Behavioral Health Advisory

Turning Evidence-Based Behavioral Health into Scalable, Measurable System Performance

We partner with health systems to design, implement, and scale behavioral health programs — combining clinical expertise with the operational rigor of world-class management consulting.

Trusted by leading health systems and academic medical centers

Measurable Results Across Behavioral Health

2,000+
Patients Reached
annually with prevention
98%
Provider Confidence
up from 43% baseline
86K+
Records Linked
state data partnership
1,432
Telehealth Visits
in 65 days from zero
0
Completed Suicides
128 high-risk, 6-mo f/u
74.6%
Screening Compliance
from 50.9% baseline

Clinical Depth Meets Operational Rigor

Too often, clinical excellence alone isn't enough. Evidence-based interventions go underutilized, resources are misallocated, and patients fall through the cracks — not because of a lack of expertise, but because of systemic gaps in execution.

Little Dove was founded to close that gap. We combine the clinical depth of experienced behavioral health practitioners with the operational discipline of world-class management consulting — a combination that is rare in behavioral health advisory.

Our co-founders bring complementary expertise: Kristin's years of clinical program design and quality improvement across major health systems, paired with Kevin's years driving large scale operational transformations as a Private Equity-backed COO and McKinsey Partner. Together, they ensure every engagement moves from strategic vision through disciplined execution to measurable, lasting impact.

Evidence-Based Rigor
Every recommendation grounded in the best available research and clinical evidence — not opinion.
Execution Discipline
Structured project management, performance governance, and critical-path acceleration from day one.
Capacity Building
We work alongside your teams, building internal capability rather than creating dependency.
Measurable Outcomes
We define success metrics upfront and track against them rigorously throughout the engagement.

Partners Across the Care Continuum

Large Health Systems

Multi-site behavioral health integration

Children's Hospitals

Pediatric BH program design & QI

Academic Medical Centers

Research-informed implementation

Construction & Industrial

Workforce mental health & suicide prevention

Community Health Orgs

Evidence-based practice adoption

State & Federal Partners

Data partnerships & grant initiatives

Ready to Transform Your Behavioral Health Programs?

We'd welcome the opportunity to learn about your organization's goals.

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Dr. Kristin Kroll

Dr. Kristin Kroll

Co-Founder · Clinical Strategy

Dr. Kristin Kroll is a Licensed Psychologist and healthcare innovation leader with over 15 years of experience in clinical psychology and healthcare consulting. She specializes in pediatric mental health, health systems innovation, and suicide prevention — and has built a career transforming mental healthcare for children, adolescents, and families through strategic initiatives and systems-level thinking. She holds a PhD in Counseling Psychology from the University of Georgia and is licensed to practice in Texas, South Carolina, Wisconsin, and Georgia.

She served as Assistant Professor at the Medical College of Wisconsin and as a Pediatric Psychologist at Children's Wisconsin.

From Bedside to System-Wide Impact

My path in psychology began simply: I wanted to help people at their most vulnerable. That calling led me to psychiatric hospitals, VA facilities supporting veterans with TBI, spinal cord injuries, and PTSD, and children's hospitals where families faced cystic fibrosis and congenital heart disease.

Then COVID-19 hit. I stood up a telemental health program for an entire healthcare system overnight. This opened a new chapter consulting for two top children's hospitals — where a troubling pattern emerged: clinical expertise too often failed to translate into sustainable systems.

This shifted my mission. Helping vulnerable populations means helping the systems that serve them.

When systems work better, everyone — especially those most in need — benefits.

Kevin Kroll

Kevin Kroll

Co-Founder · Operations & Strategy

Kevin is a purpose-driven operational leader who has spent his career making complex systems perform. As COO of Takanock, an ArcLight portfolio company, he leads the development and construction of a high growth 8GW pipeline of natural gas fired power projects serving the data center market. While COO of RWE Clean Energy, he led a 1,200 person team responsible for an 11GW operation fleet with more than $4B in active construction. Prior to RWE, he spent seven years at McKinsey & Company, including three years as global partner lead for the renewables capex service line doubling growth each year. A nuclear engineer by training, he spent his first decade in new nuclear plant engineering, licensing and construction, including 5 years at Vogtle 3&4 where he led construction planning for the $30b+ project.

From Billion-Dollar Programs to Behavioral Health Impact

I've spent my career driving operational performance improvement in high stakes environments — first in nuclear energy where I helped lead project recovery efforts when Vogtle 3&4's cost overruns and schedule delays pushed Westinghouse into Chapter 11 bankruptcy. Then at McKinsey where I advised organizations on how to translate ambitious goals into disciplined execution. And now as COO within a high growth PE backed portfolio company powering the future of AI. Across these experiences, the challenge was always the same: aligning people, processes, and resources to deliver results at scale.

Through Kristin's work, I saw firsthand how behavioral health systems struggled with the same execution challenges I'd spent my career solving: misallocated resources, misalignment between top executive vision and frontline employee behavior, stalled implementations, and initiatives that never scaled beyond pilot programs.

Healthcare deserves the same execution rigor as any billion-dollar enterprise — because the stakes are even higher.

01

Strategic Planning & Advisory

Health systems often have ambitious behavioral health goals but lack a structured roadmap. We bring executive-level strategic planning methodology to behavioral health.

