Blue Cross and Blue Shield of North Carolina Supports Statewide Initiative to Address the Youth Mental Health Crisis

CaroNova and partners have announced the development of a major effort to ensure youth across North Carolina have increased access to the behavioral health services they need. Changing Minds: The North Carolina Youth Behavioral Health Action Plan will bring together state leaders, subject matter experts, philanthropic funders, and other stakeholders to develop a comprehensive plan that more effectively delivers youth mental health services. On Monday, March 10, 2025, CaroNova along with partners outlined how this action plan will be developed.

Guided by the belief that all children have mental health needs, just as they do physical health needs, CaroNova believes in valuing and treating mental health as much as we do physical health. This should be done through prevention services that intervene upstream to mitigate the escalation of symptoms in order to address the rising youth mental health crisis. Rates of youth depression, anxiety, and suicidal ideation are significantly worse than they were a decade ago. And in North Carolina, access to the right care at the right time is lacking.

• The state ranks 44th concerning access to youth mental health services.
• In 2021, just 13.7 percent of children aged 3-17 in the state received mental health care, although 39 percent of high school students report feelings of sadness or hopelessness (for middle school students, this number is 32 percent).
• Nearly half (47.2 percent) of children in North Carolina with a major depressive episode in the last year did not receive mental health services.

This crisis demands attention across public and private sectors to develop a focused and actionable strategy for improving youth access to mental health services. Changing Minds: The NC Youth Behavioral Health Action Plan will facilitate this by working with stakeholders to identify and address gaps and opportunities in youth behavioral health (ages 5-21) and outlining a series of recommendations. The planning effort was launched in collaboration with state government leaders, healthcare experts, philanthropic organizations, and community partners with initial statewide funding provided by Blue Cross and Blue Shield of North Carolina and the Blue Cross and Blue Shield of North Carolina Foundation. The completed action plan will include recommendations on statewide standards of care, proposed policy and practice changes by each representative group, and how to optimize various funding streams (state, federal, philanthropy, and reimbursement).

Read the full press release here.