NTTAC Conversation Corner

Small Changes, Big Impact: Reimagining Mental Health in Pediatric Primary Care


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Youth mental health concerns are rising — and primary care providers are often the first line of support. In this episode, we explore how small, meaningful changes in everyday practice can make a real difference. Joining Dr. Ruth Gubernick in conversation are Drs. Deborah Braun-Corville and Aimee Johnson as they share how they introduced strengths-based conversations, collaborative safety plans, and practical mental health supports right in their pediatric offices — without overwhelming workflows or adding hours to the day.

 This conversation highlights:

  • How small tests of change can transform care over time
  • Strength-based approaches that build trust and connection
  • Practical, realistic tools for supporting adolescents in distress
  • The power of teamwork and shared learning among providers

 This episode is a reminder that care doesn’t have to be perfect to be powerful — sometimes, it starts with just one small step with the next patient you see.

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NTTAC Conversation CornerBy Center for Applied Research Solutions