All Episodes

April 30, 2024 14 mins

Send us a text

In this episode, meet Dr. Lia Gaggino, pediatrician and host of the child mental health and clinician well-being podcast, Pediatric Meltdown.  She shares resources and tips to help practicing pediatricians including her now podcast, Pediatric Mental Health: Building Better Workflows.  This new podcast is about how to implement change in pediatric practices from how to get buy-in for change, set goals, and engage your team in implementing  change, plus tips on billing and coding and more.

Dr. Lia Gaggino's Podcast: Pediatric Meltdown
Website: Pediatricmeltdown.com



Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds

Mark as Played
Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Dr. Elise Fallucco (00:21):
Welcome back to psyched for Peds, the child
mental health podcast forpediatric clinicians.
And for all of you helping takecare of kids, we're helping you
help kids.
I am really excited today tointroduce my friend and
colleague, Dr.
Lia Gaggino.
She is a pediatrician.
A podcaster and host of thefantastic child mental health

(00:44):
podcast, Pediatric Meltdown.
So welcome to the show, Dr.
Leah Gaggino.

Dr. Lia Gaggino (00:51):
Oh, thank you so much, Elise.
I am so glad that our pathscrossed.
You've been a guest a couple oftimes on some very popular
episodes.
So I am delighted to be here.

Dr. Elise Fallucco (01:02):
Yes, this is and to our friends and
colleagues, Dr.
Leah Gaggino she is one of thepeople who inspired me to start
my own child mental healthpodcast because I was a guest on
her podcast a couple of times,pediatric meltdown, and just
thought about what an amazingway to be able to get helpful
information out to such a largeaudience of pediatric

(01:24):
clinicians.
And so when I was starting upPsyched for Peds, I really
reached out to Leah to learn thetricks of the trade and to get
ideas and helpful hints andyou're like my fairy god sister.

Dr. Lia Gaggino (01:39):
Thanks.
I'm just so impressed you'rereally good at it.
And I wish you many downloads.

Dr. Elise Fallucco (01:45):
Thank you.
Okay.
So tell our listeners about yourpodcast, Pediatric Meltdown and
particularly why you think theywould be really interested in
it.

Dr. Lia Gaggino (01:55):
I like to think of pediatric meltdown is all the
things I wish I'd know over theyears about it.
All kinds of things.
They're, focused aroundpediatric mental health,
emotional health.
And then I do quite a few onclinician wellbeing because that
is so important.

Dr. Elise Fallucco (02:12):
The podcast, the main topics are pediatric
mental and emotional health,which is something of huge
interest to those people who arelistening to psyched for peds
right now.
And also talk topics aboutclinician wellbeing, which
obviously goes hand in hand.
We got to take care of ourselvesbefore we can take great care of
the kids and the families andour practices.
One of the things that I reallyenjoy about pediatric meltdown

(02:35):
is that you've had fantasticguests on your shows and you
really get to know a little bitabout them themselves in
addition to their work.
And you get to hear thebackstory and behind the scenes.
For example, Lisa Horowitz whohelped develop the Ask Suicide
Screening questionnaire that, isan amazing tool for looking at
suicide risk and suicidescreening.

(02:55):
It can be used in pediatrics andyou had her on her, your podcast
and she gets to talk about howdid she come up with this and
how, what is the process ofgoing through and piloting it in
different groups and what didshe learn and why is it the way
it is now?
And You have very exciting newsto share with us today.
So can you tell us a little bitabout your new project?

Dr. Lia Gaggino (03:17):
Yeah..
So I've created a new podcast.
It's a limited series.
so it's called Pediatric MentalHealth Building Better
Workflows.
12 to 15 episodes, and they'reshort, so they're anywhere from
10 to 20 minutes, and they'rejust little step by step, how
would I do this?
During the last part of mycareer at my hospital system, I

(03:41):
was the medical director forbehavioral health and we
implemented zero suicidepractices and also integrated
behavioral health.
And so we had to build that fromthe ground up.
I tried all kinds of things.
I found out some things thatdon't work, like doctors won't
like to be told that they needto do something differently.
People need to know what's in itfor me.

(04:01):
People want to do the bestbecause it's good for their
patients, but without it beingtoo difficult for themselves.
It's just human nature.

Dr. Elise Fallucco (04:10):
No, nobody likes to be told what to do and
we're all trying to do so manythings in a short period of time
and so if you have to addanother thing to your plate,
it's really important to figureout a way first of all, why is
it important to do it?
And second of all, how can we doit in a way that's efficient?

Dr. Lia Gaggino (04:26):
Absolutely.
And, I had big ideas and Ithought I could implement zero
suicide in a year.
And it took five.
And just thinking about how doyou implement change?
So the first module is on committo change.
Because honestly, if thephysicians don't have buy in,
nobody's going to do it.

