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.

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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. 

Caregiver Mental Health Support Guide 

Caregiver Mental Health Support Guide 

Caregiver Mental Health Support Guide 

Being a caregiver for a child or youth isn’t easy. However, caring for children who have experienced trauma, loss, and identity disruptions can be especially challenging. Caregivers of children and youth with child welfare experience can face especially tough circumstances, all of which can lead to caregiver stress, burnout, and exhaustion. The well-being of caregivers is vital to the overall health and functioning of their families. This guide offers simple ways to recognize stress and access support. 

Recognizing Caregiver Stress 

Caregiver stress can show up at any time and in many ways. Paying attention to early signs is the first line of defense against stress. Common signs of caregiver stress include:  

  • Physical Challenges: fatigue and sleep challenges, headaches, joint or muscle tension, weakened immune system, exhaustion, stomach issues, and restlessness 

  • Cognitive Challenges: difficulty concentrating or making decisions, impaired functioning, unable to perform at desired levels, struggling to execute daily activities, difficulty staying focused, and issues processing information 

  • Emotional Challenges: Irritability, feelings of guilt or failure, withdrawing from family, friends, and activities, feeling overwhelmed or “on edge”, emotional suppression, anxiety, panic, and depression 

Identifying these symptoms enables caregivers to respond before burnout sets in.  

 Ways to Support Caregiver Mental Health 

Small, consistent steps can make a difference in caregiver health and wellness, including: 

  • Not Just a Parent: Caregivers can benefit from participating in meaningful activities beyond parenting, such as hobbies, physical activities, career or educational growth, or regularly connecting with others. 

  • Whole-Family Care: Caregivers often focus solely on a child’s needs, but they need to embrace family-based support for long-term stability. 

  • Practice Compassion: Using self-compassion not only improves parenting sensitivity, but it is also linked to lower levels of stress, anxiety, and caregiver burnout. Caregivers should avoid setting unrealistic standards and replace self-criticism with supportive language. 

  • Access Trauma-informed Mental Health Support: Families impacted by child welfare deserve care that understands their unique challenges. This care can be accessed via adoption competent mental health professionals, parent peer support or support groups, family therapy, and crisis lines for immediate support.  

 How Can the National Center Support Caregivers 

Caregiving is a long journey, and support should grow with them. The National Center works with caregivers, mental health providers, and cross-system professionals to ensure that systems are adoption competent, trauma-informed, and family-focused. The National Center recognizes that the complexities of trauma not only impact children, but their caregivers as well. We support caregivers by:  

1. Promoting adoption competent mental health systems 

2. Providing resources and monthly webinars for caregivers and the professionals that serve them 

3. Strengthening peer and community support 

4. Advancing policy and systems change 

5. Elevating the caregiver voice 

The National Center ensures that caregiver support is sustainable, accessible, and responsive.  

Caregivers Matter 

Prioritizing mental health strengthens capacity, relationships, and family stability. Caregiver well-being directly influences child regulation, attachment security, placement stability, and improved long-term mental health outcomes.  

Adoptive/Foster family meeting with counselor.

 

 

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Building Access Through Partnership: Centene Invests in Illinois TAC Cohort for 2026

Building Access Through Partnership: Centene Invests in Illinois TAC Cohort for 2026

Building Access Through Partnership: Centene Invests in Illinois TAC Cohort for 2026

 

The National Center for Adoption Competent Mental Health Services is proud to partner with Centene to facilitate a Training for Adoption Competency (TAC) cohort in Illinois in 2026 which will launch in April 2026.  TAC is the nation’s premiere assessment-based certificate program for training mental health practitioners and developing adoption competency skills. Through classroom and remote instruction, as well as clinical case consultation, TAC students master key clinical skills that support adopted children and their foster, adoptive and kinship families.   

Centene Corp. LogoCentene’s investment in TAC is well-timed. The Center for Adoption Support and Education (C.A.S.E.) released two landmark research reports in December 2025 that provide the strongest evidence to date that adoption-competent mental health services deliver measurably better outcomes for adoptive families—and that far too few families can access them. 

 


“Birth parents, adoptive parents, adoptees, and kinship caregivers—engage in mental health services at rates 2.5 to 3 times higher than the general U.S. population.”

 

The new data, collected through a nationwide survey and a multi-state effectiveness study, show that families who engaged with TAC-trained clinicians—clinicians who have completed C.A.S.E.’s rigorous evidence-based, accredited Training for Adoption Competency (TAC) program—report stronger therapeutic alliances, higher satisfaction across all dimensions of treatment, more adoption-relevant care, and improved family outcomes. 

