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Back to School, Back to Stress, Supporting Pediatric Patients with Anxiety

August 28, 2025

We encourage you to turn on your camera. Please MUTE yourself when not speaking.

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Agenda

6:30 PM Introductions

6:40 PM Cal-MAP & Supporting Patients with Anxiety

Presentation by Dr. Joan Jeung & Dr. Petra Steinbuchel

7:20 PM Soluna & Supporting Patients with Anxiety

Presentation by Dr. Tully

7:40 PM Questions & Discussion

7:55 PM Closing Remarks

Funder Acknowledgement

The project to promote our state’s Pediatric Mental Health Care Access program, Cal-MAP, through AAP California Chapter 1 is supported by AAP National through the Health Resources and Services Administration (HRSA) of the US Department of Health and Human Services (HHS) as part of an award totaling $4,160,000 with no percentage financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the US government.

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Cal-MAP Speaker

Joan Jeung, MD, MPH, FAAP

Dr. Joan Jeung is a Clinical Professor in the Department of Pediatrics, Division of Developmental Medicine at the University of California San Francisco (UCSF) School of Medicine. Dr. Jeung serves as Senior Associate Director of the Child & Adolescent Mental Health Access Portal (Cal-MAP), the pediatric mental health care access program for California. She also directs the Resilience Clinic at UCSF Benioff Children’s Hospital Oakland, a primary care-based, caregiver/child group intervention for young children (ages 0-5) exposed to adversity. Outside of UCSF, Dr. Jeung serves on the Executive Committee for the American Academy of Pediatrics (AAP) Council on Healthy Mental and Emotional Development and on the AAP Pediatric Mental Healthcare Access National Advisory Group.

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Cal-MAP Speaker

Petra Steinbuchel, MD

Dr. Petra Steinbuchel is a child and adolescent psychiatrist and clinical professor at UCSF. She is the Director of the California Child and Adolescent Mental Health Access Portal (Cal-MAP), a consultative pediatric mental health access program designed to increase access to timely, culturally responsive and evidence-based pediatric mental health care within primary care for youth age 0-25.

She has held several key leadership and teaching positions at UCSF and has led efforts to implement expanded access of evidence-based interventions to diverse and vulnerable populations, including developing collaborative partnerships between behavioral health and pediatric primary care providers in medical inpatient, outpatient and school-based settings.

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Cal-MAP�California Child and Adolescent Mental Health Access Portal �Addressing Pediatric Anxiety��AAP-CA1 Chapter Chat

August 28, 2025

Cal-MAP

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Introductions

Please use the chat to share:

Your name, role
Your organization and location (county)
Answer Poll: Have you heard of Cal-MAP?

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An anxious teen comes for a well check…

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a Child Youth Behavioral Health Initiative ��

Cal-MAP

The California Child and Adolescent

Mental Health Access Portal

Empowering California Primary Care Providers to Assess and Treat

Mental & Behavioral Health Conditions in Youth 0-25

Introducing

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California Child Youth Behavioral Health Initiative �Continuum of Supports

General

Education

Awareness

Wellness

1:1 Coaching

Guided

Education

Self-Guided

Guided Supports

Help

Lines

Behavioral Health Integration within Primary Care

General

Mental & Behavioral Health

Intensive

Mental

Health

Expert

Consultation

to on-site

Primary Care

Providers, School counselors, licensed school-based therapists

Non-Clinical Supports

Therapy

Psychiatry

Regional Centers

Substance Use

Specialized

Mental Health

Peer

Coaching

Access

Therapy

at

School

Clinical Interventions

Cal-MAP

School-based counselors

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� helps meet the need for mental health services in a trauma-informed way

Enables California Primary Care Providers to offer

effective, timely mental health care in accessible, low-stigma setting

FREE Consultation, Training

No Cost to Families or PCPs!

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What Cal-MAP Offers

What

Cal-MAP

Offers

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FREE Consultation for primary care providers

PHONE CALLS

E-CONSULTS

Including school-based health center providers

With Child & Adolescent Psychiatrists, Psychologists, Social Workers/Care Coordinators

Cal-MAP

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Now 5:00 PM!

