IMPACT AREA

Improving behavioral health

CHRT aims to enhance community mental health services by both increasing access to behavioral health services and improving their quality, all while implementing ongoing evaluations.

Q: How should we evaluate CCBHCs?Q: How can we maximize the impact of opioid settlement dollars?Q: What did we learn from Michigan’s Promoting the Integration of Primary and Behavioral Health Clinics?
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Q

How should we evaluate Certified Community Behavioral Health Clinics (CCBHCs)?

By developing a comprehensive evaluation design, using input from evaluators and key stakeholders.

CHRT's RolE:

CHRT provided health research, analyses, surveys, demonstration projects, and consulting, drawing on experience with the complexities of Michigan's public behavioral health system.

Impact:

The evaluations considered how community mental health departments benefit from using the CCBHC model, assessed the impact of enhanced access, and compiled lessons learned to help future CCBHCs.

Services: program evaluation

34

Michigan CCBHCs

27

new staff hired per clinic

CCBHCs increase people served by 40-100%

Q

How can we maximize the impact of opioid settlement dollars?

Through evidence-based best practices for programs to address gaps in care.

CHRT's RolE:

CHRT conducted an analysis of the needs of the substance use disorder recovery supports and services providers in Michigan and developed recommendations for local and state governments for use of Opioid Settlement Funds to address those gaps.

Impact:

CHRT provided many recommendations including: increased access to medication-assisted treatment, expanded treatment for neonatal abstinence syndrome, warm handoffs, improved treatment for incarcerated individuals, and new prevention programs.

Services: Community health needs analysis, data collection, key informant interviews, mental health and substance use

4

main gaps identified in Michigan

$800M

received by Michigan from the settlement

$400M

distributed across the state for local efforts

Q

What did we learn from Michigan’s Promoting the Integration of Primary and Behavioral Health Clinics project?

In 2018, CHRT and the Michigan Department of Health and Human Services worked with three distinct Community Mental Health Service Providers and Federally Qualified Health Center partnerships from underserved Michigan counties to improve primary and behavioral health care integration at their respective sites.

CHRT's RolE:

CHRT conducted a five-year evaluation on the success of integration at the three sites using a mixed methods approach which included interviews, quarterly reports, surveys, and standardized outcome measures.

Impact:

Achieved progress towards integration through increased collaboration and communication between the primary and behavioral health agencies, improved data collection and utilization, increased provider training, and improved ability to sustain services through reimbursable Medicaid codes. The selected sites further demonstrated improvements in daily functioning in follow-up assessments.

Services: evaluation, qualitative analysis, quantitative analysis, quality improvement

73%

of clients reported ability to deal with crisis, compared to 58% at baseline

100%

of the participating sites implemented social needs screening and referrals

1,567

clients received integrated services through PIPBHC

Impact Section: Enhancing equity

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