Children's hospitals have long integrated mental health care into their services, treating it as an essential aspect of overall care for all young patients. This approach has gained importance as the prevalence of mental health issues among children has risen significantly. In 2018, the Children’s Hospital Association, the American Academy of Pediatrics, and the American Academy of Child and Adolescent Psychiatry declared a national state of emergency regarding child and adolescent mental health.

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In response to the increasing demand, children's hospitals are actively evolving by expanding access to services, enhancing workforce capacity, and developing new programs aimed at addressing mental health needs. These initiatives often extend beyond the hospital environment, providing support to children before, during, and after mental health crises to ensure they receive comprehensive care throughout their journey.