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FREE Training for PCPs & School-Based Staff

https://cal-map.org/s/trainings

Cal-MAP

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Cal-MAP Care Coordination Supports �Patient Access to the Right Care, at the Right Time.

Cal-MAP

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You refer her for therapy & attend a free Cal-MAP webinar on anxiety

Cal-MAP

Anxiety Assessment & Treatment

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She comes back for follow-up…

Called a few therapists but no one has room for at least 5-6 months, and many don’t take insurance
More frequent panic attacks, and starting to worry about getting them
Has started missing school
Mom doesn’t have the heart to force her to go to class.

You find out that she never got into therapy (no one with availability, and many didn’t take insurance. Is still on a few wait lists). Her mother wonders whether Lauren should start medication, and Lauren seems open to the idea if meds will help her feel better. However, since you don’t have much experience starting SSRI’s in youth, and are unsure which one to start, you wonder whether it might be helpful to call Cal-MAP for guidance in starting one. So you ask Lauren and her mother if it’s ok to call the child and adolescent psychiatrists at Cal-MAP, saying, “Psychiatrists are usually the ones prescribing this kind of medication in youth, but youth often have to wait many months to see a psychiatrist. Now, there’s a program called Cal-MAP that allows pediatricians like me to call psychiatrists and get fast advice on the best strategies for starting and monitoring psychiatric medication. This allows us to start meds a lot sooner than referring and waiting. Is it ok if I call them for advice on the best medication and doses for Lauren?”

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Online Resources – Free Download!

https://cal-map.org/s/resources/family-resources/

Cal-MAP

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During lunch, �you call � Cal-MAP …

1-800-253-2103

cal-map.org

5 minutes later you get a call back

Multiple work flows: can call yourself, ask MA to call with CB time, or place consult online with preferred CB time

Over the lunch hour, you call Cal-MAP and talk with a child and adolescent psychiatrist:

[Role play conversation?

Since she’s nearly an adult, and I believe that Zoloft is often used in social anxiety in adults, would you recommend treating her with Zoloft? I’m also considering Prozac since she is still a teen and has had some thoughts of wishing she were dead- no actual plan or prior attempts though. So which is better, Prozac or Zoloft?

[Can ad-lib from here] [Bring up medical h/o chronic, severe constipation]

[Include a GAD-7] [PHQ-9?]

Main points in consult:

No FDA approved option for tx of social anxiety in adolescents; a lot of child-adolescent psychopharm is off-label
In patients with anxiety, consider starting with sertraline rather than fluoxetine because, anecdotally, sertraline tends to be more calming with less incidence of activation
Sertraline does have a higher incidence of GI side effects, so consider switching if GI sx worsen
Duloxetine is FDA approved for GAD in adolescents but tends to have more side effects and often difficult discontinuation syndrome
Talk about the black box warning?

Based on the consultation, you decide to start sertraline 25 mg, and call back the family to discuss the risks and benefits, the black box warning, and obtain verbal (and signed) consent to start the medication.

You add on the time spent in consulting with Cal-MAP and calling the family to the total visit time, billing a higher level of care based on time spent (99215 for a total of 60 minutes in face-to-face and non-face-to-face care).

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SSRIs

-NNT ~3

SSRI	Starting dose (mg)	Titration increment (mg)	Typical dose	FDA Max dose (mg)	Properties	FDA Approval
Fluoxetine (Prozac)	10 mg	10 mg	20-40mg	60 mg	Long half-life: 5-7 days Less withdrawal symptoms May be more likely to cause activation or akathisia. Good when adherence of concern	OCD (age 7⁺) MDD (age 8⁺)
Escitalopram (Lexapro)	2.5-5 mg	2.5-5 mg	5-15mg	20 mg	Half-life: ~1 day Less med-med interactions	GAD (age 7⁺) MDD (age 12⁺)
Sertraline (Zoloft)	12.5 mg (age <12) 25 mg (age 12⁺)	12.5-25 mg (age <12) 25-50 mg (age 12⁺)	50-100mg	200 mg	Half-life: ~1.3 days May be slightly sedating, often better tolerated in younger patients with anxiety	OCD (age 6⁺)

Cal-MAP

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Other Medications for Anxiety

