VC/Angel funding. Targeted Sectors / SDGs: Innovation, Science & Technology · SDG3; SDG9. Deadline: October 5, 2026. Learn more and apply here. OpenAI AI and Teen Development Research Grant Program, OpenAI. *New!* *Closing soon!* OpenAI is opening its AI and Teen Development Research Grant Program to fund independent studies of how generative AI shapes the lives of young people ages 13 to 17. OpenAI wants a stronger evidence base on how teens actually use these tools and what that use does to their social and emotional development, so that product teams, policymakers, and regulators can act on findings rather than assumptions. It seeks work on emotion regulation, relationships, belonging, and the safeguards that keep teens safer, welcoming interdisciplinary teams and any methodology. That it will fund research whose conclusions may not favor AI providers, and prioritizes studies touching ChatGPT, signals a genuine appetite for credible outside scrutiny. The strongest fits are research groups grounded in adolescent development, well-being, and AI safety. Geographies: Global. Who can apply: Researchers aged 18 or older who are affiliated with a research institution or organization, and/or have significant experience relevant to child or adolescent development, well-being, human-computer interaction, AI impacts, or a closely related field. Multiple institutions may collaborate. OpenAI is seeking to fund research rather than for-profit initiatives and will not prioritize for-profit organizations. Funding amount: Individual research grants up to USD $1 million, totaling up to USD $5 million; maximum 10% of each grant for overhead or indirect costs. Targeted Sectors / SDGs: Social Inclusion & Community Wellbeing; Innovation, Science & Technology. Deadline: October 6, 2026. Learn more and apply here.
Crisis responses, H.R. 1 fallout are challenging states' mental health delivery
North Carolina and Wisconsin are working to decouple law enforcement from crisis response, leverage 988 in care entry and conquer longstanding data silos. | State officials spoke frankly about the challenges they face in delivering equitable mental healthcare during policy sessions at the annual Behavioral Health Tech conference last week, held in Nashville.
Behavioral Health Providers Navigate the ‘Supplemental Phase of AI’
For many behavioral health organizations, AI adoption is no longer aspirational. It is essential to advance care and curb clinician burnout. Today, most
Behavioral Health Providers Navigate the ‘Supplemental Phase of AI’
For many behavioral health organizations, AI adoption is no longer aspirational. It is essential to advance care and curb clinician burnout. Today, most
'Very disappointing:' Schools scramble after lawmakers spike behavioral health grants
Ten districts and charters applied for $1.2 million for optional in-school services. A legislative committee abruptly tabled the idea last week.
UAMS Conference Introduces College Students to World of Behavioral Health Careers
The University of Arkansas for Medical Sciences (UAMS) Psychiatric Research Institute is holding a free conference Oct. 24 aimed at introducing college students to the world of behavioral health careers.
How recovering addicts may help feds take down Quality Behavioral Health
A lawyer said the government wants to shut down a much-needed drug rehab center, but pretends it wants to help patients who've been left high and dry.
South Dakota awards over $13M in behavioral health grants to expand rural care
South Dakota is awarding over $13M in behavioral health grants to help 12 rural clinics expand mental health care, modernize technology, and improve crisis care.
Former Middleburg High behavioral health assistant arrested on 7 counts involving child sex abuse material
A 36-year-old Fleming Island man was arrested Tuesday on seven counts of knowingly possessing and/or intentionally viewing child sexual abuse material, according to the Clay County Sheriff’s Office.
Community Non-Profit Comprehensive Behavioral Health Files for Chapter 11 Bankruptcy
Hackensack, New Jersey-based Comprehensive Behavioral Health Care Inc. (CBH Care) has filed for Chapter 11 bankruptcy protections. The nonprofit
New Clarkson major connects brain science with health, technology
POTSDAM — Building on decades of excellence in psychology, behavioral science, and the teaching of neuroscience, Clarkson University is launching a new Bachelor of Science in Neuroscience to prepare students
Changes coming to Medicaid: what you need to know | Department of Behavioral Health and Intellectual disAbility Services
Official website of the City of Philadelphia, includes information on municipal services, permits, licenses, and records for citizens and businesses.
