Skip to main content
HomeToolkit: A Lever


Naples family


Pediatric  primary care providers - physician, physician assistant, and nurse – and youth ages 6-18. If a youth screens positive, the provider prescribes the Guided Self-Management Toolkits for Families© (GSM) created by Boston Children's Hospital. The toolkit empowers the parent to partner in managing behavioral health problems. In turn, the parent can elect to share compliance and progress so everyone is 'on the same page', from doctor, patient, and parent to optionally include psychologist / therapist, school nurse, and school counselor. 


No more wait lists.  'A LEVER' provides evidence-based parent and patient education materials to practice emotional coping skills at home, in collaboration with the pediatric practitioner. Rotary members can introduce this new resource for rapid adoption in the local community to overcome the fact that, “New interventions ‘languish’ for 15–20 years before they are incorporated into usual medical care” (Boren and Balas 1999). 


This Boston Children's Hospital program overcomes the fact that there are not enough child and adolescent psychiatrists nor therapists to see all youth with symptoms. Register ( for:
1. digital Guided Self Management Toolkits for Families©
2. self-paced 16-session video educational course totaling 5 hours Continuing Medical Education
3. digital Clinician Manual on screening, assessment, and first-line treatments for Anxiety, Depression, ADHD, and Disruptive Behavior Disorder


parent and patient education materials in English and Spanish to enhance resiliency at home, in collaboration with the pediatric practitioner
 no more wait list - the parent immediately partners in behavioral health problem management and, optionally, can bring school or other supports into sync w/ toolkit
• self-paced training and manual for the pediatric practitioner to directly manage mild and moderate cases of behavioral health problems

allows child psychiatrists to focus on severe cases


a) US $250 per provider for training and digital files of GSM toolkits and Clinician Manual© (digital files updated annually without additional cost)
b) International regions might need to fund time for a child psychiatrist to provide case consults by phone for the pediatric providers (already in place in USA and territories)


• Arora BK, Klein MJ, Yousif C, Khacheryan A, Walter HJ. Virtual Collaborative Behavioral Health Model in a Community Pediatric Network: Two-Year Outcomes. Clinical Pediatrics. 2023;0(0). doi:10.1177/00099228231164478
• Walter HJ, Vernacchio L, Correa ET, et al. Five-Phase Replication of Behavioral Health Integration in Pediatric Primary Care, Pediatrics, 2021; 148 (2) e2020001073
• Walter HJ, Vernacchio L, Trudell EK, et al. Five-Year Outcomes of Behavioral Health Integration in Pediatric Primary Care. Pediatrics. 2019;144(1):e20183243
• Walter HJ, Kackloudis G, Trudell EK, et al.  Enhancing Pediatricians’ Behavioral Health Competencies Through Child Psychiatry Consultation and Education, Clinical Pediatrics. 2018, Vol. 57(8) 958–969



Boston Children's Hospital training course registration   
advice on how to engage pediatric providers with case consults by phone (ex.
• assistance introducing the new resources in your community


Visit the Boston Children's Hospital website or email the Mental Health Initiatives - Rotary Action Group Chair, Bob Anthony (

Contact Us

Keep in touch, or reach out to us
via our social media sites!





Locate all of our Chapters
by viewing the 
Chapter Map