Second line: SNRI’s (duloxetine, venlafaxine)

if you've tried at least 2 SSRI's

Third line: buspirone, mirtazapine, hydroxyzine
Rarely used:

Tricyclic antidepressants

Worse side effect profile, need for cardiac monitoring

Benzodiazepines

Lack of efficacy in controlled trials in childhood anxiety disorders
Risk of dependency
Sedation and cognitive impairment

(Brewer 2011, Connolly 2007)

Call Cal-MAP

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(Connolly 2007)

Re-evaluate every 2-4 weeks

Start low dose SSRI

Not improved

Partial benefit

Good benefit

Increase dose

Gradually taper after full remission maintained for >12 months

Consult Psychiatry

Significant side effects

If at max dose

Continue at minimal effective dose

Change SSRI

Consider other diagnosis

Questions?

Call Cal-MAP

Cal-MAP

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SSRI Warning: Talking with Parents

Q: I've heard about the increased risk of suicide. Are these meds really safe?

A: After the black box warning was issued by the FDA in 2004, primacy care providers felt less comfortable prescribing these meds, and as the prescription rate went down. Also since this time, rates child/teen depression suicidality have increased.

Depression is worth treating, and the point of the medication is to feel better, not worse.

If you notice anything getting worse, please reach out to me right away, and don’t wait until our next visit; I would rather hear from you than have you wait.

Please feel free to contact me to discuss any concerns, or before you consider stopping medication.

In 2004, FDA issued black-box warning advising clinicians to carefully monitor pediatric patients receiving treatment with antidepressants (including SSRIs) for worsening depression, agitation, or suicidality
Analysis of 23 RCT found slightly increased risk (3.8% vs. 2.2%) of suicidal ideation & self-injury
No increased risk of completed suicide

Cal-MAP

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Psychoeducation: �Behavioral Measures to Overcome Anxiety

Exposures are the KEY INGREDIENT in effective CBT for youth anxiety

Cal-MAP

The psychiatrist also mentions that psychologists are available for consultation as well and suggests a psychology consultation to discuss ways to help Lauren take brave steps to overcome her anxiety, since continued avoidance of an anxiety-provoking situation (like going to a new school) tends to make anxiety worse. You place a psychology consult online, scheduling a time to speak with a child psychologist who explains to you how to guide the family in gradually increasing exposure to social situations in small, brave, but meaningful steps. Because so many of your patients have anxious tendencies, you realize that you can apply this guidance to other anxious children and teens to help them take important behavioral steps to overcoming anxiety.

This guidance is especially helpful since Lauren is still on a wait list for therapy. The psychologist tells you about some free online resources that Lauren and her parents can use to learn CBT-based coping and exposure skills (next slide)

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https://cal-map.org/s/article/Online-Resources-for-Anxiety-Family

https://www.schleiderlab.org/empower.html

Cal-MAP

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Cal-MAP eConsult: �Secure messaging with a Psychiatrist�

A week after starting sertraline 25 mg, Lauren’s mother sends a message in MyChart that she’s having some abdominal pain and headache. You place an e-consult asking the psychiatrists what you should do.

Cal-MAP

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Login to Cal-MAP.org & select “Request a Consult”

Cal-MAP

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Cal-MAP psychiatrist eConsult response

Later that day, you get an email notifying you that the psychiatrist has responded. You login to find the recommendation to take the medication with food, hydrate well, and monitor for a month to see if she can tolerate the medication. You reply back in MyChart with this advice.

Secure messaging on cal-map.org

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Common Side Effects	Management Strategies
GI upset (Nausea, diarrhea, pain)	Take with food Usually subsides within 2 weeks
Headache	Supportive care Usually subsides within 1-2 weeks
Fatigue, low energy	Administer at bedtime If symptoms persist and impairing, consider switching to different medication.
Difficulty sleeping	Administer in AM Discuss sleep hygiene, evaluate for other causes of sleep disorders
Less Common Side effects (<10%)	Management strategies
⬆ Agitation, Restlessness / Akathisia Anxiety	Usually self-limiting within 2-4 weeks If persistent and intolerable: Decrease to lower dose Switch to different medication
Sexual dysfunction	Switch to different medication
Dry mouth	Supportive care (sugarless gum, candy, hydrate)
Tremors	If persists for longer than few weeks, and impairing switch to different medication