Independence Health System plans upgrades to Latrobe Hospital
Independence Health System plans to enhance the Latrobe Hospital Emergency Department and expand outpatient behavioral health.
2026 College of Behavioral, Social and Health Sciences promotions and tenure
At the beginning of the Fall semester, the University announced the tenure and promotion of 19 faculty members in the College of Behavioral, Social
2026 College of Behavioral, Social and Health Sciences promotions and tenure
At the beginning of the Fall semester, the University announced the tenure and promotion of 19 faculty members in the College of Behavioral, Social
Weight Watchers and Google Health Launch Weight Health Collaboration for Employers and Payers
Weight Watchers and Google Health Enterprise have launched a collaboration combining wearable technology, health insights and behavioral weight management, expanding Weight Watchers’ offering for employers, health plans and other payers. Key Investor TakeawaysWeight Watchers (NASDAQ:WW) is integrating Google Health Enterprise technology into select Weight Watchers for Business client programs.
A majority of Oklahoma's behavioral healthcare workforce is part-time, analysis says
Oklahomans seeking mental healthcare may struggle to locate a provider. Finding someone available to see clients full-time is even harder.
LEARN Behavioral Entity Sues to Stop MassHealth Medicaid Recoupment
A Massachusetts autism therapy provider has sued 10 public officials and entities to stop a Medicaid recoupment effort that local providers have decried
LEARN Behavioral Entity Sues to Stop MassHealth Medicaid Recoupment
A Massachusetts autism therapy provider has sued 10 public officials and entities to stop a Medicaid recoupment effort that local providers have decried
New behavioral health crisis care and stabilization unit opens in Cleveland
Urgent behavioral health support at The Glick Recovery Campus in Cleveland’s Central Neighborhood opened Monday at 2322 E. 22nd St. See details on services offered below:
Providence Alaska Launching Residential Youth Behavioral Program
To expand psychiatric treatment for teenagers, Providence Alaska is opening a Youth Behavioral Health Center in Anchorage this fall.
California Critical Access Hospital Announces Cybersecurity Incident
Data breaches have been announced by Modoc Medical Center and Vista Del Mar Child and Family Services in California, Park Place Behavioral Healthcare in Modoc Medical Center, a California critical access hospital, has announced a cybersecurity incident and data breach. Data breaches have also been announced by Vista Del Mar Child and Family Services in California, Park Place Behavioral Healthcare in Florida, and Millstone Medical Outsourcing in Massachusetts.
New Hampshire Receives Over $2 Million in Federal Grants to Support Mental Health Efforts Statewide
Governor Kelly Ayotte and Commissioner Lori Weaver of the Department of Health and Human Services (DHHS) celebrated New Hampshire receiving over $2 million in federal grants aimed at expanding behavioral health crisis support and mental health services across the state. The grants will provide critical funding for New Hampshire’s 988 Lifeline and support mental health...
Barbour Community Health psychologist wins statewide award for school-based mental health work
The West Virginia Psychological Association named Dr. Casey Jo Cottrill of Barbour Community Health Association its 2026 Early Career Citizen Psychologist for her work expanding behavioral health care in rural schools.
Texas Health Behavioral Health Center Denton to open in October in honor of former mayor Mark Burroughs
Denton's first Texas Health Behavioral Health Center, set to open in October, will provide mental health resources locally and honor the memory of former Denton mayor Mark Burroughs.
Glenwood Behavioral Health Hospital shares key warning signs of suicide, how to get help
Glenwood Behavioral Health Hospital shares key warning signs of suicide, how to get help
Overcoming Behavioral Health Barriers in the Hispanic Community
For Hispanic and Latino communities, mental health care can remain difficult to access—not only because of practical barriers, but also because stigma can make it harder to acknowledge a need...
The Rise of the Fractional C-suite Executive in Behavioral Health
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Legislators abruptly stop a school behavioral health program
The $1.2 million would have paid for onsite "hubs" offering in-person or telehealth support. Ten school districts had already applied for a share of the money.
