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Parham Doctors' Hospital's new intensive outpatient program expands behavioral health continuum of care
Parham Doctors’ Hospital recently launched a new adult intensive outpatient program, expanding access to behavioral health services for people who need more support than traditional outpatient care but do not require an inpatient hospital stay. The new program is designed to serve adults experiencing mental health challenges such as depression,
Universal Health Services (UHS) Is Up 8.7% After CMS Proposes Hospital Payment Increase and Analyst Support
In recent days, Universal Health Services received a boost after the Centers for Medicare & Medicaid Services proposed a 2.4% payment rate increase for hospitals, alongside supportive analyst commentary on its operating performance and upcoming second-quarter results. This regulatory tailwind for hospital reimbursement comes as UHS continues to expand its behavioral health footprint and prepare for its next earnings update, potentially influencing how investors assess its longer-term growth...
Final State Budget Brings $5M for New Behavioral Health Pilot to Central Coast
The State budget includes a one-time $5 million investment for CenCal Health and the behavioral health departments of both Santa Barbara and San Luis
SC behavioral health agency cuts 47 jobs in administrative overhaul, workers say they had no warning
Nearly 50 people are now without jobs after layoffs within the South Carolina Department of Behavioral Health and Developmental Disabilities.
Marion County warns Oregon behavioral health rules put staff, residents at greater risk
KATU ABC 2 offers coverage of news, weather, sports and community events for Portland, Oregon and surrounding towns, including Beaverton, Lake Oswego, Milwaukie, Happy Valley, Gresham, Vancouver, Hillsboro, Oregon City, Tualatin, West Linn, Woodburn, Tigard, Tualatin and Garden Home.
ACCESS Model: behavioral health edition
A new value-based care program for chronic condition management begins July 5. | A new payment model is designed to pay digital health companies based on outcomes in chronic condition management. But where does behavioral health fit? This episode explores that question with SonderMind and Headspace, two companies participating in the model's behavioral health track.
Kings County names Lisa Rogers as new behavioral health director
Kings County has appointed Dr. Lisa Rogers as its new behavioral health director, bringing more than 15 years of leadership experience.
Catholic Charities unveils behavioral health center
BUFFALO, N.Y. (WIVB) — Catholic Charities unveiled its behavioral health center on Monday with more amenities to serve the surrounding community. The work on the clinic, located on Rich Stree…
Focus Behavioral Health hosts first reunion in Somerset Co.
Jessica Plummer new deputy administrator of Behavioral Health Services
A founding department staff member, Jessica Plummer has stepped into the new role of deputy administrator for Larimer County Behavioral Health Services (BHS)
Registration open for 2026 Behavioral Health & Children and Family Services Conference | Health and Human Services North Dakota
Registration is now open for the sixth annual Behavioral Health & Children and Family Services Conference, scheduled for Sept. 14-17 at the Bismarck Event Center and online through a livestream option.The main conference will take place Sept. 15-17, with optional pre- and post-conference sessions offered Sept. 14 and Sept. 17.More than 1,400 in-person attendees and hundreds of virtual participants are expected to take part in keynote presentations, breakout sessions and networking opportunities focused on behavioral health, child welfare, suicide prevention and youth development.
Medical Debt Bills Advance, House Hears Behavioral Health Testimony
Several healthcare-related bills advanced in the Michigan Legislature during the week of June 22, including legislation addressing medical debt collections and behavioral health screenings.
Behavioral Healthcare Close to Home: SRMC Services Available in Sandoval County
Sandoval County spans more than 3,000 square miles with a population of 160,000 residents. As one of New Mexico’s fastest growing counties, it’s crucial the people who live there have access to high quality healthcare, including behavioral health...
Granger family pledges largest gift in history of UM-Health Sparrow
The Granger family has pledged the largest gift in University of Michigan Health-Sparrow history for a new behavioral health hospital.