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1 month later, Lauren comes back…

Abdominal pain and headache improved with your suggestions

Anxiety a little better, but still pretty anxious (GAD-7 = 11)

Willing to get out of the car and go to class, with fewer panic attacks

Still hasn’t gotten into therapy, but parents found the guidance on exposure to be very helpful

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Your Next Steps

Based on prior conversations with Cal-MAP + the webinar, you decide to increase the sertraline dose to 50 mg and follow up in a month

Due to the difficulties in getting into therapy, you decide to place a Cal-MAP care coordination e-consult to find therapists skilled in CBT for children who practice in Lauren’s area and who take her insurance

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Care Coordination & Resource Navigation

Cal-MAP

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Add time spent speaking with Cal-MAP consultant into total patient visit time
Consult must be on same day as Cal-MAP consult BUT doesn’t need to be at same time as visit

E.g. “I spent 15 minutes consulting on the case with Cal-MAP psychiatrist for behavioral health management guidance.”

99417 for each additional 15 minutes above that for care (total FTF and non-FTF) on the same day

Can I bill for the time spent consulting with Cal-MAP on the date of service?

YES!

Check out the American Academy of Pediatrics (AAP) Practice Management website, with helpful resources, including coding education and AAP Coding & Payment Hotline:

https://www.aap.org/en/practice-management/child-health-finance-payment-strategy/

New Patient Code	2024 “Total time on date of service meets or exceeds” _min
99202	15
99203	30
99204	45
99205	60

Existing Patient Code	2024 “Total time on date of service meets or exceeds” _min
99212	10
99213	20
99214	30
99215	40

Cal-MAP

Same-day Cal-MAP PCP Consult Billing

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Can I bill for consulting Cal-MAP outside of date of service?�YES �

For Requesting PCPs (physicians, NPs, PAs), use code

99452: Interprofessional Telephone & Internet Consultation Billing

16-30 minutes in a service day preparing for consult and/or communicating with consultant
> 50% of time must be medical consultative verbal or internet discussion
May not be reported more than once in a 14-day period
PCP may also report face-to-face prolonged care codes with this service if an E/M service is also provided and time > 30 minutes beyond the typical time
Don’t count time twice: Office visit time cannot be included in the time used to report 99452.

Cal-MAP

Other-day Cal-MAP PCP Consult Billing

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Clinical & Clinician Impact: Addressing Burnout

“Cal-MAP consultation helps to address Provider Burnout, so that you can keep your FQHC staff around, which is beneficial for everyone. I think if there is a pressure to see volume, you get compassion fatigue. You start feeling more unsure that you're actually making a difference, or how to really do that effectively.

Having resources and tools available increases your feeling of confidence and willingness to keep trying and not to just send everybody to the emergency room.

It makes you want to schedule that 2 week follow up appointment and squeeze them in.”

-Pediatrician/Cal-MAP User

Cal-MAP

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Take-Aways

Pediatric primary care providers can play an important role in addressing anxiety and other mental health needs
Cal-MAP can help support PCPs in this important role through consultation, training, and care coordination/resources
This service is free, accessible, and designed to promote healing and equity
Cal-MAP can help PCPs provide evidence-based, effective care in a timely way

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Connecting For Care

Sunflowers communicate with each other underground through their root system, to ensure optimal growth for all.

Similarly, we want to ensure we are connecting for care with you, to ensure optimal development of California’s youth.

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Questions?