Gurucul Launches AI Risk and Response to Detect and Stop Risky AI Behavior Before It Escalates
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Former San Diego County behavioral health services director files claim alleging wrongful termination
The former director of San Diego County's Behavioral Health Services has filed a claim against the county, alleging she was wrongfully terminated.
Quality Behavioral Health Facing Federal Medicaid Fraud, Forced Labor Investigation
Quality Behavioral Health and its leader have petitioned the courts to have federal law enforcement give back $18.8 million in assets investigators seized
Gov. Rhoden Awards Behavioral Health Grants through RHT
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Howard Youth Data Shows Declines in Substance Use, Growing Mental Health Concerns
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Kaddurah-Daouk named inaugural chair of Precision Behavioral Health
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Hope Network acquires behavioral health provider
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Survey: 62% of college students, young adults worried about mental health
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Mental and Behavioral Health Profiles – Memorial Regional Hospital – Lisa Wasserman, PsyD, ATR-BC, ATCS
For Lisa Wasserman, PsyD, ATR-BC, ATCS, art has always been a powerful tool for expression and healing. Rather than pursuing a career as a fine artist, she chose to help others explore their emotions, experiences and resilience through creative expression as a board-certified clinical art therapist. Colleagues describe her therapeutic approach as creating a safe, […]
Mental and Behavioral Health Profiles – Memorial Regional Hospital
Growing up in the Caribbean, Jenny Boodlal-Sookraj, MSW, witnessed firsthand how stigma often prevented people from seeking mental health support. That experience inspired her to pursue a career in social work, where she is committed to reducing stigma, promoting awareness and empowering individuals to seek the support they need. As a social worker and case […]
Mental and Behavioral Health Profiles – Joe DiMaggio Children’s Hospital
Growing up in New York City, Rafael Guzman, LCSW, developed an early appreciation for the resilience people show in the face of adversity. Witnessing the effects of poverty, homelessness, addiction and trauma inspired a career in social work – one he says ultimately chose him. During his 17 years with Memorial Healthcare System, Guzman has […]
Mental and Behavioral Health Profiles – Joe DiMaggio Children’s Hospital – Lazara Novas, PsyD, PMH-C, IMH-E
Inspired by the unconditional love and support of her father, Lazara Novas, PsyD, PMH-C, IMH-E, built her career around helping families navigate life’s earliest and most vulnerable moments. As Joe DiMaggio Children’s Hospital’s first dedicated NICU psychologist, she established psychological services for families while embedding emotional well-being into neonatal intensive care. Known for her compassionate, […]
Mental and Behavioral Health Profiles – Memorial Regional Hospital’s Outpatient Behavioral Health Center
Driven by a desire to make a lasting difference, Elizaveta “Liza” Houellemont, LMHC, chose a career in mental health to help people build healthier relationships with themselves and create more fulfilling lives. Working in substance use treatment, she finds the greatest reward in seeing patients commit to recovery and experience meaningful transformation. As a licensed […]
Mental and Behavioral Health Profiles – Memorial Regional Hospital’s Outpatient Behavioral Health Center
Encouraged by growing awareness of mental health and continued progress in reducing stigma, Laura Pawlicki, LCSW, believes compassionate care begins with building trust. As a social worker at Memorial Regional Hospital’s Outpatient Behavioral Health Center, she is committed to helping individuals and families navigate life’s challenges and improve their well-being and quality of life. “Mental […]
Community Health Network, Lifepoint Behavioral Health Break Ground on New Inpatient Behavioral Health Hospital
Community Health Network and Lifepoint Behavioral Health, an operating division of Lifepoint Health, celebrated a major milestone as they officially broke ground on Community Fairbanks Behavioral …
Youth psychiatric hospital opens in Hendersonville to fill regional gap in teen mental health care
Pardee’s new Adolescent Behavioral Health Center has 23 beds for youth ages 13 to 17 who are experiencing mental health issues.