$10M behavioral health unit opens at Milwaukee’s St. Francis Hospital
The renovated facility will serve 61 adults and children in need of behavioral health services, primarily assisting patients in southeastern Wisconsin. This expansion comes as Milwaukee faces challenges in keeping mental health facilities open
5 states targeting Medicaid behavioral health enrollment amid fraud concerns
At least five states have taken steps in 2026 to restrict new Medicaid behavioral health provider enrollments as stakeholders seek to curb fraud, waste and abuse while strengthening oversight of high-risk services. The developments come as the Trump administration aims to crack down on healthcare fraud. On June 25, the Justice Department charged 455 people, […]
Butte County approves Gridley behavioral health center with $7M contract
When WA's behavioral health system failed her son, Blaine mom declared herself an unfit parent
A mother's experience with 'cycle of insufficient care' for troubled children in Washington
New Mexico’s plan to rebuild behavioral health creating clashes, confusion in some communities
As officials across New Mexico work to rebuild the state's behavioral health system, some community leaders have requested more time.
Future Leader: Josh Wilson, Senior Market Partnerships Specialist, Wayspring
Josh Wilson, Senior Market Partnerships Specialist at Wayspring, has been named to the Future Leaders Class of 2026 by Behavioral Health Business. To
Hackensack Meridian to upgrade pediatric behavioral health tech
Edison, N.J.-based Hackensack Meridian Health Foundation has received nearly $150,000 from the Dunkin’ Joy in Childhood Foundation to support new technology at Hackensack Meridian K. Hovnanian Children’s Hospital in Neptune, N.J. The funding will support the installation of five interactive media walls in the Pediatric Emergency Department’s Behavioral Health Unit, according to a June 22 […]
Optum Behavioral Health names chief medical officer
James Polo, MD, will serve as chief medical officer for Optum Behavioral Health, according to a June 22 LinkedIn post. In his role, Dr. Polo focuses on clinical quality and policy, member experience, regulatory strategy, utilization management, affordability, innovation, and population health for various health plans. He will work with UnitedHealthcare, the rest of Optum, […]
Pearl of the week: Scaling behavioral health integration
Learn how digital tools strengthen behavioral health integration.
Mental health counselor charged with ethics violation
The Iowa Board of Behavioral Health Professionals has disclosed disciplinary charges it filed last summer against a mental health counselor.
How employer-education partnerships are closing Chicago’s behavioral health workforce gap
Chicago’s behavioral health systems are under sustained pressure. The demand for services continues to rise, while the number of licensed clinicians entering the field has not kept the same pace.
Can a Community Move Beyond the Systemic Fractures of Mental Health Care? "All Access hosted by Andy Garcia" Explores the Coordinated Response in Kansas
The educational segment, filming on June 23, 2026, features Mental Health America of South Central Kansas as it challenges the traditional boundaries of regional behavioral healthcare. Filmed on location across outpatient counseling spaces, children and family programs, adult support services, and residential environments supporting recovery, stability, and independence in Wichita, the feature captures how connected programs, community partnerships, and compassionate care create a functional saf
Nonprofit behind new Fairview behavioral health center reworks proposal after neighborhood pushback
The Anchorage Assembly will consider updated grant contract on July 7.
Independence Health to open new behavioral health unit
Independence Health System will open a new behavioral health unit at Latrobe Hospital on Wednesday. The health system announced the plan to expand and consolidate inpatient behavioral health services at its Latrobe Hospital in February 2025 as part of ongoing changes at its three hospital campuses in Westmoreland County. The
New Orleans East Hospital breaks ground on $10 million inpatient behavioral health unit
Before Hurricane Katrina made landfall in 2005, New Orleans East was home to a 40-bed inpatient behavioral health unit at The Pendleton Memorial Methodist Hospital—the same campus where LCMC Health’s
Success via SNF mental health assistants: How one provider slashed antipsychotics use, bad behavior and hospitalizations
One of the nation’s largest nursing homes is expanding its behavioral health initiatives, offering important insights for caregiving as providers nationwide admit more patients than ever with serious mental illness or other complex diagnoses.
County Approves Behavioral Health Services Act Integrated Plan
Board of Supervisors unanimously approved a three-year Behavioral Health Services Act Integrated Plan for Fiscal Years 2026-29.
TGH Behavioral Health Hospital Launches Partial Hospitalization Program, Expanding Access to Outpatient Mental Health Care
/PRNewswire/ -- Tampa General Hospital (TGH) Behavioral Health Hospital has launched its Partial Hospitalization Program, a structured daytime treatment...
HHS announces over $700M in grants for mental health initiatives, addiction treatment and housing programs
The money includes $238.6 million to improve suicide crisis hotlines and $223.1 million to expand community behavioral health clinics. Dozens of programs all over the country are set to receive the funding.