Contact: Petra Steinbuchel, MD

Petra.Steinbuchel@ucsf.edu

Joan Jeung, MD FAAP

Joan.Jeung@ucsf.edu

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Additional Reference Slides

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Consult Questions & Diagnoses

75% of consults involved 2 or more psychiatric diagnoses

36% of consults involved 3 or more diagnoses

Diagnoses	Primary	Secondary
Anxiety Disorder	22%	26%
Depressive Disorder	14%	17%
ADHD	27%	17%
Substance-Related Disorder	2%	2%
Autism Spectrum Disorder	17%	7%
Trauma & Stressor-Related Disorder (e.g. PTSD)	4%	9%
Feeding & Eating Disorder	2%	2%
Suicidality or Self-Harm	1%	1%
Other	11%	19%

Cal-MAP

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Cal-MAP

Communication Skills	Promotion & Prevention	Evidence-based Assessment	Evidence-based Psychosocial Intervention	Evidence-based Psychopharmacological Skills	Team-based Skills
Therapeutic Alliance with Families	Anticipatory Guidance Identify Emerging Symptoms	Screeners & Rating Scales Diagnose Common Conditions Recognize Emergencies	Deliver brief interventions Refer	First line for ADHD, Depression, Anxiety	Plan Care Coordinate Transition to higher level

American Academy of Pediatrics Primary Care Mental Health Competencies, 2019, 2025.

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Clinical Requirements & Competencies 2025

Buchter et al. 2024

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“Curbside” Consultations

Providers can consult directly with:

Child and Adolescent Psychiatrists
Psychologists with Specialized Expertise -Substance Use, Autism, Mood & Behavior
LCSW Care Coordinators

Fast, convenient, on-demand

No question is too small!

Telephone	e-Consult
Monday-Friday, 8:30am-5pm Receive a call back within 5 minutes, max 30 minutes Receive consult letter detailing discussion and recommendations within 24 hours	Request anytime Receive written recommendations within 1 business day

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Training: Regular Events

Webinars (Live)

Virtual, live, monthly lectures + Q&A

Condition & Topic specific

Project ECHO

Primary Care: Dx/Tx

-Core

-Advanced

School-Based

On-Demand Webinars

Recordings of prior webinars + quiz for CME credit

18 modules

Includes Core Curriculum (eligible for Core Badge)

https://cal-map.org/s/trainings

Cal-MAP

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Soluna Speaker

Laura Tully, PhD

Dr. Tully is a Harvard-trained Licensed Clinical Psychologist, former professor at University of California, Davis, and nationally recognized expert in digital mental health, with over 18 years of experience designing, evaluating, and implementing scalable solutions for youth in community and state-level settings. Dr. Tully’s leadership is anchored in evidence-based practice, real-world implementation, and a deep commitment to equitable and accessible youth mental health care. As VP of Clinical Integrations & Partnerships at Kooth, Dr. Tully leads Soluna’s national partnerships and integrations strategy—overseeing cross-sector partnerships, system-level integration efforts across education, healthcare, and community sectors. Dr. Tully has deep experience securing and managing multi-million dollar public contracts, developing clinical governance protocols at scale, and has worked closely with state agencies and large health systems like CA DHCS, NJ DCF, and Kaiser.

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Introducing…

A CalHOPE Program

Dr. Tully (they/them)

VP, Partnerships tully@kooth.com

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Soluna Features & Content

2

Soluna provides free mental health support to all 13-25 year olds in California via smartphone, tablet, or web. Available in English & Spanish, Soluna includes self-guided resources & coping tools, peer community, and 1:1 coaching.

Available in English and Spanish + phone coaching available in 17 Medi-Cal Threshold Languages

^*9pm is the last coaching chat start time; coaching chats can continue through 10pm

Self-guided resources & coping tools

Pre-moderated community forum for peer support

1:1 behavioral health coaching

10am-10pm^*[chat, video, phone]

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In-App Features & Content

3

Self Support

Peer Support

Professional Support

Community Resources

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Coaches are certiﬁed mental health professionals

4

What They Do:

Moderate posts and safeguard journal entries to ensure safety
Host drop-in chats and scheduled sessions

Certified Peer Support Specialists: Bring lived experience of mental health recovery or other social challenges
Mental Health Support Professionals: Experienced practitioners
Substance Use Disorder Counselors: Specially trained and certified in supporting youth with substance use challenges
Supervised by Licensed Clinical Professionals: LMFTs, LCSWs, LCPs, or similar who provide training, supervision, and safeguarding support

Qualifications:

BA or MA in mental health field OR certification in peer support services
80+ hours of training, certifications, & continuing ed
Thoroughly vetted with background checks

Features: Coaching

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Safety First!

