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NOTES

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. NOTES

See https://www.samhsa.gov/sites/default/files/ccbh_clinicdemonstrationprogram_071118.pdf . Oklahoma and Oregon launched their CCBHC programs statewide on April 1, 2017, and the remaining six states launched theirs on July 1, 2017.
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REFERENCES

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. REFERENCES

Advocates for Human Potential, Inc.. (2018). Certified Community Behavioral Health Clinics Demonstration Program, Report to Congress, 2017. Rockville, MD: Substance Abuse and Mental Health Services Administration. Retrieved from https://www.samhsa.gov/sites/default/files/ccbh_clinicdemonstrationprogram_071118.pdf .
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GLOSSARY OF ACRONYMS

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. GLOSSARY OF ACRONYMS

ADHD Attention Deficit/Hyperactivity Disorder ASAM American Society of Addiction Medicine ASPE HHS Office of the Assistant Secretary for Planning and Evaluation AWM Ambulatory Withdrawal Management
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APPENDIX B: State Snapshots--Compliance Monitoring

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. APPENDIX B: State Snapshots--Compliance Monitoring

NOTE : Information provided in state snapshots was gathered from demonstration grant applications and conversations with state officials.
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APPENDIX A: Certified Community Behavioral Health

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. APPENDIX A: Certified Community Behavioral Health Clinics by State

MINNESOTA Northern Pines Mental Health Center Northwestern Mental Health Center People, Incorporated Ramsey County Mental Health Center Wilder Children and Family Services Zumbro Valley Health Center MISSOURI Burrell Behavioral Health Care Center
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PART III: PROSPECTIVE PAYMENT SYSTEM

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. PART III: PROSPECTIVE PAYMENT SYSTEM

CCBHCs participating in the demonstration receive Medicaid payment for services delivered to Medicaid beneficiaries through a PPS. States receive federal matching funds at an enhanced rate for CCBHC expenditures. In accordance with Section 223 of PAMA, CMS developed guidance for states on how to determine rates when using a PPS methodology. The ag
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PART II: FIRST-YEAR IMPLEMENTATION

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. PART II: FIRST-YEAR IMPLEMENTATION

Section 223 of PAMA requires that states abide by certain criteria and certify clinics to participate in the demonstration program. The CCBHC Report to Congress, 2017 describes the process by which SAMHSA developed criteria for the six statutory requirements: (1) staffing; (2) availability and accessibility of services; (3) care coordination; (4
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PART I: FIDELITY

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. PART I: FIDELITY

Demonstration programs are opportunities to systematically determine the effectiveness of new or innovative approaches to challenging issues. Section 223 of PAMA authorized exploration of the extent to which states can improve mental health and substance use disorder (MH/SUD) services through the establishment and operation of CCBHCs. CCBHCs provi
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INTRODUCTION

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. INTRODUCTION

Between April and July 2017, the U.S. Department of Health and Human Services (HHS) provided funding to eight states to operate certified community behavioral health clinic (CCBHC) demonstration programs as called for under Section 223 of the Protecting Access to Medicare Act (PAMA; Public Law 113-93) (as shown in Figure A ). In this two-year dem
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EXECUTIVE SUMMARY

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018. EXECUTIVE SUMMARY

Section 223 of the Protecting Access to Medicare Act (PAMA) of 2014 (Public Law 113-93) is prompting significant improvements in the availability and quality of services to men, women, and children living with mental illness and substance use disorders (SUDs). As authorized by PAMA, eight states are participating in two-year demonstration programs
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Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018

U.S. Department of Health and Human Services September 2019 Printer Friendly Version in PDF Format (61 PDF pages)
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Certified Community Behavioral Health Clinics

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018

This 2018 report highlights participating states’ CCBHC activities that have been associated with improving access to a comprehensive range of treatment and recovery support services. The range of services includes delivery of mental health, addiction, and either screening for general medical conditions or onsite access to primary care during th
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Non-Fatal Opioid Overdose and Associated Health

Non-Fatal Opioid Overdose and Associated Health Outcomes: Final Summary Report

Non-Fatal Opioid Overdose and Associated Health Outcomes: Final Summary Report Jon Zibbell, PhD, Jennifer Howard, PhD, Sarah Duhart Clarke, BS, Abigail Ferrell, BA, and Sarita L. Karon, PhD RTI International September 2019 Printer Friendly Version in PDF Format (33 PDF pages)
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Non-Fatal Opioid Overdose and Associated Health

Non-Fatal Opioid Overdose and Associated Health Outcomes: Final Summary Report

Non-fatal opioid overdose (NFOO) is a significant cause of opioid-related morbidity in the United States. As the number of NFOOs continues to grow, it is important to understand the short- and long-term consequences of NFOO. This report examines the existing literature on the acute and chronic health and functional outcomes of individuals who expe
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Client Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Client Survey

CLIENT SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY Thank you for completing the Survey of the Delivery of Evidence Based Psychotherapy. Please read the following statement and choose "yes" or "no" below. CONSENT TO PARTICIPATE IN THE SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY I understand that:
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Supervisor Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Supervisor Survey

SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY: SUPERVISORS Instructions: Please complete this survey based on your observation of the recent therapy sessions with ________________________________(clinician) and ________________________ (client). Note: Not every therapeutic element will be delivered in every therapy session.
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Clinician Survey

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. Clinician Survey

SURVEY OF THE DELIVERY OF EVIDENCE BASED PSYCHOTHERAPY: CLINICIANS Instructions: Please complete this survey based on the recent therapy session you had with ______________________________ on _____________________. Note: Not every therapeutic element will be delivered in every therapy session.
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I. Summary of Site Coordinator Debriefings

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. I. Summary of Site Coordinator Debriefings

Site coordinators provided written feedback at the end of data collection. The following are topic areas of the types of feedback we received: Technological challenges . Some respondents had difficulty using the online survey links, whereas others found the links to be user-friendly. Both staff and consumer respondents at some sites found it ea
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H. Stakeholder Feedback

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. H. Stakeholder Feedback

In January 2015, we held four discussion groups with clinicians and supervisors, clients, site administrators, and health plans and payers to gather feedback on the measure's importance, face validity, usefulness, and feasibility. During this time, we also gathered feedback from site coordinators. Below, we summarize key themes identified across t
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G. Results of Sensitivity and Specificity Analyses

Development of a Quality Measure for Adults with Post-Traumatic Stress Disorder. G. Results of Sensitivity and Specificity Analyses

To begin to understand the measure's validity, we calculated its sensitivity and specificity. For the purposes of this investigation, sensitivity is defined as the proportion of clinicians identified by clients or the clinicians themselves as high performers in the delivery of evidence-based psychotherapy when compared to supervisor scores. Specif

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