House Health Policy Hears Testimony on Behavioral Health Transport Legislation
Legislation addressing behavioral health transport received testimony in the House Health Policy Committee during the week of June 15, while other key healthcare bills advanced in the Legislature.
Regulatory investigations reveal systemic failures among Commercial California Health Plans in delivering timely behavioral health care
Commercial California health plans are failing enrollees who need access to behavioral health services for mental health and substance use disorder care, recent investigations have shown. Across three rounds of investigations, the California Department of Managed Health Care found 70 Knox-Keene Act violations and 35 barriers to care across 14 health plans, spanning national, regional, and county-based plans.
NM spent nearly $844M on behavioral health, but 'investment is not yet matching the outcome'
New Mexico has spent $843.5 million since 2022 to rebuild state’s behavioral health system but still faces problems.
Tulane Athletics Announces Promotion of DéJeuné Green to Assistant Director of Behavioral Health & Performance
Tulane University Athletics announced the promotion of DéJeuné Green to Assistant Director of Behavioral Health & Performance on Thursday. Gree...
Essentia Health-Virginia expands emergency department
VIRGINIA, Minn. — Essentia Health-Virginia has begun construction on an expansion that is set to nearly double the capacity of its emergency department. The expansion includes a dedicated behavioral health suite and five additional exam r…
Behavioral health in the workplace: Supporting fire fighter well-being
Across the fire service, crews depend on strong relationships and mutual trust every day. Researchers say workplace culture can have a measurable impact on
HHS announces over $700 million to fund behavioral health, other initiatives
The Department of Health and Human Services June 17 announced it will provide more than $700 million in funding for initiatives on mental illness, addiction and homelessness.
‘It’s a sanctuary’: DFW’s first state behavioral health hospital opens to patients, community
State officials and UT Southwestern Medical Center on Tuesday unveiled Texas' newest state hospital, the first in the Dallas-Fort Worth Metroplex. The Texas Behavioral Health Center joins ten other facilities — nine state hospitals and one youth residential treatment center — to provide care for hundreds of Texans with serious mental health issues.
Horizon Behavioral Health to open Lynchburg crisis center
HHSC, UT Southwestern Medical Center Celebrate Opening of New Psychiatric Hospital in Dallas | Texas Health and Human Services
HHSC and UT Southwestern Medical Center hosted a ribbon-cutting ceremony to celebrate the opening of the Texas Behavioral Health Center in Dallas.
Rochester Regional Health to end pediatric behavioral health services in July
ROCHESTER, N.Y. (WROC) – Rochester Regional Health is making a change to one area of its mental health care for children. This week, parents are being notified the physician leading pediatric…
Suspect arrested following suspicious death at Sonora Behavioral Health
He was booked into the Pima County Adult Detention Complex based on an active arrest warrant for manslaughter.
McLeod Regional opens pediatric behavioral health crisis unit in Florence
A new pediatric behavioral health crisis stabilization unit at McLeod Regional Medical Center in Florence is open.The unit specializes in pediatric patients who
IUP and Johnstown’s Croyle-Nielsen sign deal for behavioral health training rotations
New Monroe County mental health office director appointed
Melissa Armstrong was previously program director of Rochester Regional Health's Behavioral Health Access and Crisis Center.
Mind, Body, Soul: Self-Care Is Health care Community Health Day
Ethan Temple Seventh-day Adventist Church invites residents throughout the Miami Valley and surrounding communities to attend its “Mind, Body, Soul: Self-Care Is Healthcare: Community Health Day” on Saturday, July 25, 2026, at Ethan Temple SDA Church, 4000 Shiloh Springs Road, Clayton, Ohio 45315.The free community event is designed to promote holistic wellness by addressing physical, mental, emotional, and spiritual health while connecting individuals and families with valuable healthcare and community resources.The day opens with Morning Worship at 11:00 a.m., featuring guest speaker Alberta Scruggs, a licensed registered dietitian and nutritionist, who will share practical guidance on nutrition, self-care, and healthy living. Following the service, attendees will enjoy refreshments and a light lunch before taking part in the afternoon's health screenings, community resource fair, and wellness-focused activities.From 2:00 p.m. to 5:00 p.m., attendees will have access to free health screenings provided through a partnership with Premier Health, along with information and resources from local health and human service organizations.A Community Health Fair from 2:00 p.m. to 3:30 p.m. will feature representatives from several organizations such as Black Women’s Health Initiative, CareSource, and many more.Recognizing the growing importance of emotional wellness, the event will also feature a Mental Health Panel Discussion from 3:30 p.m. to 5:30 p.m. led by respected professionals in behavioral health and counseling. The panel will provide an opportunity for open conversation, education, and community engagement around mental health awareness, treatment, and support.In addition to health services and educational opportunities, attendees will receive complimentary lunch bags while supplies last, and school supplies will be distributed to students and families while supplies last.The Community Health Day is open to the public and free of charge. No registration is required.
