Strengthening Mental Health Through Connection, Collaboration, and Competency: Reflections from NAMICon 2026

Strengthening Mental Health Through Connection, Collaboration, and Competency: Reflections from NAMICon 2026

Strengthening Mental Health Through Connection, Collaboration, and Competency:

Reflections from NAMICon 2026

The National Center for Adoption Competent Mental Health Services joined thousands of mental health professionals, advocates, individuals with lived experience, family members, and community leaders at NAMICon 2026 in Atlanta, Georgia. As one of the nation’s largest gatherings focused on mental health awareness, education, and advocacy, NAMICon provides a valuable opportunity to engage in meaningful conversations about the future of mental health care and the importance of ensuring that children, youth, and families impacted by child welfare are not left out of those discussions.

Throughout the conference, one message was clear: mental health systems are evolving, but there remains a critical need for specialized knowledge, workforce development, and cross-system collaboration to meet the diverse needs of children and families impacted by child welfare, including adoption, foster care, and kinship care. For the National Center, NAMICon was an opportunity to elevate the importance of adoption and permanency-competent mental health services while connecting with professionals and organizations committed to improving outcomes across the behavioral health continuum.

 

Why Adoption Competence Matters in Mental Health Spaces

Children and families impacted by foster care, adoption, kinship care, guardianship, and other permanency experiences often navigate challenges that extend beyond traditional mental health concerns. Yet many mental health professionals receive little formal training on how these experiences affect assessment, diagnosis, treatment planning, and family engagement. As the National Center connected with attendees from across the country, many professionals shared that they frequently work with children and families who have experienced child welfare involvement but have had limited opportunities to receive specialized training in these areas.

These conversations reinforced the importance of building a workforce that understands the unique experiences of children and families impacted by child welfare and can provide services that are responsive, relationship-centered, and grounded in permanency.

 

Sharing Resources and Building New Partnerships

NAMICon brought together professionals from a wide range of sectors, including community mental health organizations, hospitals, advocacy groups, peer support organizations, educational institutions, state agencies, and private practice settings. Throughout the conference, the National Center connected with attendees from across the country who were eager to learn more about adoption competence, workforce development, and strategies to strengthen mental health services for vulnerable populations.
Many conversations focused on the growing need for practical tools and training that help professionals better understand the intersection of trauma, attachment, loss, and identity. Attendees also expressed interest in approaches that support collaboration between child welfare, behavioral health, education, and community-based organizations.

These discussions highlighted an encouraging trend: professionals increasingly recognize that improving mental health outcomes requires coordinated systems that work together to support children and families holistically.

 

Key Themes from NAMICon

Several themes emerged throughout the conference that closely align with the National Center’s work.

  • The Importance of Lived Experience: Across sessions and conversations, there was a strong emphasis on ensuring that individuals with lived experience are actively involved in shaping services, policies, and systems. This commitment mirrors the National Center’s belief that meaningful change happens when the voices of those directly impacted help guide decision-making and service delivery.
  • Workforce Development Remains a National Priority: Mental health workforce shortages continue to affect communities across the country. Professionals consistently highlighted the need for accessible, high-quality training opportunities that increase confidence, competency, and retention. Specialized training programs such as NTI and TAC can help address these needs while equipping professionals with skills that improve outcomes for children and families.
  • Collaboration Drives Better Outcomes: Another recurring theme was the need to break down silos across systems. Mental health, child welfare, education, health care, and community organizations all play critical roles in supporting children and families. Strong partnerships across these systems enable earlier intervention, more coordinated care, and improved long-term outcomes.

 

Looking Ahead

The National Center left NAMICon energized by the conversations, connections, and shared commitment to strengthening mental health services nationwide. The conference reinforced the growing recognition that children, youth, and families impacted by child welfare require services that acknowledge their experiences, honor their relationships, and support their lifelong well-being.

As the National Center continues its work with States, Tribes, territories, providers, and community partners, we remain committed to expanding access to adoption and permanency-competent mental health services through training, technical assistance, workforce development, and systems change.

The conversations at NAMICon served as a powerful reminder that when professionals come together to share knowledge, learn from lived experience, and build partnerships, meaningful progress is possible. We look forward to continuing these conversations and working alongside partners nationwide to ensure that every child and family has access to the support they need to thrive.

