Behavioral/Mental Health and SUD
FEATURED ARTICLE
State Policy Center for Opioid Use Disorder Treatment and Access
Strengthening Health and Housing Partnerships through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
/in Policy Webinars Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Housing and Health, Population Health, Social Determinants of Health /by NASHP StaffWebinar: State Strategies for Building Integrated Care Infrastructure
/in Policy Idaho, Minnesota Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Physical and Behavioral Health Integration /by NASHP StaffPhysical and Behavioral Health Integration: State Policy Approaches to Support Key Infrastructure
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Quality and Measurement /by Kitty Purington and Charles TownleyThrough the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems. Rather than adopting specific integrated care models, states may benefit from taking a broader approach that builds […]
The New Substance Use Disorder Confidentiality Rules: A Work in Progress
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Quality and Measurement /by Liz McCamanThe Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a highly anticipated update to 42 CFR Part 2, the regulation that governs sharing patient information by federally-designated substance use disorder (SUD) providers. The rule is timely: SUD has become a major cost driver, and many state policymakers are focused on the integration of […]
One-on-One State TA and Peer Learning Sessions
/in Policy Webinars Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffTechnical Assistance for States in Application of Mental Health and Substance Use Disorder Parity Requirements to Medicaid and Children’s Health Insurance Programs Overview CMS is offering one-on-one technical assistance (TA) and a series of peer learning sessions to assist states in implementation of the final parity rule. All states are encouraged to participate, regardless of […]
Case Study: How Minnesota Uses Medicaid Levers to Address Maternal Depression and Improve Healthy Child Development
/in Policy Minnesota Reports Behavioral/Mental Health and SUD, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP WritersDespite evidence that maternal depression is quite common and can negatively impact young children’s development, it is often undiagnosed and untreated. Since the rate of maternal depression is disproportionately higher in low-income women, Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. With support from the David and Lucile […]
State Strategies for Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Hannah DorrSubstance use disorder affects an estimated 20.8 million people in the United States,[i] however, national survey data show that fewer than 10 percent of individuals with an alcohol use disorder and 20 percent of individuals with an opioid use disorder receive treatment for the condition.[ii],[iii] Individuals battling substance use disorder may not perceive a need […]
Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Hannah Dorr and Charles TownleyAs the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]
Federal and State Collaboration to Improve Health Through Housing
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. The cross-sector nature of efforts to provide health care, housing, and housing-related services to vulnerable populations can make it difficult for health and housing policymakers to align and coordinate their work. With support from The […]
Sharing Accountability: State and Local Collaborations to Address the Behavioral Health Needs of Justice-Involved Individuals
/in Policy Annual Conference, Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffIndividuals involved in the criminal justice system often have complex health needs—rates of mental illness, substance abuse, and other health conditions are as much as seven times higher for justice-involved individuals than the general population.[1] Behavioral health issues in particular are prevalent among the justice-involved population. Estimates are that approximately 56 percent of individuals in […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
Understanding Opioid Settlement Spending Plans across States: Key Components and Approaches
/in Opioid Center, Policy Featured News Home, Reports Opioid Use Disorder /by Sam Mermin, Rebekah Falkner and Katie Greene