Media Recap: Coverage Highlights Medicaid, Behavioral Health Transportation
MHA CEO Brian Peters recently appeared in an AARP-sponsored segment that aired in the Grand Rapids and Lansing markets to discuss the importance of Medicaid for Michigan residents.
Behavioral Health Screening Legislation Advances
The House Health Policy Committee advanced legislation addressing preadmission screening assessments for behavioral health patients, as other healthcare bills advanced in the legislature during the week of June 8.
Structural problems underlie behavioral health services delays
A new report highlights the delays for New Yorkers in need of community-based services for behavioral health disorders. Our guest is Jihoon Kim.
Behavioral Health: HHS and DOJ Offer Grants to Help Human Trafficking Survivors
Given the trauma that survivors of human trafficking have experienced, they may need behavioral health services, such as therapy or substance use...
Oklahoma County leaders discussing Behavioral Health Care Center funding
Work continues on a behavioral health care center that is meant to help keep Oklahomans out of jail, and county leaders are considering moving some funds around to cover a project related to the facility.
Biobehavioral health researcher earns Lloyd Prize for Innovative Health Research
Penn State’s Social Science Research Institute has announced Mohanraj Krishnan as the recipient of the 2026 Lloyd Prize for Innovative Health Research made possible by an endowment created by Penn State Professor Emeritus Thomas Lloyd, who served on the College of Medicine faculty for 46 years.
Dover Police Behavioral Health Unit Selected to Present at National Co-Responder Conference
The Dover Police Department is proud to announce that members of its Behavioral Health Unit (BHU), Corporal Jake Shepherd and Clinical Field Partner Watara Heath, were selected to present at the 20…
County Supervisors Approve Three‑Year Integrated Plan, Funding Behavioral Health Care, Housing and Crisis Services
County Supervisors today approved the region’s first Behavioral Health Services Act (BHSA) Integrated Plan, a three-year roadmap for how the County will use funding to support mental health care, substance use treatment and housing for people with serious behavioral health needs.
Oregon, all 36 counties reach updated behavioral health agreement to boost care
Mental health care services across Oregon are getting a boost under a new agreement between the state and all 36 counties aimed at improving accountability and
Spectrum News: Wright State University and Premier Health receive $2.5M grant to expand street medicine
For people experiencing homelessness or unstable housing, they also often face overlapping challenges like chronic illness, behavioral health conditions and substance use that makes day to day living even more difficult. Often a routine trip to the doctor is the … Continue reading →
Sandra Eskenazi Mental Health Center Announces Expansion of Services
Sandra Eskenazi Mental Health Center has announced plans to expand its services as the designated community mental health center (CMHC) for behavioral health services in Warren and Lawrence townships.
Klinic Raises $24M for Behavioral Health, Speciality Provider Enablement Platform
Frisco, Texas-based Klinic Inc. has raised $24 million. The company offers a digital enablement platform, akin to Shopify for independent healthcare
Readers respond: Behavioral health system fails Oregon’s people
Letters to the Editor can be submitted to letters@oregonian.com with full name and place of residence.
Stamford Health plans new cancer center, behavioral health facility
Construction is set to start in 2027, with estimated costs around $275 million.
Ohio Freezes New Behavioral Health Provider Applications Amid Fraud Concerns
Feds charge Ohio fraudsters with stealing $30M meant for behavioral health program to buy luxury cars
MDHHS Finalizes Specialty Behavioral Health Services Location Policy
The Michigan Department of Health and Human Services (MDHHS) recently finalized Medicaid Policy Bulletin MMP 26-17, effective July 1, 2026, which clarifies reimbursement requirements for specialty behavioral health services provided through Prepaid Inpatient Health Plans in home, community and residential settings.
