Annual Report-2025 - MC3 - Michigan Clinical Consultation & Care

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A letter from MC3 leadership
Progress Report
Why MC3 Exists
Consultation & Services
Education & Training
Resources & Support
2024 Annual Report

About MC3

Michigan Clinical Consultation & Care (MC3) provides consultation, education, and linkages to community resources to build the capacity of Michigan’s primary care providers to respond to the behavioral health needs of pediatric and perinatal patients. MC3 is unique in that it is one of only a few Psychiatry Access Programs (PAPs) that houses both pediatric and perinatal together in one program.

A letter from MC3 leadership

We are very pleased to share this year’s report with all of you, highlighting the impact of MC3 in supporting the mental and behavioral health for Michiganders across the state. Now more than ever, our relationships with providers and partners throughout the state are crucial to supporting mental health for children, their families, and perinatal patients in Michigan.

Please take a few moments to review the depth and breadth of our activities and resources. We want to thank our dedicated staff and faculty for their ongoing work throughout the year, and we are grateful for the generous support from the Michigan Department of Health and Human Services (MDHHS) and Health Resources and Services Administration (HRSA) for funding this work. Finally, we wish to thank each of you who have advocated for and championed the role of MC3 in your practices and communities!

Joanna Quigley, M.D., FAAP

MC3 Core Services Director & Pediatric Medical Director,

Clinical Associate Professor,

U-M Department of Psychiatry & Department of Pediatrics

Maria Muzik, M.D., M.Sc.

MC3 Perinatal Medical Director,

Professor,

U-M Department of Psychiatry & Department of Obstetrics & Gynecology

Sheila Marcus, M.D.

MC3 Founder, Immediate Past Pediatric Medical Director, & Consulting Psychiatrist,

Clinical Professor,

U-M Department of Psychiatry

Nasuh Malas, M.D., M.P.H.

MC3 Emergency & Crisis Services Clinical Lead,

Clinical Professor,

U-M Department of Psychiatry & Department of Pediatrics

Rena Menke, Ph.D., L.P., IMH-E

MC3 Perinatal Co-Director & Lead Perinatal Behavioral Health Consultant,

Clinical Assistant Professor,

U-M Department of Psychiatry

Progress Report

Since 2012...

4,800+

health care providers enrolled

1,200+

clinics in Michigan

61,000+

services provided

6,500+

providers educated

According to 12,200+ psychiatry consults...

94% of providers agreed that MC3 consultations reduced the immediate need for higher levels of care for patients

98% stated that their participation in MC3 education will lead to a positive change in how they practice

Out of 200+ resources available on the MC3 website, the most popular were MC3's Pediatric and Perinatal Psychopharmacology Reference Cards

Why MC3 Exists

Pediatric Psychiatrist Shortage

1 in 5 adolescents have a current behavioral or mental health diagnosis ¹

Only 2.4% of Michigan counties have a sufficient supply of Child & Adolescent Psychiatrists ²

20% of youth have experienced major depressive disorder... ³

...but less than 50% receive treatment ³

Perinatal Psychiatrist Shortage

1 in 5 mothers are impacted by mental health conditions ⁴

Michigan is one of the top five states in the U.S. with the greatest shortage of maternal mental health care providers ⁵

70% of postpartum people reported feeling down, depressed, or hopeless ⁶

Mental health conditions are the leading underlying cause of pregnancy related death ⁷

Consultation & Services

MC3 helps Michigan providers treat patients with mental and behavioral health concerns, primarily through psychiatric consultations with prescribers. Learn more about the impact of these consultations below.

Prescriber Consultations by the Numbers

373 prescribers

enrolled in FY25

4,019 prescribers

currently enrolled

Enrolled prescriber type by %

In FY 2025...

MC3 Child & Adolescent Psychiatrists (CAPs) and Behavioral Health Consultants (BHCs) delivered

1,714 consults

to PCPs in Michigan

A total of

2,464 patients

were served

The top 3 diagnoses in MC3 consults were

anxiety, depression, and ADHD

Reasons for consults included:

67% for a medication problem or question
41% for seeking information on services
9% for diagnostic clarification
2% for other reasons

Enrolled Prescriber Survey Results

of prescribers felt more confident that they could effectively treat patients' behavioral health concerns after MC3 consultation

of prescribers agreed that MC3 consultations reduced the immediate need for higher levels of care for patients

Prescribers who consulted with MC3 reported improvements in their ability to diagnose and treat:

ADHD

Anxiety disorders

Depression

Suicidality

“Each time I call, I learn something new that I can apply to other patients!”