Cherokee Nation Foundation Awards Behavioral Health
The Cherokee Nation Foundation has awarded five scholarships to students pursuing degrees in behavioral health. The Cherokee Nation Behavioral Health Scholarship is supported by a permanent $5 million endowment established through the Public Health and Wellness Fund Act, proposed by Principal Chief Chuck Hoskin Jr. and Deputy Chief Bryan Warner. “We worked hand in hand […]
Shore Behavioral Health welcomes new provider
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New Mexico is spending big to fix behavioral healthcare. Why is there so little to show?
The Behavioral Health Services Division asked the state for another $7.2 million in general fund dollars for its FY 2028 budget.
Suwanee health provider charged with Medicaid theft
A Suwanee behavioral health provider faces 31 felony counts after state prosecutors accused her of stealing more than $40,000 from Georgia Medicaid while traveling out of state.
Press Release: The Molina Healthcare Charitable Foundation Awards $15,000 Grant to Ozark Center for Behavioral Health Training in Southwest Missouri Schools
The Molina Healthcare Charitable Foundation (“MolinaCares”), in collaboration with Molina Healthcare of Missouri (“Molina”), awarded a $15,000 grant to the Ozark Center
New Mexico behavioral health committee closes in on goal of approving 13 regional health plans
The committee tasked with rebuilding New Mexico’s behavioral healthcare infrastructure has approved 11 of 13 regional plans.
Cleveland launches Community Crisis Response Bureau
Cleveland is launching a Community Response Bureau for unarmed community crisis responses for behavioral health and substance use emergencies.
AI-enabled Pelago expands from SUD care to mental health, behavioral addictions
Pelago, a virtual substance use disorder (SUD) provider, has expanded to mental health and behavioral addiction care. | The new Pelago Behavioral Health Platform means co-occurring conditions can be assessed and treated in a single plan. Behavioral addiction programming includes gambling, gaming and binge eating
Quality Behavioral Health named in $18.8M federal case alleging Medicaid fraud, forced labor
The federal government is seeking to seize nearly $18.8 million in cash, bank funds, and precious metals as part of a civil forfeiture case alleging a Detroit-area behavioral health provider defrauded Medicaid and used forced labor involving people receiving treatment.
5 science-backed strategies to be a better boss
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Coleman Health Services: Helping Ohioans thrive through whole-person care
For 48 years, Coleman Health Services has been helping Ohioans find hope, stability, and a path toward a healthier and more independent life. Founded in 1978 as a nonprofit community behavioral health organization in Portage County, Coleman has grown into a nationally recognized provider offering comprehensive behavioral health, residential, employment, crisis, and supportive services throughout […]
Federal complaint alleges Medicaid fraud, forced labor by Quality Behavioral Health CEO
The federal government is seeking to seize nearly $19 million in bank funds, cash, and precious metals linked to Quality Behavioral Health, alleging the organization’s CEO used Medicaid beneficiaries as forced labor and submitted claims for services that were not provided.
Pelago Unveils New Behavioral Health Platform for Substance Use, Mental Health and Behavioral Addiction Care
Pelago launched a behavioral health platform that integrates substance use, mental health and behavioral addiction care, using AI-powered triage to connect patients with appropriate treatment.
Portland's Behavioral Health Unit is limited by a shortage of available detox beds
Each year, the Portland Police Department’s Behavioral Health Unit helps hundreds of Mainers in crisis but with limited treatment availability many people remain on the street
FBI seized $18.8M from Quality Behavioral Health in forced labor probe
New court records reveal the scope, focus and riches involved in a high-profile investigation targeting drug rehab center Quality Behavioral Health.
Childhood trauma linked to risky health behaviors in late adolescence
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A gut feeling: Connections between gastrointestinal disease and emotional health in dogs
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Trump administration announces more than $45M to upgrade rural healthcare in Missouri
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Rula Health Launches Rula CARES, External Council for AI Ethics and Safety in Behavioral Health
/PRNewswire/ -- Rula Health, a nationwide behavioral health provider ("Rula") delivering accessible, high-quality care, today announced the formation of the...
Voices: No single organization can address Utah’s mental health crisis alone. We need a new response.