Stay Connected to Our Work in Action

Follow us for updates across states, tribes, and territories, plus conference highlights, training, resources, and insights on adoption competent mental health care

Beyond Intervention: Why Foster Care Must Be Paired with Adoption Competent Mental Health Care

Beyond Intervention: Why Foster Care Must Be Paired with Adoption Competent Mental Health Care

Beyond Intervention: Why Foster Care Must Be Paired with Adoption Competent Mental Health Care

Recent commentary from the Child Welfare Wonk article, Weekly Wonk: Foster Care as Children’s Behavioral Health Policy, highlights a critical reality: foster care is increasingly serving as a de facto mental health intervention for children and youth. This framing reflects what many professionals in child welfare and behavioral health already know: children impacted by child welfare care often present with significant, complex mental health needs shaped by trauma, loss, and disrupted relationships.

Emerging perspectives from Child Welfare Wonk underscore several important shifts in how foster care is functioning within today’s service landscape:

  • Foster care is increasingly functioning as a frontline mental health response, with many children entering care due to unmet behavioral health needs rather than solely safety concerns.
  • The child welfare system is not designed to deliver mental health treatment, creating a mismatch between children’s needs and the services they receive while in care.
  • There is a critical shortage of accessible, appropriate mental health services for children and families, which contributes to system strain, placement instability, and poorer outcomes.

But if foster care is being used as a mental health response, we must ask a harder question: Are we equipping systems to meet those needs effectively?

Foster Care Is Not an Intervention. Relationships Are.

Foster care, in itself, does not treat trauma. Placement alone cannot address grief, identity development, attachment disruptions, or the lifelong need for connection and belonging. What matters most is what happens within and around that placement:

  • The quality of relationships
  • The stability of caregiving environments
  • Access to responsive, specialized mental health services

Without these, foster care risks becoming a system that contains need rather than heals it.

The Missing Link: Adoption Competent Mental Health Care

If we accept that many children in foster care require mental health support, then we must also recognize that not all mental health care is equipped to meet their needs. Adoption competent mental health care provides a critical, often missing layer of support by ensuring that providers are trained to:

  • Understand behavior through the lens of trauma, loss, and relationships
  • Support attachment between children and caregivers
  • Help children and youth make meaning of their experiences and identity
  • Engage families as central partners in healing

Adoption competence is not a niche specialization. It is a necessary adaptation of mental health systems to better serve children impacted by child welfare.

From Crisis Response to System Design

The current reliance on foster care as a mental health intervention reflects broader gaps in upstream prevention and in community-based services. However, it also presents an opportunity to redesign systems so that placement is not the primary intervention, but part of a coordinated, healing-centered approach. This means:

  • Integrating adoption competent practices across mental health and child welfare systems
  • Building workforce capacity through training and implementation support
  • Strengthening cross-system collaboration so services are aligned, not fragmented
  • Centering lived experience to ensure services reflect real needs
A Path Forward

We do not need to choose between child welfare and mental health. We need to align them more effectively. By embedding adoption competence into systems of care, we can move from:

  • Placement to purposeful permanency
  • Crisis response to sustained well-being
  • Services to relationships that heal

Foster care may continue to play a role in meeting children’s needs. But without the right support, it cannot and should not be the intervention itself.

Children and families deserve more than placement. They deserve systems designed for healing.

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

When “Just Get Therapy” Isn’t That Simple: The Access Gap in Adoption-Competent Care

When “Just Get Therapy” Isn’t That Simple: The Access Gap in Adoption-Competent Care

When “Just Get Therapy” Isn’t That Simple:

The Access Gap in Adoption Competent Care

The Search That Few Talk About

It often begins with hope. An insurance directory. A list of therapists who describe themselves as trauma-informed or child specialists.

Then the questions begin.

Too often, the answers are unclear or reveal that adoption-specific dynamics are not part of the clinician’s training.

Families may encounter long waitlists, limited in-network providers, or clinicians who unintentionally minimize grief with comments like, “But they have a forever family now.” They may also encounter therapy models that focus primarily on behavior without addressing underlying trauma, identity development, and loss.