Luxury cars seized after alleged $30 million fraud ring involving children's health services busted, officials say
Federal authorities have busted what they say is a $30 million fraud conspiracy involving billing for children's behavioral health services that were never provided, officials announced.
Medicaid termination letters leave South Florida behavioral health patients and therapists in limbo
3 Investment Trends Shaping Behavioral Health Deals in 2026
This is an exclusive BHB+ article. Despite some major deals in the behavioral health sector in 2026, the year’s dealmaking outlook is still somewhat muted
Wellin5 Moves Toward Its Next Phase of Behavioral Health Acquisitions
Wellin5 is arguing for the harder version. The company is a hybrid behavioral health platform that has operated in the category for more than a decade and has served tens of thousands of patients through virtual therapy services.
Community Hospice and Health Services Invests in Behavioral Health
California-based Community Hospice and Health Services is extending its mission to improve quality of life into the behavioral health space. In addition
NYC Health + Hospitals/Coler Enhances Behavioral Health Services for Long-Term Care Residents - NYC Health + Hospitals
New York, NY — Today, the NYC Health + Hospitals/Coler skilled nursing facility announced two initiatives to serve residents with a behavioral health
Sheriff, mental health experts sound alarm over loss of funding for mobile crisis teams in state budget
Mental health care experts gather to express concerns for behavioral health funding in Newsom's proposed budget.
Governor Gianforte Announces Montana Secures Federal Funding to Establish Behavioral Health Clinics
HELENA, Mont. – Governor Greg Gianforte and Department of Public Health and Human Services (DPHHS) Director Charlie Brereton today announced the Trump administration selected Montana as one of ten states to receive federal funding to expand access to mental health and substance use disorder treatment across the state.
Advocates talk youth mental health in south Snohomish County
Presenters discussed programs that are working, gaps in the system and focus areas to support youth who have behavioral health challenges.
University of Montevallo Art Class Collaborating with Baptist Health
An art class at the University of Montevallo will be utilizing the creative talent of students in the College of Education and Human Development and College of Fine Arts to provide a welcoming space for patients and staff in the Adult and Senior Behavioral Health units at Baptist Health in Alabaster. The class is led… Continue reading University of Montevallo Art Class Collaborating with Baptist Health
419 FW and 151 ANG Advocates tackle mental health: briefs Utah clinicians
As mental health professionals from across Utah gathered for the University of Utah College of Social Work’s Continuing Education Unit Institute on May 13, behavioral health leaders from the military community took the virtual stage to shed light on a critical but often misunderstood population: Reservists and Guardsmen.
Oklahoma City teachers to assist students at new pediatric behavioral health center
Oklahoma Children's OU Health is building a pediatric behavioral health center in Oklahoma City, where OKCPS teachers will help students stay on track academically during recovery.
Governors’ Policy Actions on Behavioral Health Access
(Download) Behavioral health workforce shortages remain a significant barrier to accessing care in rural areas across the United States. According to the Health Resources and Services Administration’s (HRSA) State of the Behavioral Health Workforce, (2025) substantial shortages are projected for many occupations in the behavioral health workforce over the next 15 years, including psychologists, psychiatrists, […]
New pilot program helps educators recognize behavioral health issues, offers resources to find help
A new program is educating educators to identify behavioral health issues in students as the mental health crisis among children continues to grow.
Childcare and mental health play well together at new Tukwila center
The new center will offer 60 free daycare slots to families who qualify, in addition to mental and behavioral health services for the community, available now.
Guilford County Behavioral Health Center approaching 5 year anniversary
Guilford County officials say the center served more than 20,000 individuals last year alone.
Guilford County Behavioral Health Center approaching 5 year anniversary
Guilford County officials say the center served more than 20,000 individuals last year alone.
New Iowa behavioral health hospital aims to address mental healthcare shortage
A state-of-the-art facility opening in Council Bluffs in June is expected to help boost services and inpatient psychiatric care beds in a more peaceful setting.
AHA wins 2 Telly Awards for behavioral health video series
The AHA has won two Telly Awards for its three-part video series, Voices of Leadership: Breaking Mental Health Stigma. The Telly Awards, a global competition founded in 1979, honor excellence in video and television across all platforms. The AHA is a Silver Telly Winner in the Online — Public Interest and Awareness Category, and a Bronze Telly Award Winner in the Social Video — Motivational and Advice Category.