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'It meets a gap in care': Spurwink opens 24/7 Lewiston Crisis Center for behavioral health
AltaPointe Health celebrates $15 million BayPointe Hospital expansion
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Craven County Community Health Center cuts ribbon on Havelock expansion, adds VA clinic and pharmacy
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Does your natural scent repel or attract people? What the science shows. - Futura-Sciences
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CHD launches primary care services at three western Massachusetts behavioral health clinics
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First pediatric medical-behavioral Health Unit opens, Deaconess partners with Evansville Fire Dept
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Parental rights group questions student data, portal tied to mental health screenings
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Dealroom.co | Terra Behavioral Health makes first acquisition, buying California's Latitude Recovery
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GUEST OPINION: Families should check behavioral health resources early
As families begin a new school year, many are focused on shopping for school supplies, adjusting schedules and helping children settle into new routines. It’s also a good time to check in on a child’s emotional well-being. For families, small changes in a child’s everyday habits can sometimes be early signs of behavioral health concerns. […]
CVS Health (CVS) Stock Still Looks Reasonable On Its 40% 3 Year Return
CVS Health has delivered a solid multi‑year return while the share price has recently pulled back, which puts fresh attention on whether the current valuation is still supported by its earnings power. With new initiatives in areas like oncology care and behavioral health in the mix, the key issue for you is how much of that story is already reflected in today's price. Over the past 3 years CVS Health has returned about 40.0%, which raises the question of how much of its earnings strength is...
The Big Holes in Wearable Heart Rate Variability And Readiness Scores
On September 9th, Apple announced it was revamping its Apple Watch Health Sensing System, rolling out a Readiness score (0 to 10), and increasing the frequency of heart rate variability (HRV) outputs 24-fold. This can be viewed as upping its competition with various other consumer wearable sensors. These “readiness scores” as a composite of multiple metrics, with heart rate variability (HRV) being front and center for most. The majority of Americans are now using wearable sensors, which equates to well over 100 million adults. HRV and Readiness scores are increasingly being marketed as a measurement of autonomic nervous system health, a digital marker for future disease, a clock for biological age, and a holistic metric to promote healthspan and even longevity. (Apple also introduced a new longevity tab and “Health Age”.) None of this has been proven. In this edition of Ground Truths I am going to review what we know about heart rate variability and readiness scores. Heart Rate Variability HRV is the variation in normal heart cycle timing. The variability of the heart rate, the barely perceptible millisecond changes in time between consecutive heart beats (see R-R intervals in the Figure below, left panel), is due to interplay between the sympathetic and parasympathetic (vagal nerve) inputs. Distinct from heart rate, individuals with the same heart rate can have very different HRVs. It is a rough reflection of the autonomic nervous system (ANS) activity, inadequate to say whether a person’s ANS function is abnormal. For more than three decades, heart rate variability (HRV) has been measured and several studies have found an association of low HRV and clinical outcomes, particularly a link with higher all-cause and cardiovascular mortality. There have also been less well established links of low HRV to risk of early cognitive impairment, dementia, mental illness, Type 2 diabetes and substance abuse. An important reminder is that HRV is a surrogate marker without any established cause-and-effect relationship. If you increase your HRV, that doesn’t mean it will improve health outcomes. In fact, there is no hard evidence for that. All that work linking to health outcomes was done with electrocardiogram (ECG) derived HRV. Now, in the era of consumer wearables, this is getting assessed differently, by optical pulse (yes, the lights you see) plethysmography (PPG) or what is called pulse rate variability (PRV). They are not the same, as shown below (right panel) and only concordant when the delay between the ECG and pulse is kept constant, which basically means at rest. I should mention there’s also what I will call MPV, a mattress mechanical movement sensor, a derived heart rate variability, that companies like Eight Sleep use, even further away from directly measuring HRV. HRV has not one uniform measurement but many different types of quantification, such as RMSSD, the magnitude of difference between successive R-R intervals of normal sinus beats (N-N) or SDNN, the standard