What begins as a hopeful step toward healing can quickly become discouraging. When the search becomes exhausting, some families stop looking.

When Coverage Doesn’t Equal Access

For families who rely on Medicaid or specific insurance plans, options may narrow even further.

Medicaid plays a central role in supporting children and youth connected to the child welfare system. As highlighted in a recent U.S. Government Accountability Office (GAO) report on Medicaid coverage for former foster youth, federal policy allows young people who age out of foster care to remain eligible for Medicaid coverage through age 26.

Yet while Medicaid and most private insurance plans technically cover mental health services, adoption competent specialization is not defined or required within those coverage standards.

In many communities, clinicians with deep adoption expertise are simply not available in-network.

The result is a quiet inequity. Families who most need specialized support may face the greatest barriers to accessing it.

Why Competency Matters

Adoption competent counseling does more than address symptoms.

  • It recognizes the lifelong impact of early trauma and loss.
  • It understands the layered grief that can coexist alongside love.
  • It acknowledges the shame and guilt that youth and parents may both carry.
  • It addresses attachment disruptions across placements and transitions.
  • It considers how race, culture, and belonging shape identity development.

These dynamics do not disappear once permanency is achieved.

They evolve over time.

Competency is not a luxury. It is essential for effective care.

The Policy Gap Beneath the Access Gap

The barriers families encounter are not accidental.

Federal child welfare policy places strong emphasis on achieving permanency for children and youth through programs like Title IV-E and the Family First Prevention Services Act.

Yet the mental health systems supporting those families are rarely structured to require specialized expertise.

Coverage does not equal specialization.

Reimbursement structures seldom incentivize adoption-focused training.

Access is not only a clinical issue. It is a policy issue.

Strengthening the Workforce Families Need

Addressing the barriers families face requires more than awareness.

It requires building a workforce that understands the complex realities of adoption, foster care, trauma, loss, identity, and belonging.

At C.A.S.E., this work happens through several initiatives designed to expand adoption-competent mental health care and strengthen the professionals who support families across systems.

Through the National Center for Adoption Competent Mental Health Services, C.A.S.E. provides training and technical assistance that help bridge the gap between child welfare and mental health systems. The National Center supports States, Tribes, and territories in strengthening the adoption competency of mental health practitioners and expanding access to care that responds to the needs of children and families impacted by foster care and adoption.

Programs within the C.A.S.E. Training Institute also help build workforce capacity across systems. The National Adoption Competency Mental Health Training Initiative (NTI) offers free, web-based training that equips child welfare and mental health professionals with the knowledge and practical tools needed to support children and families navigating foster care, adoption, and guardianship.

The Training Institute also supports professionals working in school settings through the School-Based Mental Health Professionals Training, which helps school counselors, social workers, psychologists, and school-based therapists better understand the impacts of trauma, separation, grief, and loss on students with foster care or adoption experiences.

For clinicians seeking deeper specialization, the Training for Adoption Competency (TAC) offers an accredited, evidence-based, and assessment-based certificate program that prepares mental health professionals to address the complex clinical realities of trauma, attachment, identity development, and family dynamics unique to adoption and foster care.

The C.A.S.E. Academy to Elevate Clinical Practice in Permanency further strengthens the field by expanding professional learning opportunities and supporting the development of a growing pipeline of clinicians committed to adoption competent care. The C.A.S.E. Academy focuses on deep skills building and offers entry points for both advanced mental health professionals and interns through university partnerships.

Together, these initiatives reflect an important reality: adoption-competent care does not happen by chance. It requires intentional investment in workforce training, professional development, and systems change.

But workforce development alone cannot close the gap.

Lasting change also requires policy structures that recognize adoption-competent mental health care as a critical component of child and family well-being.

Awareness is important, but access to informed, adoption competent care ultimately determines whether families receive the support they need.

If we are serious about strengthening permanency, systems must ensure that families can find the right care without navigating additional barriers.