(04:47):
And, finding who are your earlyadopters.
Because there's some people whoare willing to try stuff.
And, Rather than trying to rollit out to the entire practice
all at once, you can do littlepilots.
I, like I said, I learned bytrial and error and also other
people like my social workerssaying yeah, we can't do that.
So it was like, okay, let's rollit back.

(05:09):
Building Better Workflows is away to start with that commit to
change and then set some goals.
And then there's some real nutsand bolts about.
screening tools and trainingbecause training is super
important.
And I harp on, you have to havea policy and procedure for
suicide prevention.

(05:29):
It is the most emergency based,thing.
And I, so I really suggest thatpeople focus on assessing what
they're already doing, ifanything.
And does their staff know?
What does a staff member do ifsomebody calls and says, I'm
worried about my child?
I found something that said thatthey're thinking about killing

(05:50):
themselves and I'm scared.
What do you do with that phonecall?
So I have a step by step there'seven a, an educational
PowerPoint that you can use.
And there's templates andchecklists, and there's also a
wellbeing guide.
And, there's even some stuff onbilling and coding.
There's a section on how topartner with other folks in your

(06:12):
community, mental healthproviders, psychiatric
hospitals.
So I hope people will tune in toPediatric Mental Health Building
Better Workflows.
So they'll be, again, differentthan my Pediatric Meltdown
podcast in that they're shorterchunk sized bits.
And then I have a workbook thatis a companion to the episode so

(06:33):
that they have those templates,they have those the PowerPoint,
they have access to those tools.

Dr. Elise Fallucco (06:41):
That's excellent.
Pediatric mental health,building better workflows, this
capsule series of podcasts thatpeople can access.
It's like pro tips forimplementing change in a
pediatric practice, specificallyaround, implementing screening
for things like depression,thinking about suicide
prevention, and you're offeringreally practical tools and tips

(07:02):
for how do you do this?
How do you get people on board?
What should you not do?
Because we've all learned fromour own mistakes.
Oh yeah.

Dr. Lia Gaggino (07:10):
Plenty of those.
Trust me.

Dr. Elise Fallucco (07:12):
I certainly have.
And just to help people alongthe way, cause I think
everybody, nationally andinternationally, we're all
trying to do a better job.
of taking care of kids withmental health problems, of
identifying them early, ofknowing what to do when you have
positive screens.
And so you've been through thisand you can share your
experience and your wisdom witheverybody who's trying to do

(07:35):
this.
So tell us where can our friendsand colleagues find pediatric
mental health, building betterworkflows?
So

Dr. Lia Gaggino (07:43):
you can go to PediatricMeltdown.
com and there on the page willbe a link to the new podcast.
And on PediatricMeltdown.
com, website.
You'll be able to find access tothe workbook.
And if you want to set up adiscovery call, if you want to
call and chat with me about yourpractice and kind of your pain

(08:05):
points, there'll be a link to dothat, too.

Dr. Elise Fallucco (08:08):
Yeah.
So you mentioned the discoverycall.
I know at psyched4peds.
Part of what our mission isabout supporting pediatric
clinicians in their practices.
So any ideas or ways that youcan support pediatric clinicians
in their practice and tell us alittle bit more about the
discovery call.

Dr. Lia Gaggino (08:24):
Sure.
So the discovery call is a quickconversation, but it's really an
opportunity for somebody to say,we know the AAP is now
recommending that we do suicidespecific screen like the ask or
the Columbia, and we're just notsure how to do that.
That's a pain point.
So I could give some suggestionsabout ways that they might want

(08:46):
to begin that process.
So just, an opportunity tobrainstorm a little bit about
how they might implement change.

Dr. Elise Fallucco (08:56):
Excellent.
Thank you.
Any other ideas or anything elseyou want to share with Psyched
for Peace?

Dr. Lia Gaggino (09:03):
Sure.
If after a discovery callsomebody says, gosh, we'd really
like you to walk us through thisa little bit more, then we can
do a deeper dive one on oneconsulting and that will be
something we can set up throughthe podcast and after a
discovery call.
Does this make sense?
So that we can really dig in onto.

(09:24):
Or dig into how to really makechange specific to your needs.
So I'm hoping that with thepodcast and the workbook and
some consulting opportunitiesthat I can help folks feel more
comfortable and confident aboutthe work they're doing and meet
the needs of our kids.

Dr. Elise Fallucco (09:44):
It's so helpful to have access to the
podcast, to pediatric meltdown,and then to the specific
pediatric mental health,building better workflows.
And then I love that there's theopportunity for discovery calls
to chat with you one on one.
And then, if you want to take adeeper dive to consult with you,
To, so that pediatric cliniciansand their practices can make

(10:06):
change specific to their needsbased upon whatever, wherever
they are in the process oftaking care of kids with mental
health problems.
And, you are the best source forthis information because you are
a pediatrician.
You were the medical directorfor behavioral health at your
practice.
This is what you lived and havedone.
And so you're speaking from you.