Solves: Unclear priorities, fragmented initiatives, misaligned resources
For: C-suite leaders, BH division heads, grant-funded programs
After: Clear multi-year roadmap with milestones, resource allocation, and success metrics

Key Deliverables

Multi-year strategic roadmaps
Grant strategy & proposal writing
Data-informed program planning
Executive-level strategic advisory
Stakeholder alignment workshops
02

Operational Excellence & Execution

Clinical initiatives often fail not because of bad ideas, but because of poor execution. We bring the project management discipline of large-scale infrastructure programs to behavioral health.

Solves: Stalled implementations, scope creep, lack of accountability
For: Program managers, clinical ops leaders, multi-site systems
After: Initiatives on time, on budget, at scale — with governance for sustained performance

Key Deliverables

Critical-path project management
Performance management frameworks
Cross-functional team alignment
Governance structures & reporting
Process optimization
03

Clinical Program Design & Implementation

Designing effective programs requires deep clinical knowledge and the ability to adapt interventions to busy clinical settings.

Solves: Gaps in screening, inconsistent protocols, underutilized interventions
For: Clinical directors, psychiatry departments, BH teams
After: Standardized, evidence-based programs embedded in daily workflows

Key Deliverables

Suicide prevention & screening programs
Telehealth service design
Diagnostic standardization
Clinical algorithm development
Risk management protocols
04

Quality Improvement & Measurement

You can't improve what you don't measure. We build the data infrastructure and QI processes that allow systems to track outcomes and demonstrate value.

Solves: Lack of outcome data, compliance gaps, inability to demonstrate ROI
For: Quality officers, compliance teams, payer-facing leaders
After: Real-time outcome tracking, demonstrated compliance, data-driven improvement

Key Deliverables

KPI development & dashboards
Compliance initiatives
Productivity benchmarking
State-level data partnerships
EMR-linked outcome tracking
05

Training & Workforce Development

Even the best-designed programs fail without a trained, confident workforce. We design large-scale training that builds lasting competency.

Solves: Workforce skill gaps, low protocol adoption, provider burnout
For: Training directors, clinical supervisors, HR/workforce leaders
After: Confident providers delivering evidence-based care consistently across the system

Key Deliverables

Large-scale provider training
Clinical workflow adoption support
Evidence-based practice integration
Competency assessment frameworks
Ongoing coaching & support models
Telehealth

Telehealth Innovation

Challenge: A major hospital system had zero telehealth capacity for its 53 mental and behavioral health providers when COVID-19 struck.

Solution: Little Dove designed and delivered a comprehensive telebehavioral health training program with quick-start guides, emergency protocols, and age-specific assessment tools.

Outcome: From zero to 1,432 visits in 65 days. Provider confidence rose from 43% to 98%. Training accessed 495 times in year one.

1,432
Telehealth Visits
in 65 days
98%
Provider Confidence
up from 43%
495
Training Accesses
in one year
Prevention

Proactive Suicide Prevention

Challenge: A large hospital system needed evidence-based suicide prevention across urgent mental health and bridge clinics.

Solution: Text-based screening and intervention model expanded to two evidence-based interventions across high-volume locations.

Outcome: 2,000+ patients reached annually. Zero completed suicides among 128 high-risk patients at 6-month follow-up. ER returns 2.5% below national benchmarks.

2,000+
Patients Reached
annually
0
Completed Suicides
128 high-risk, 6-mo
2.5%
ER Return ↓
below national
Screening

Universal Suicide Risk Screening

Challenge: Screening compliance at just 50.9% for patients aged 10+ across mental health services.

Solution: Standardized screening workflows, clear protocols, and quality improvement integrated into clinical pathways.

Outcome: Compliance reached 74.6% by Q3 2025 — a 23.7 percentage point increase — with 70+ providers trained.

74.6%
Compliance
by Q3 2025
23.7%
Increase
from Q4 2023
70+
Providers Trained
new workflows
System Transformation

System-Wide Clinical Transformation

Clinical algorithm development for 1,000+ urgent care patients, productivity KPIs for 25,000 annual visits, risk management protocols for underserved populations, and a pioneering state data partnership linking vital records to EMR systems across 86,000+ patient records.

This transformation demands structured project management, cross-functional coordination, and performance governance — exactly what Kevin's background as COO of RWE Clean Energy and McKinsey Partner brings to every engagement.

86K+
Patient Records
state data link
25K
Annual Visits
benchmarked
$100K
Grant Secured
suicide prevention

Defined milestones, transparent metrics, and clear accountability at every stage.

1

Discovery & Diagnostics

Stakeholder interviews, data audit, infrastructure assessment. Define baseline metrics and governance structure.

2

Strategic Roadmap

Co-develop milestones, KPIs, resource allocation, and accountability frameworks with your leadership team.

3

Disciplined Implementation

Execute against defined milestones. Weekly governance cadence, risk tracking, and real-time course correction.

4

Measurement & Accountability

Track outcomes against baseline metrics. Structured performance reviews and stakeholder reporting.

5

Dissemination & Sustainability

Publish results, transfer governance to internal teams, and ensure lasting capability beyond our engagement.

We'd Welcome the Opportunity

Tell us about your organization's goals and challenges, and we'll explore how Little Dove can help you achieve measurable, lasting impact across your behavioral health programs.

Dr. Kristin Kroll

Co-Founder · Clinical Strategykristin.kroll@littledoveconsulting.com

Kevin Kroll

Co-Founder · Operations & Strategykevin.kroll@littledoveconsulting.com

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