Stay Connected to Our Work in Action

Follow us for updates across states, tribes, and territories, plus conference highlights, training, resources, and insights on adoption competent mental health care

Behavioral Health Capacity is a Permanency Strategy

Behavioral Health Capacity is a Permanency Strategy

Behavioral Health Capacity is a Permanency Strategy

The Child Welfare Wonk (CWW) released an analysis titled “The Behavioral Health Ceiling on A Home for Every Child.” The analysis argues that child welfare systems are constrained by behavioral health capacity, particularly mental health and substance use disorder (SUD) services, which are essential to achieving permanency for children and families.

Key Findings from the Analysis

Parental substance use and untreated mental health conditions are now the leading drivers of foster care involvement, especially for infants and young children.

  • Children entering care under these circumstances present with complex trauma and behavioral health needs requiring specialized, timely support.
  • Foster home shortages often lead to service shortages, leaving insufficient placements to meet children’s behavioral health needs.
  • Without reliable access to effective behavioral health services for children, caregivers, and parents, policy initiatives such as A Home for Every Child won’t be as successful.


Strategic Alignment

The CWW analysis strongly reinforces the core premise and strategy of the National Center:

Bridging Child Welfare & Mental Health Systems

The CWW analysis identifies behavioral health access and quality as a ceiling on child welfare outcomes, which is precisely the gap the National Center is designed to address through:

  • Adoption competent workforce development
  • Cross-system collaboration
  • Implementation support embedded within public and private systems

Adoption Competent Care, Not Generic Services

The needs described — complex trauma, grief and loss, identity formation, attachment disruption, and long-term impacts of foster care — align directly with adoption-competent practice and NTI training.

  • The analysis implicitly reinforces the National Center’s position that trauma-informed care alone is insufficient for children and families with child welfare lived experience.
Systems-Level Infrastructure

The CWW analysis underscores why the National Center’s systems approach is essential. Outcomes depend on multiple systems acting in concert, including:

  • Cross-system steering teams
  • Workforce development embedded within existing structures
  • Referral pathways connecting families to adoption competent providers
  • Partnerships with Medicaid, managed care, and behavioral health agencies

Why This Matters

The CWW analysis validates the National Center’s role in advancing federal and state priorities related to permanency, prevention, and stability. Permanency requires aligned capacity across behavioral health. Explore how the National Center is partnering across systems to increase permanency and strengthen mental health outcomes for families—start discovering more right here on our website.

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

The Invisible Divide in Youth Mental Health Care 

The Invisible Divide in Youth Mental Health Care 

The Invisible Divide in Youth Mental Health Care: 2025 Trends and Their Impact on Children in Child Welfare 

 

“Statistics are important, but the stories behind them are what drive our mission. Every child’s behavior tells us something about their experience.” — National Center for Adoption Competent Mental Health Services

Across the nation, 2025 offers hopeful signs for youth mental health. Rates of major depressive episodes, substance use, and suicidal ideation among youth are decreasing for the first time in several years (Mental Health America, 2025). In the midst of these positive trends, however, some children, especially those experiencing the child welfare system, continue to face trauma, loss, and instability that increase their risk of mental health challenges. While the general youth population shows signs of recovery, those experiencing the child welfare system still have mental health needs that are higher than those of their peers. Although progress in youth mental health deserves recognition, equal attention must be given to young people whose experiences in the child welfare system have too often resulted in unmet mental health needs.  

The National Picture: Gains and Gaps 

According to recent national data, the percentage of youth experiencing a major depressive episode decreased from 18.1% in 2023 to 15.4% in 2024, and youth substance use dropped to its lowest level since 2017. Even more promising, suicidal ideation among young people fell from 12.3% to 10.1%, indicating that expanded crisis services and increased public awareness are beginning to have a positive impact (Mental Health America, 2025). 

There are still gaps in youth mental health care for young people. Over half of the youth with depression receive no treatment, often because of stigma, fear of involuntary commitment, or lack of access to qualified providers. Additionally, schools have reported that they cannot effectively address students’ mental health needs due to limited funding or staffing. Despite these obstacles, the overall outlook for youth mental health remains hopeful.  

The Invisible Divide 

Behind the promising national statistics are children whose early losses, transitions, and traumas shape their emotional worlds in unique ways. As youth mental health trends improve across the country, we must recognize that the healing and well-being of children experiencing the child welfare system relies on the competence and compassion of the adults and systems around them to provide the most effective mental health care and conditions for them to thrive. Data continues to show increasing need, and for system-involved children and youth, the stakes are particularly high. The gap between their mental health needs and the support they receive remains too great.   