(10:27):
This, you know what it is likeon the inside and so can offer
really helpful advice.

Dr. Lia Gaggino (10:32):
Yeah.
And I think, walking the walkand know what it's like in the
trenches and how hard it can beand, being realistic about, you
can't do everything at once andyou might just need to tweak
what you can to start.
And I love talking about thisand brainstorming.
I think that's what I enjoy themost about the behavioral health
appointments with patients isproblem solving.

(10:54):
And I love to do that.

Dr. Elise Fallucco (10:56):
Excellent.

Dr. Lia Gaggino (10:56):
And I like Psyched for Peds.
I think it's really clever.
I love the perspective from achild psychiatrist because You
bring to it this really richperspective that makes me go,
Huh, I hadn't thought aboutthat.
So I love that Psyched for Pedsis that, that voice from the
child psychiatrist to say, thisis how we might think about it

(11:19):
so that you can reframe andBasically do a better job.

Dr. Elise Fallucc (11:23):
Pediatricians often underestimate how good
they are at this speaking withkids and families and having
difficult conversations comesnaturally because that's a part
of what you do day to day.
And so it's just a matter ofsupporting pediatric clinicians
with tips, with tools, withlittle tricks.

Dr. Lia Gaggino (11:41):
I think that is so true.
I think oftentimes we gettripped up because we think it's
about meds and when we thinkit's about Medications and we
get overwhelmed because thatfeels scary that we don't know
what we're doing but the furtherI got along in my career the
more I was like It's not aboutmedication.
Yeah, that, that's an importantthing.
You got to know some of it, butthat's not the crux of it.

Dr. Elise Fallucc (12:05):
Understanding that it's about having the tough
conversations and not gettingtoo overwhelmed with the things
that you may not know.
And there's so much you can do.

Dr. Lia Gaggino (12:15):
Just the fact that you asked, lets people know
Oh, I could talk about thingsthat I'm worrying about and,
maybe there's something I can doabout that or, maybe it's just,
I just needed to say it andyou're the trusted person that
can listen.

Dr. Elise Fallucco (12:29):
So many times as clinicians were
thinking, I need to be able tofix it and I need to be able to
solve it and it makes us feeluncomfortable if we don't have
the seven step plan fortreatment.
And the reality is, especiallyin mental health, so often just
having the conversation, openingthe door to have the parent talk
about, here's what I'm concernedabout, or here's what's going
on, even if we can't fix it,just being able to recognize,

(12:52):
validate, tell them whetherthat's normal or not.
That's incredibly helpful forfamilies.
Yeah.

Dr. Lia Gaggino (12:58):
Yeah.
And having access to folks likeyou through child psychiatry
access programs is justinvaluable.
I can't tell you what a reliefit is to call and say, Hey, this
is what I'm thinking about.
And having someone else say,yeah, that's what I would do.
And I might try this and it'sjust so helpful.
And honestly, when I used ourchild psychiatry program, I

(13:21):
changed how I prescribemedications completely.
I just felt like I could do abetter job.

Dr. Elise Fallucco (13:27):
That's awesome.
And these child psychiatryaccess programs are now
available in pretty much all 50states.
And they're really great.

Dr. Lia Gaggino (13:33):
You know, if you're out there listening and
you're wondering do I have one?
You can go to the NationalNetwork map, NNCPAP.
org, and find your state.
And there's a number, and youcan get started.
Just that easy.

Dr. Elise Fallucco (13:47):
Thank you so much for coming on.
Thank you for being a fantasticpediatrician, fantastic
podcaster.
And I'm excited because I thinkour friends and colleagues at
Psyched4Peds can learn a lottoo.

Dr. Lia Gaggino (13:58):
Thank you so much and I love that listeners
from Pediatric Meltdown can hopon over to Psyched for Peds and
vice versa because I thinkbetween the two of us, we have a
really rich library of resourcesand conversations that are
helpful.

Dr. Elise Fallucco (14:15):
Excellent.
I think so too.
So I would encourage ourlisteners to check you out at
pediatricmeltdown.
com.
And of course, you're availableon all of the podcast players
for free.
And to our friends andcolleagues of psyched for paeds.
Thank you so much for listeningand we'll see you next week..
Advertise With Us

Popular Podcasts

Stuff You Should Know
Dateline NBC

Dateline NBC

Current and classic episodes, featuring compelling true-crime mysteries, powerful documentaries and in-depth investigations. Follow now to get the latest episodes of Dateline NBC completely free, or subscribe to Dateline Premium for ad-free listening and exclusive bonus content: DatelinePremium.com

On Purpose with Jay Shetty

On Purpose with Jay Shetty

I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!

Music, radio and podcasts, all free. Listen online or download the iHeart App.

Connect

© 2025 iHeartMedia, Inc.