“[I have] increased confidence in patient encounters and being able to tell the patient, 'I’ll consult with a psychiatrist on your plan of care.'”

“I feel more comfortable managing care in a rural primary care pediatrics practice knowing that I have back-up/support from the psychiatrists and resources from MC3.”

“Consultation has been invaluable. In pregnancy, consults are very time-sensitive, so being able to immediately access a provider is SO helpful.”

“MC3 allows me to take my patients’ mental health care to the next level. It has... defused a crisis and ‘bought time’ to get in with a specialist.”

Additional Services

In addition to prescriber consultations, MC3 offers a variety of psychiatric services to support health & wellness professionals in their treatment of patients. Learn more about our different types of consultation, the additional services we offer, and the impact of these efforts by navigating the four tabs below.

Thanks to funding from the Health Resources and Services Administration (HRSA), MC3 is able to offer the following focused services to further support Michigan prescribers and health & wellness professionals.

School-Based Consultation

MC3 continued School-Based Consultation services for select independent school districts (ISDs) in Michigan through consultations, educational trainings, and office hours.

In FY25, 8 ISDs participated in 45 consultations with MC3.

Emergency & Crisis Services Consultation

In 2025, MC3 expanded consultation services to partner emergency department (ED) sites. Emergency & Crisis Services Consultation (ECSC) connects ED providers with child and adolescent psychiatrists for expert guidance on diagnostic clarification, pharmacological and non-pharmacological management, and disposition planning for youth at risk of behavioral dysregulation. Evidence-based resources are also provided to health care providers, staff, patients, and families, offering support during and beyond the crisis.

Pediatric Subspecialty Consultation

MC3 recently expanded psychiatry consultations to be available for pediatric subspecialties, including pediatric neurology, oncology, endocrinology, and more.

MC3 provides Perinatal Patient Care services in Wayne, Oakland, Macomb, Ingham, and Washtenaw counties, offering pregnant and postpartum individuals free same-day access to specially trained Behavioral Health Consultants for screening and resource support. Referrals come from providers, community partners, or self-referral. In 2025, the service was available directly to patients in 35 clinics via QR code and URL sign-up.

Patients in the program reported around 50% reduction in clinical anxiety and depression after their first month engaging with MC3

Over 90% of perinatal patients and providers reported high satisfaction, saying the program met their needs and expectations, improved patient ability to handle life’s stress, and that they would recommend it and return

In FY 2025, the PPC team…

Received a total of 550 referrals (a 17% increase from 2024)
Provided brief supportive intervention to 310 patients
Provided 822 total resources to patients, which included:
- Mental health supports
- Tangible supports
- Parenting supports/home visiting/other

What participants are saying about Perinatal Patient Care

“Gathering my history, streamlining my experience, receiving refreshing validation for my concerns and wishes, advocating for me, and connecting to resources. I feel like I have a MUCH NEEDED liaison with serious connections in the medical field. They are just awesome at their job anytime.”

“The support from [Perinatal Patient Care] has been wonderful – they helped me navigate pregnancy early on and connect with a therapist as well as worked with my OBGYN to quickly get access to support medication. Without the program’s support, I don’t think I would have gotten the help I needed.”

“A lot of useful information and resources were shared with me, especially regarding things I didn't even know existed. Being made aware of all this information helped me to more easily achieve what I needed in my personal life.”

“It is really easy to have patients scan the QR code. The fact that patients don't need to travel any further than their phone is so helpful. MC3 staff supported my patient until she found a therapist and helped identify a co-morbid diagnosis for more effective care.”

MC3 provides integrated behavioral health services in five pediatric and family medicine practices in diverse regions of the state. Behavioral Health Consultants (BHCs) provide consultation to providers and clinic staff to improve behavioral health screening, treatment, and linkage to resources as well as assisting families in navigating community resources and accessing services.

In FY 2025, BHCs completed 967 embedded referrals

Top reasons for referral:

Resources: 58%
Anxiety: 31%
Depression: 20%
Autism Spectrum Disorder: 12%

91% of patients followed through with BHC recommendations

In FY25, MC3’s Behavioral Resource Specialist:

Engaged in 70 in-person outreach activities in collaboration with MC3’s regional Behavioral Health Consultant
Continued building and maintaining relationships with local health clinics and providers in Genesee County
Streamlined the patient referral process to make it easier to connect patients with mental and behavioral health resources

Education & Training

In FY25, MC3...