Springfield losing its detox beds as Behavioral Health Network moves toward transitional treatment
Springfield's Carlson Recovery Center is ending detox beds with 24/7 medical supervisor due to staffing, shifting to less-intensive residential addiction care.
Garden Grows into Therapeutic Space at Kettering Health Behavioral Medical Center
To boost the behavioral health experience of patients, a therapeutic garden was created at Kettering Health Behavioral Medical Center.
Woodbridge school counselor named 2026 Delaware Behavioral Health Professional of Year - State of Delaware News
Taylor Richey, a school counselor from the Woodbridge School District, is the state’s 2026 Delaware Behavioral Health Professional of the Year. Secretary of Education Cindy Marten made the announcement at a statewide banquet honoring the district and charter network behavioral health professionals of the year. The Woodbridge Early Childhood Education Center counselor said […]
Penn State Health unifies psychiatric and behavioral health services to expand access across central Pennsylvania
Penn State Health has consolidated all psychiatric and behavioral health services under a single identity, integrating former Pennsylvania Psychiatric Institute inpatient and outpatient services to…
As Springfield weighs annexation request, regional behavioral health needs hang in the balance
Springfield councilors will ponder an annexation request that would set the stage for Oregon’s first behavioral health campus that has both a psychiatric hospital and stabilization center on site.
Kids’ mental health - time to close the gap: Marissa Kiefer
Mental and behavioral health challenges among young people are not rare -- they’re part of life for many families. But at UH Rainbow Babies & Children’s, we’re dedicated to trying new approaches, writes guest columnist Marissa Kiefer, president of University Hospitals' Rainbow Babies & Children’s and MacDonald Women’s hospitals.
North Dakota launches initiative focused on suicide prevention support and training for rural healthcare providers | Health and Human Services North Dakota
North Dakota is launching a new rural healthcare suicide prevention initiative aimed at strengthening follow-up care and closing critical gaps after suicide risk is identified. The effort follows recommendations from the North Dakota Suicide Fatality Review Commission and supports the Zero Suicide framework across rural and tribal healthcare systems.The initiative will support rural and tribal healthcare providers in implementing standardized suicide risk screening, follow-up care after suicide attempts and improved referral pathways into mental health and behavioral healthcare services.
Proposed VHC Health facility needs more public input, County Board candidates say
The three Democratic candidates for County Board are all in favor of extensive community input on a proposal for a new behavioral health facility in Glencarlyn. "You need to listen -- it needs to be community-first," challenger Julie Farnam said at a debate hosted by the Arlington County Civic Federation on Tuesday. Farnam and James DeVita
Arizona AG says Medicaid behavioral health billing dropped 92% after fraud crackdown
Arizona AG Kris Mayes says billing through the American Indian Health Plan for behavioral health services has dropped over 90% the past few years after her office began targeting fraud in the program.
Mayor Bowser's budget proposes sweeping changes to mental health services in D.C. schools, raising concerns
Bowser wants to bring school behavioral health services under a city agency to reduce costs. But many fear the disruptions will hurt students and overwhelm teachers.
School behavioral health professionals to be honored - State of Delaware News
The state will name its 2026 Delaware Behavioral Health Professional of the Year at a statewide celebration on Monday, May 18th. Delaware’s districts and the Delaware Charter School Network named local Behavioral Health Professionals of the Year for 2026. Following an application and interview process, one will be named the state honoree.
St. Mary's new Master of Social Work to meet mental health professional shortage
Beginning in Fall 2027, St. Mary’s University will offer a Master of Social Work that will be unique among San Antonio institutions for offering fully asynchronous delivery, Military Social Work and Integrative Behavioral Health Care specializations and an explicitly Marianist values foundation.
Chair File: Hospitals Integrate Behavioral Health Care, Provide Hope and Healing
The AHA joins the health care field “to elevate a conversation” about behavioral health.
Lewiston mental health organization merges with Sweetser
A Lewiston-based mental health provider is merging with one of the states largest behavioral health organizations.
CHOP's crisis center brings hope for children's mental health
When kids come through the doors of CHOP's Behavioral Health and Crisis Center, you can be certain they are in good hands.