deviation of NN intervals, both in milliseconds. SDNN is one of the so-called frequency domain HRVs (others are LF, HF, LF/HF). Different wearable sensors use different metics; Apple has relied on SDNN and nearly all of the others use RMSSD, which is generally considered the more accurate metric. There’s also the different length of time measured, such as for a matter of minutes, all day, or an overnight’s sleep. Short measurements are especially problematic since they don’t capture enough of respiratory modulation and other factors that influence HRV. Share Ground Truths How well does HRV correlate with PRV? There are very limited studies, especially independently done. One that is commonly cited was conducted by Air Force researchers in only 13 healthy adults assessing Oura ring 3 and 4, Whoop 4.0, and Garmin Fenix 6 and showed a correlation coefficient of 0.88 to 0.97 and a mean absolute percentage error from 6 to 10%. The correlation is not a perfect 1.0, but there’s at least a fairly high level of correlation. HRV is supposed to increase during the night due to takeover of the parasympathetic nervous system, and higher during deep sleep. A recent example of my 1 week, all day “HRV,” and one during sleep is shown below. As you can see, the N of 1 data are inconsistent for the same days from different sensors (Oura, AppleWatch, Fitbit Air, and Eight Sleep) by patterns, absolute numbers, and comparison with prior days and weeks. The largest study in over 8 million Fitbit users (the old version, not Google Fitbit Air, introduced in May 2026) gives you a sense of the effect of age, sex, and the 2 different main HRV (here PRV) metrics, with RMSSD on the left and SDRR (=SDNN) on the right below. That study, from data collected in 2018, is a major outlier, since all the more recent ones are tiny with respect to sample size. Many of the companies have not had independent evaluation of their HRV, such as Eight Sleep, but have published a low standard error on their website. There are some other published studies on the correlation between HRV and PRV, but they are all small and only in healthy adults. A scoping review emphasized the lack of study in underrepresented individuals, including the aged, people of color (which affects the PPG signal), and individuals who are underweight or obese. Add the typical adult age 60 plus with one or more chronic diseases. For example, one study in over 900 adults found poor correlation of HRV and PRV, non-uniformly underestimated across many chronic diseases (cardiovascular, endocrine, neurological, respiratory, and others), concluding PRV is “an invalid surrogate for HRV.” A recent systematic review of 43 studies comparing HRV and PRV found reasonable pooled absolute standardized error (HRV as gold standard) but only 10 of the studies provided quantitative synthesis in ideal conditions. Their main conclusion was similarly cautious: “PPG-derived HRV [PRV] should not be regarded as universally interchangeable with ECG-derived HRV across all devices, populations, and recording contexts.” Factors Affecting HRV and PRV That gets me to the long list of factors that affect HRV (and PRV) besides the device, the type of measurement (RMSSD, SDNN or others), the person’s signal, the sensor site, the duration of data capture, if weighting by sleep stage is used, how artifact is processed and corrected. And this list is not complete!: Oura puts out data from their community of users (who input data) on what affects their overnight HRV. The factors currently provided are: no alcohol (increase 8%), melatonin (increase 2%, float tank (increase 2%), wine (decrease 4%), and party (decrease 14%) in overnight HRV. Must be some big parties! Subscribe What is a PRV measurement good for? It has been falsely characterized as an index of “autonomic balance” and a specific indicator of stress. A 2018 review of the studies available for HRV and its relationship to stress, not using any of the current wearables, found that stress can lower HRV. But so can many other factors. The non-specificity of the signal, indexed to the table above, is striking. Evidence from a UK Biobank study of over 46,000 participants with actual HRV looked at genetically predicted HRV, a genetic risk score, that failed to show the expected HRV-mortality link, indicating that _HRV is likely not causa_l, but rather a reflection of person’s physiologic state. A review of consumer wearable HRV data from 5 longitudinal studies showed that nighttime PRV was not associated with perceived stress, and surprisingly higher HRV, in the largest cohort (N=717 participants), was correlated with higher stress. An Oura ring cohort of 525 first-year college students found a link between overnight PRV and perceived stress, but that was also seen with resting heart rate, sleep, and respiratory rate. Several very small studies have examined the relationship of HRV and athletic injuries or guiding training with mixed, and predominantly negative results. HRV biofeedback training with paced breathing had no significant effect on reducing stress or raising HRV, as demonstrated with sham controlled trials. When HRV for multiple days showed a decline in conjunction with body temperature, the