Prioritizing Safety

5

All user-generated content is pre-moderated before going live on the platform

Soluna’s anonymous model protects service-user identity

Robust safeguarding policies for risk management (suicide ideation, etc.)

Service users cannot directly message each other; no possibility for inappropriate content or interactions

Service users can create a Wellness & Safety Plan

for reference during challenging times or crises

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Features: Coaching

6

Traditional healthcare
Food supports
Housing arrangements

Soluna also has a care navigation service team that connects youth to local support and ensures they receive the care they need, when they need it

Trained care coordinators connect young people to needed resources from an extensive database of carefully curated resources and vetted affiliate partners

Whole-Person Approach to address Social Determinants of Health

Transportation
Financial resources
Behavioral healthcare

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Aﬃliate Network

7

Affiliate Network Partners as of June 2025

San Mateo

Allcove

Bay Area Community Health (Clinical Associates)

Blue Oak Counseling Services Brain Health USA

Castle Rock Charlie Health

Children’s Health Council Children’s Institute

Equip

Evolve Adolescent Behavioral Health

Foresight Mental Health FundaMental Health

Grow Through Life Counseling Hannah Fischer Counseling Hearts and Hands Counseling

Inspiring Transformation Across Generations (I-TAG)

Lightfully Behavioral Health

Manatee

McKinley Children’s Center Narooz Clinic

Poppy Life Care

Psychological Services of Riverside

San Diego Center for Children

Seneca Family of Agencies SHEKonnect

Tarzana Treatment Centers The Sedona Project

Trust Mental Health

UCSD Eating Disorders Center

University of California Office of the President

Valley Care Community Consortium

Ventura College Student Health Center

Aﬃliate Network Partners

*PROPRIETARY AND CONFIDENTIAL TRADE SECRET – NOT SUBJECT TO PUBLIC RECORDS REQUEST

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Soluna Impact Data

8

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Since its launch in January 2024, Soluna has reached Youth in all 58 counties in California

Soluna Expands Access to Behavioral Health Support

129k+

Californian Youth on Soluna as of July 31, 2025

Reporting period Jan 1, 2024 - July 31, 2025

50-99

1-49

10,000+

5,000-9,999

1,000-4,999

500-999

100-499

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57%

of users are from under resourced

communities^1*

Since launching January 2024, Soluna has increased access to mental health supports for underserved California youth

Expanding Access to Care & Reaching Underserved Communities

10

Service Users love Soluna Coaching:

45%

of coaching sessions occur outside of 9-5pm¹

^*Defined by the Healthy Places Index

85%

of coaching users meet at least one need during a single coaching session¹

93%

of coaching users reported they would recommend Soluna to a friend¹

1 in 3

Users wouldn’t have access to mental health support without Soluna²

50%

Of users report Soluna is their first time accessing mental health services²

48%

of users identify as Latine / Hispanic¹

53%

of users identify BIPOC Youth¹

- Reporting period Jan 1, 2024 - June 30 2025
- Soluna User Feedback Survey [Stellar] Fall 2024 eligible users in California

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What Soluna Users Say

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Soluna has given me tools and resources, but beyond that built trust in myself to use these resources when I need it.”

– Soluna user, age 25

I finally feel like I am able to talk to someone, and it takes a huge weight off my shoulders. Being able to talk to someone trained to help me for no charge is wonderful…”

– Soluna user, age 15

Soluna has helped me feel heard about my problems, learn how to change what I can and cope with what I can’t.”

– Soluna user, age 20

82%

have learned that they aren't the only one going through certain things or feeling the way they do¹

1 - Soluna User Feedback Survey [Stellar] Fall 2024 eligible users in California

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Integrating Soluna into your Practice

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Soluna can be seamlessly integrated into standard care in three ways to support youth and prevent gaps

Integrating Soluna

13

PRE-APPOINTMENT SUPPORT

Schedule a coaching session while on a waitlist

IN-BETWEEN SESSION SUPPORT

Use Mood Log tool to track emotions and energy levels

DISCHARGE PLANNING + BOOSTER SUPPORT

Embed Soluna into resource mapping

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Encourage youth to use Soluna for healthy engagement with their phones

Soluna: Self Care

14

Wind Down

Before bedtime, make it a ritual to track your mood. Reflect on the highs and lows, and recognize patterns over time.