At the same time, the national survey reveals that families across the adoption kinship network—including birth parents, adoptive parents, adoptees, and kinship caregivers—engage in mental health services at rates 2.5 to 3 times higher than the general U.S. population, but face significant barriers to adoption-competent care. Just 21.84% of respondents rated their clinicians as adoption competent, with adoptees facing the steepest access challenges.

 

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Families First: Understanding Kinship Care  

Families First: Understanding Kinship Care  

Families First: Understanding Kinship Care  

 

One night, while relaxing at home, Kayla received a surprise call from child welfare. Her sister had been deemed unable to safely care for her three children due to untreated mental health challenges, substance abuse, and housing instability. Faced with the possibility that her nieces, aged 4 and 11, and her nephew, aged 9, would enter foster care with strangers or be separated from each other, Kayla made a life-altering decision: she stepped in. Driven by love and responsibility, Kayla became a full-time caregiver.  

Like many kinship caregivers, Kayla was unprepared for the realities of navigating court hearings, school enrollment, trauma-related behaviors, or the emotional challenge of explaining to children why they could no longer live with their mother. Kayla had no prior experience with the child welfare system and no roadmap for managing such a profound transition.  

What she did have was a strong, shared bond with the children and knowledge of their family history, routines, and cultural identity. She knew, no matter what, they could overcome obstacles as a family.  

 


 

The Power of Kinship Care 

According to the U.S. Office of Personnel Management, kinship care is defined as the full-time care, nurturing, and protection of children by relatives or individuals with a significant familial or cultural bond. According to the Kids Count Data Center, approximately 2.5 million children and youth are in kinship care arrangements.  

Unlike non-relative foster care or adoption, kinship care allows a child to remain in a familiar environment, fostering a greater sense of identity and belonging, maintaining familial, cultural, and community connections, and increasing the likelihood that siblings will remain together. Kinship placements help minimize the trauma of being separated from their parents and preserve a sense of identity, all of which are beneficial mentally and emotionally. Research shows that children placed in kinship care experience greater placement stability and fewer behavioral challenges than those placed in non-relative foster care.  

 

Challenges in Kinship Care  

Although there is evidence that kinship care produces better behavioral outcomes for children and youth, many families do not receive the support and supervision that traditional foster and adoption families do. Kinship caregivers frequently fall through the cracks of traditional service systems. Common challenges include:  

 

        • Lack of training and preparation for guardianship 
        • Lack of knowledge of child welfare, education, and healthcare systems 
        • Lack of awareness of or access to support services 
        • Financial strain and limited access to resources 
        • Need for legal assistance
        • Caregiver stress, burnout, and secondary trauma 

 Caregivers like Kayla may not identify as foster or adoptive parents, but they shoulder the same responsibilities and emotional demands. 

 

Mental Health Needs in Kinship Care 

While children in kinship placements can experience better behavioral outcomes, they are not immune to the core issues that children and youth with child welfare experience, including complex trauma, ambiguous loss, grief, identity questions, and attachment disruptions. Whether a child is adopted by a relative, placed under guardianship, or raised informally by kin, they still have been separated from their biological family, which can create complex and layered mental health needs. In Kayla’s case, her nieces and nephew stayed with family. However, they still experienced profound loss due to separation from their parents, uncertainty about the future, and confusion about changing family roles.  

 

Adoption Competent Mental Health Care Matters in Kinship Care 

For child welfare professionals, supporting kinship families means understanding that placement stability alone does not guarantee healing. Adoption competent mental health services offer a vital framework for addressing the long-term emotional and relational needs of both children and caregivers involved in kinship care. 

When child welfare professionals intentionally connect kinship families to mental health services that can support permanency, they help ensure that families are not just keeping children safe but are also able to foster healing and growth. With over 20 years of experience providing adoption-competent care at C.A.S.E., we have seen firsthand how investing in adoption-competent, kinship-inclusive mental health care strengthens permanency, eases caregiver bu out, and supports lasting well-being for children and families. 

 

The National Center Supports Kinship Care 

The National Center for Adoption Competent Mental Health Services equips child welfare, mental health, and education professionals, as well as families, with the tools needed to recognize the unique intersections of trauma, loss, attachment, and family dynamics that arise in kinship placements. We also provide resources and support caregivers like Kayla by validating caregiver stress, strengthening caregiver-child relationships, and helping families navigate complex emotions without minimizing the child’s history or experiences. 

 

 

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.