Oura ring published data for prediction of Covid. The WHOOP company sponsored an observational study, published in 2026, of 30,000 users for 72 weeks, without a control group, that reported reduced alcohol intake (5.8 % points) by self-report. That doesn’t tell us much, and particularly about the merits of HRV for behavioral change. If you use the same device and conditions as longitudinal trends for multiple (at least 2-3) weeks that may be the one way to get something useful from the measurements. Data for overnight sleep with minimal motion and using RMSSD is the best proxy for real HRV. The reason to look at trends rather than any given night is that it more likely represents something, even though you won’t know with certainty what the “it” is. Keep in mind there are no data, no peer-reviewed evidence, to show that HRV fluctuation in-person has any correlation with health outcomes. Share Readiness Scores These are proprietary scores that integrate different metrics for each of the wearables: no algorithms have been disclosed. They are unvalidated against health outcomes. In a review of 14 composite health scores of readiness and recovery, HRV contributed 86% to the scores, followed by reading heart rate (79%), physical activity and sleep duration (both at 71%). That review noted the substantial variability in measurement protools and lack of standardization. Sleep staging is notoriously inconsistent and inaccurate by these sensors, which adds further to the HRV uncertainties for what the scores, which use sleep stage data, mean. Only resting heart rate has been shown consistently across devices to be extremely accurate. I’ve made a Table to summarize what we know about which metrics are included, the scores, any peer-reviewed studies that compared the readiness score with health outcomes, and the corresponding (if any, NA-not available) citation. You will note that some companies do not use the term “readiness," such as WHOOP for recovery, and Garmin, which has 2 different scores, one of which is Body Battery. Eight Sleep uses the term “Fitness Score.” They all include HRV; Apple includes a new metric they call “Recovery HRV” which among other components uses 7-days of sleep, but it is unclear what this means or how it is differentiated from other scores (there are clearly no data for outcomes). We have no knowledge of how the different components are weighted or whether any of these scores are better than resting heart rate, HRV alone, physical activity, or any other single metric. Since none of these are standardized, they are not interchangeable, so if you get a 90 for Oura that has no relationship to a 90 on a Google Fitbit Air. Notably, the company can update its algorithm for readiness score at any point without notification to device users. Without any useful evidence of actionability for these scores or established relationship with health outcomes, it is hard to make a case for their value. At the Apple recent announcement they showed their Readiness score (0-10) on the watch (Figure below) but there are no published data on this score, not even on their website. It’s available only on their new Watch Series 12 or Ultra 4 [of course, ;-)]. That exemplifies the problems with these scores, lack of data and evidence for being meaningful to promote health. Perhaps the best study (which isn’t saying much) is the WHOOP Recovery for golfer performance, because it did correlate with an objective outcome, even though there was no control group and the authors were all from the company. Among the 389 pro golfers, an absolute 10-per cent point increase in Recovery score was associated with about 0.5 fewer strokes per round. But that’s hardly a health outcome! WHOOP is also conducting a study in over 2,700 runners to see if their recovery score will be linked to less injuries and improved performance, but that is not yet published and has no control group or randomization. Putting This in Context For two decades I’ve been enthusiastic about the potential for digital health and particularly wearable biosensors. Over the years, we’ve seen some great progress for their ability to promote physical activity and accurately detect atrial fibrillation (the first FDA cleared deep learning AI for consumers). That work was the subject of rigorous research. But there are holes in the data and evidence for other metrics. One notable one is the “VO2 max” story that I wrote about earlier this year. At that time many subscribers asked me to cover heart rate variability, which I finally got to here. When I dived into the research and publication for HRV and readiness scores, I expected to find at least some that were of high quality and demonstrated their utility by linkage to health outcomes. To my surprise, I found none. The wearable sensor measurements for HRV (PRV) are, for the most part, accurate, but that validation work has only been done in small studies of healthy adults and does not take into account the long list of factors, from the device, software side, and the user side, that affect HRV measurements. Moreover, this metric chiefly relies on optical sensing and, as we have learned for heart rate PPG sensing, may be less accurate in people