Morning Boost

Start your day by shaking up some positive affirmations. Read out loud and set your intention for the day.

Commute Meditation

Heading to work or school? Don’t scroll! Use Soluna for a little breathwork and mindful, meditative moments instead.

Waiting Game

Waiting in line or for appointments? Skip aimless scrolling and open Soluna for a short activity or community post.

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Soluna helps youth practice three types of self-care for improved mental health and sense of belonging

Soluna: Self Care

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Self-Soothing Behaviors

Provides immediate comfort and emotional regulation

Mastery Behaviors

Builds conﬁdence and purpose though a sense of accomplishment

Community Behaviors

Strengthens social connections, belonging, and values

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Self-Soothing

Soluna: Self Care

16

Thought Shaker

Begin or end each day with affirmations to boost confidence

Noise Cleanse

Minimize distractions to enhance focus and calm

Journaling

Process emotions and reduce stress by clarifying thoughts

Purpose: Supports emotional regulation by providing immediate comfort and relaxation

EXAMPLES IN SOLUNA

CONTENT HIGHLIGHTS IN SOLUNA

Story: How to S.T.O.P. overwhelm

Audio meditation: Mind your movement: stretching to release stress

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Mastery

Soluna: Self Care

17

Goal Setting

Define and track personal goals using our tool to become your ideal self

Coaches

Partner with professionals to monitor progress and build capability

Care Navigation

Find community resources to address additional needs

Purpose: Boosts confidence and self-worth by engaging in activities that give a sense of progress or achievement

EXAMPLES IN SOLUNA

CONTENT HIGHLIGHTS IN SOLUNA

Story: Tiny tweaks, big wins: how to hack your habits

Story: Build a routine (and stick with it) the S.M.A.R.T. way

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Community Engagement

Soluna: Self Care

18

PRE-MODERATED

Community Forum

Share wisdom and seek advice in a safe space

Coaches

Mental health experts who offer guidance and strengthen your support system

Care Navigation

Find meaningful connections with community resources, mentorship, and groups

Purpose: Strengthens connections with others, providing a sense of belonging and support

EXAMPLES IN SOLUNA

CONTENT HIGHLIGHTS IN SOLUNA

Story: Malena’s texts: My fam and I are undocumented

Story: Discover your support network

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Follow us on social for all the

info you don’t want to miss!

Take Action

19

@soluna_app

@soluna.app

@soluna

Visit solunaapp.com/impact to learn more.

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Download the demo version of Soluna

Apple Users

¹Android Users

Swipe up to completely close out of the TestFlight App

Download the TestFlight App

1

2

3

Scan here

4

Scan here

Complete registration to access the app

When prompted for your birth date, use: December 16, 2009

2

Complete registration to access the app

When prompted for your birth date, use: December 16, 2009

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Thank you!

Together, we can change lives.

For more info go to: solunaapp.com/impa c t

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Questions & Discussion

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Please Fill Out Our Survey!

https://www.surveymonkey.com/r/YF95QGK

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Upcoming Meetings

See our events page to register: https://aapca1.org/events/

Autism Spectrum Disorders Presenting in Early Childhood�Friday, September 12, 2025 | Zoom | 12:00 pm
Supporting Worried, Anxious, and Avoidant Students�Monday, September 15, 2025 | Zoom | 9:00 am
Committee Meeting: Climate Change and Child Health�Monday, September 15, 2025 | Zoom | 12:00 pm
Immigrant Health Symposium�Friday, September 19, 2025 | UC Law SF, 200 McAllister St, San Francisco, CA 94102 | 8:00 am
Diagnosing and Treating Anxiety in Children: The Foundation�Friday, October 10, 2025 | Zoom | 12:00 pm
Addressing Student Attention, Learning, and Rule-Following Concerns With School Behavior Plans�Monday, October 20, 2025 | Zoom | 9:00 am
Developmental & Behavioral Pediatrics and the School Health Committee Meeting�Tuesday, October 28, 2025 | Zoom | 7:00 pm

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Closing Remarks

Communications

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: California Chapter 1, American Academy of Pediatrics

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