Understanding community health needs
Boston Children’s Hospital conducts a comprehensive Community Health Needs Assessment (CHNA) every three years as required by the Internal Revenue Service.
In 2025, Boston Children’s conducted its latest CHNA to identify the health-related needs, strengths, and resources available to children, youth, families, and residents in Boston — with special emphasis on the neighborhoods of Dorchester, Jamaica Plain, Mattapan, Mission Hill, and Roxbury. The assessment also looked at children living in the communities served by Boston Children’s locations outside of Boston, which include Brockton, Brookline, Framingham, Lexington, North Dartmouth, Peabody, Quincy, Randolph, Waltham, and Weymouth.
The assessment shows that many families are struggling with rising housing costs, food insecurity, and limited access to health care — especially mental health services. Youth mental health concerns are widespread, with high rates of anxiety and depression, particularly among LGBTQ+ and immigrant youth. Chronic conditions like asthma and obesity remain prevalent, disproportionately affecting communities of color. Environmental health issues, including air pollution and climate change, are emerging threats to child development and well-being. Safety concerns in schools and neighborhoods also impact youth, contributing to stress and missed school days. Despite these challenges, the assessment underscores the resilience of Boston’s communities and their commitment to creating healthier, more equitable environments for children to grow and thrive.
This assessment informs the Community Health Implementation Plan, which outlines how Boston Children’s plans to address the needs identified through 2028.