of color. Keep in mind that all of the health outcome association evidence comes from ECG-derived HRV; none are from wearable sensor data. I will repeat the key point: there's no peer-reviewed evidence to show that in-person HRV fluctuation—or efforts to raise your HRV— has any correlation with health outcomes. For those of you who look at your HRV on awakening, or even 2+ week trends of it being low, I hope this context helps to relieve any anxiety. Yes, low HRV (not PRV) has been shown to increase risk of some diseases as summarized above. But efforts to raise your HRV—a surrogate metric— has not been established for improving any health outcomes. HRV does not have any evidence of causality (the genetic evidence actually goes against this possibility). In this summary, I have not included data for other wearable sensors such as Polar, Samsung, Withings, Suunto, Amazfit, Coros, Ultrahuman, or additional mattress sensors. These are beyond my first-hand experience, and as far as I know from my in-depth review none have any peer-reviewed published data that differ from the 6 sensors I’ve reviewed here. From the points I’ve gone over above, we’re not ready for readiness scores. Besides being proprietary, they are predominantly based on metrics that have their own issues. It’s compounding the problem, like building a house without a solid foundation that has never undergone a rigorous inspection, and then selling it. Like I mentioned for PRV, you can look at trends over weeks rather than any single day, to get a handle, but even that may not be helpful. There’s simply no evidence that these scores meaningfully relate to health outcomes. I’d emphasize they might, but that requires doing prospective or randomized studies to prove it. None exist. There’s great promise for HRV/PRV utility_. For example**,**_ Prof Maiken Nedergaard, who discovered the brain glymphatics that are essential in eliminating metabolic waste products from the brain during sleep, has posited that HRV could be a non-invasive marker for neuromodulator oscillations, brain-body regulatory circuits, and brain clearance. That would be extremely useful, but like everything else on HRV and readiness scores it requires solid research and validation. The lay media isn’t helping much to get the story straight. Earlier this year The Economist published a piece entitled “The most useful indicator of your overall health” which ordained HRV as an “accumulated stress score.” That’s akin to the false assertion about VO2max: “V02 max is the singular most powerful marker for longevity.” As I’ve summarized here, that is not established. The fact is that so many things can lower HRV, including physical exercise (especially an intense workout), reduced sleep quality, stress, the list above, no less the device, signal, and software. Whatever fluctuations observed have not been correlated with any health outcome. Sadly, “datamaxxers” are widely using HRV and readiness scores that have never been validated to mean anything. We already know that for some people using the sensors for sleep metrics, it can induce “orthosomnia,” an obsession to get high sleep quality, with associated high levels of anxiety. In an experiment done by a company to promote sleep quality for its employees, “For those employees who did use the trackers, many reported feeling perfectly rested until their tracker told them they had had a terrible night. Others were told that they had slept like a baby when they had actually been lying awake worrying about the quality of their sleep. “ The same problem can result from preoccupation with HRV or readiness scores, with anxiety that would lead to further reduction in both. It you are using a wearable like >100 million American adults, it’s OK to look at these data, but contextualized with the major caveats reviewed here. If you are one to require evidence that HRV or readiness scores are linked to health outcomes, you may not even want to look. The companies make it hard to turn them off! Let me end with the companies that make and sell wearables. Apple’s doubling down on HRV (24-fold more reporting and heart rate very 5 seconds) and introduction of a Readiness score tells us that consumers have bought into these metrics and they are joining the club. However, all of this is occurring with a backdrop of tens millions of users, claims about the data that are not backed up by adequate evidence, marketing way out in front of whatever limited data exists, and not being transparent about their readiness score algorithms. The companies can well afford to do the research that is needed to connect these metrics with health outcomes show, once and for all, that increasing HRV or using readiness scores promotes our health. If they believed and invested in the products they are selling, we’d not be in this position of not knowing. That’s essentially where we are with HRV and readiness scores. Perhaps someday this will change and we’ll have good reason to embrace them. NB: I wrote this post. No AI. I have no conflicts of interest with any of its content. Loading... Ground Truths has 215,000 subscribers from every US state and 214 countries. 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