Children’s Behavioral Health Consulting

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HMA Solutions

Children’s Behavioral Health Consulting

Cross‑System Solutions for Schools, Health Systems, and State & Local Agencies

The US children’s behavioral health system is facing significant strains. Workforce shortages, fragmented funding and accountability, and rising demand are converging in the places where children spend time and receive care. Healthcare systems are seeing the impact in emergency departments and inpatient units, schools are expected to respond to student needs without sufficient capacity, and state and local agencies face pressure to align policy, financing, and programs across behavioral health, Medicaid, child welfare, and education.

How HMA Can Help

HMA partners with child-serving systems to translate urgency into practical, financeable, implementable improvements, strengthening the continuum from prevention and early intervention to crisis response and recovery. Examples of services we provide include:

Landscape assessments and needs analyses (qualitative and quantitative)

Stakeholder engagement and facilitated convenings (including family, youth, community, and cross-agency partners)

Gap analysis and service continuum design (school-, community-, and facility-based)

System and model redesign, including governance, referral pathways, and care coordination across settings

Strategic planning and implementation support (operational roadmaps, change management)

Regulatory and policy analysis to support compliant, scalable program models

Workforce strategy and provider training to build sustainable capacity

Financial modeling, including fiscal pro formas and revenue cycle considerations

Site assessments and facility studies to support service expansion and optimization

Who We Serve

We support providers, health systems, children’s hospitals, schools, school-based entities (including local education agencies [LEAs]), state and local government agencies and community-based partners working to improve children’s behavioral health.

Common Challenges

Fragmentation across child-serving systems,

Workforce shortages and training needs,

Misaligned financing and accountability, and

The operational challenge of coordinating care across school, community, and clinical settings.

Where We Help

Hospitals and Health Systems
Strengthen pediatric behavioral health strategy and operations—improving crisis pathways, clarifying roles across ED/inpatient/outpatient settings, and connecting clinical services to community and school-based partners

Schools, LEAs, and School-Based Entities
Build sustainable school mental health approaches—right-sizing service tiers, strengthening referral and care coordination, and aligning school-based services with Medicaid, community providers, and crisis systems

State and Local Government, Child-Serving Agencies, and Community-Based Partners
Advance cross-system solutions—aligning policy, financing, and accountability across behavioral health, Medicaid, child welfare, and education, while building implementable continuums of care that improve access and equity. 

HMA Differentiators

Cross-setting expertise. We work across schools, community-based systems, and healthcare delivery settings, helping partners design handoffs and shared accountability rather than isolated programs.

Implementation and financing. We connect strategy to operations and the realities of financing, reimbursement, and sustainability so plans can move toward successful implementation and delivery.

Multidisciplinary team. Our team includes clinicians, program administrators, researchers, and former state and local leaders with deep knowledge of children’s behavioral health ecosystems. Many of us are parents and grandparents ourselves who are passionate about and personally invested in this work.

Partnership-first approach. We bring a collaborative, community-grounded process that centers children, youth, and families and builds durable cross-sector relationships.

Local context, national perspective. We tailor solutions to market dynamics, resources, and policy environments while bringing lessons learned from diverse geographies and client types.

Let’s strengthen children’s behavioral health—together.

Whether you’re leading in a hospital or healthcare system, a school or LEA, or a state or local agency, we can help you align partners and build an implementable plan across the continuum of care.

Contact us to discuss your priorities and identify next steps.

Ready to talk?

Contact our experts

Portrait of Luke Bergmann

Luke Bergmann, PhD, MSW

Principal
Los Angeles, CA
Headshot of Monica Johnson

Monica Johnson, MA, LPC

Managing Director
Atlanta, GA
Headshot of Annalisa Baker

Annalisa Baker, MPH, LCSW

Associate Principal
New York, NY
Headshot of Michael Butler

Michael Butler, MA

Associate Principal
Los Angeles, CA
Headshot of Elvia Delgado

Elvia Delgado, MBA

Principal
Los Angeles, CA
Headshot of Reem Sharaf

Reem Sharaf, LCSW-C, LICSW, MSW CSM

Senior Consultant
Washington, DC
Headshot of Courtney Thompson

Courtney Thompson

Senior Consultant
Denver, CO
Liz Marcell Williams

Liz Marcell Williams, Ed.D

Associate Principal
Raleigh, NC