Hosted

36 live educational events

Offered

63 recorded modules on the MC3 website

Awarded

1,323

continuing education credits

Trained

243 medical residents

on the topics of pediatric depression and risk assessment and psychopharmacology

Increased total training participants compared to past years

Offered the following educational opportunities:

Monthly webinars
Project ECHO® series
Perinatal professional series
Suicide prevention training
School professional training
Presentations to medical clinics
The REACH Institute training
Recorded education library
Clinical Pearls Video Series
Next Generation Medical Resident Training

Helped providers increase rates of

suicide screening, risk assessment, and safety planning

after participating in MC3’s Suicide Prevention Quality Improvement Project

Introduced a new

Perinatal Wellness & Mental Health

training series for all perinatal professionals

As a result of participating in MC3 education,

98% of attendees

stated that they plan to make a positive change in the way they practice

What providers have to say about MC3 education & training

"MC3 has a vast amount of collective experience and I appreciate new ideas and validating training. As a family doctor trained 20 years ago, I need to keep up to date on so many things and these are very efficient and very relevant to my practice."

Family medicine physician

"These webinars introduce me to new resources every time, which helps me better serve my patients."

Doula

"Thank you for offering this free educational series, so important for our community."

Perinatal social worker

"The knowledge is helping me add more tools to my toolkit, from assessing to screening to supporting families through their own concerns and child’s diagnosis."

School professional

"Psychoeducation is so important as clinicians to give to those we serve. Having updated and adequate information and research is key for the growth and success of our patients."

Mental health professional

Resources & Support

In addition to supporting Michigan prescribers through consultation and education, MC3 also provides support by sharing and developing tailored resources. Relevant resources are frequently shared with prescribers by our Behavioral Health Consultants (BHCs) following consults. MC3 also offers hundreds of online resources targeted toward providers on the MC3 website. This is to ensure providers and their patients are receiving the most comprehensive guidance possible.

MC3 Behavioral Health Consultants provided

5,500 resources

through consults in FY25

MC3 online resources reached

a total of

3,000+ downloads

in FY25

We continuously update and add to our online collection of resources for providers. Browse our newest resource additions below.

Billing & Coding Guide

We created this resource to ensure prescribing health care providers are accurately recording their time spent on MC3 psychiatric consultations.

Emergency & Crisis Services Resources

We developed several resources for the assessment and treatment of youth behavioral dysregulation in the emergency setting.

Parent Toolkit

We recently updated our toolkit of resources for health care providers to download and share with patients to be more accessible for families.

Clinical Pearls Video Series

Our experts created two new Clinical Pearls videos on the topics of Eating Disorders and Attention-Deficit/Hyperactivity Disorder.

MC3’s Annual Behavioral Health Consultant Training, Spring 2025

2024 Annual Report

View MC3’s 2024 Annual Report

References

1) National Survey of Children’s Health: Adolescent Mental and Behavioral Health. Health Resources and Services Administration. October 2024.

2) American Academy of Child and Adolescent Psychiatrists. Workforce Maps by State. www.aacap.org. 2024.

3) Flores MW, Sharp Am, Carson NJ, Cook BL. Estimates of Major Depressive Disorder and treatment among adolescents by race and ethnicity. JAMA Pediatr. 2023.

4) James D. Perinatal Psychiatry Access Programs are Addressing the Gap in Maternal Mental Health Care — Maternal Mental Health Leadership Alliance: MMHLA. Maternal Mental Health Leadership Alliance: MMHLA. https://www.mmhla.org/articles/perinatal-psychiatry-access-programsnbsp-closing-the-gap-in-maternal-mental-health-care. September 13, 2024.

5) Burkhard, J., Murphy C., Childers, A. Maternal Mental Health Dark Zones- Counties with the Highest Risk and Lowest Resources Revealed. Policy Center for Maternal Mental Health. https://www.2020mom.org/us-maternal-mental-health-dark-zones-revealed. November 2023.

6) PRAMS reports. https://www.michigan.gov/mdhhs/adult-child-serv/childrenfamilies/prams/reports. 2022.

7) Trost SL, Beauregard J, Njie F, et al. Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees in 36 U.S. States, 2017-2019. CDC, US Dept of Health and Human Services. 2022.