However, the movement toward adoption competent, trauma-informed, relationship-centered systems presents a powerful opportunity to close the invisible divide, increase permanency, and continue to further the progress that has been made in youth mental health in recent years. Adoption competence extends beyond general clinical training by equipping mental health professionals with a deep understanding of how early adversity, complex trauma, and attachment disruptions influence emotional regulation, behavior, and relationships throughout development. When systems are adoption competent, services better reflect the lived experiences of children and families and respond not only to symptoms but also to the full context of a child’s history and needs. 

Signs of Hope 

Despite the apparent challenges in providing equitable access to youth mental health care, there are clear signs of hope:  

  • There is a growing awareness and use of adoption-competent and trauma-informed care. Specialized training programs, such as the National Center’s National Adoption Competency Mental Health Training Initiative (NTI) and the Training for Adoption Competency (TAC) Program, help clinicians, caregivers, and educators lea to respond with empathy and patience, understand the story behind the behavior, and respond appropriately.

  • Cross-system collaborations between schools, child welfare agencies, and behavioral health systems are increasingly recognizing that youth mental health requires intentional coordination, especially for children in the child welfare system.

  • There is more of a focus on relationships, connection, and stability regarding youth mental health. Increasing evidence suggests that validated interventions, such as stable placement, nurturing relationships, and consistent support, can positively shift a child’s life trajectory.

Conclusion 

Although there have been significant improvements in certain areas of youth mental health, gaps still exist that prevent every child from accessing the most effective mental health care, especially for children in the child welfare system. More work remains, and the focus is shifting from solely addressing behaviors to establishing strong foundations for youth to flourish. The growing evidence suggests that there is a shift in beliefs and practices in youth mental health services, and adoption competent mental health services will be a contributing factor to the continual progress of youth mental health.  

Reference 

Mental Health America. 2025. The State of Mental Health in America. Retrieved from: https://mhanational.org/wp-content/uploads/2025/09/State-of-Mental-Health-2025.pdf 

Looking for Additional Resources?

Visit the Knowledge Hub to access models of intervention, training resources, and practical tools to strengthen cross-system collaboration and improve outcomes for children, youth, and families. 

Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

Illinois Family Leaders Highlight the Value of Adoption Competent Mental Health Support 

As part of its ongoing Intensive Technical Assistance (TA) work in Illinois, the National Center for Adoption Competent Mental Health Services recently hosted a virtual event with several of the State’s leading family-run organizations to build healing-centered, family-informed systems of care. The convening was designed to deepen partnerships and explore how adoption competent services can support families who have experienced child welfare, regardless of whether adoption is part of their story.

The session included an overview of the National Adoption Competency Mental Health Training Initiative (NTI) and a walk-through of the National Directory of Adoption Competent Professionals, a tool designed to connect families and providers to qualified mental health professionals nationwide. Participants reflected on how these resources could be expanded to meet the unique needs of Illinois’ children, youth, and caregivers.

An important conversation stemmed from a question raised by a meeting participant: How can adoption competent services benefit all families impacted by child welfare, not just those who have experience with adoption? This question sparked a thoughtful dialogue about the broader value of adoption competent care in addressing trauma, grief, and the complexities of identity for all children who have experienced separation or loss. 

A representative of an Illinois family organization using the NTI-school based curriculum shared how their organization is using the NTI School-Based Curriculum to train educators across the State to better meet the needs of children from kinship, foster, and adoptive families. iCARE4’s Connection Kits and training initiatives are helping schools become more inclusive, responsive, and trauma-informed spaces for children navigating system involvement or family transitions.

This event is one of many efforts underway in Illinois to build a healing-centered, family-informed system of care. The National Center will continue its technical assistance work with the state through training, cross-system collaboration, and resource development that uplifts lived experience and community wisdom.    For more information about the National Center’s TA work, visit our website. 

Stay Connected to Our Work in Action

Follow us for updates across states, tribes, and territories, plus conference highlights, training, resources, and insights on adoption competent mental health care