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The NRI Newsletter is a bi-monthly publication offers news and events relevant to the public behavioral health system.
APRIL 1, 2021

State & Federal | Research | Upcoming Events | Funding | Helpful Resources

SPOTLIGHT

NRI’s Report on the Experiences of States Implementing Crisis Bed Registries to be the Focus of a Two-Part Webinar Series 

The SAMHSA-sponsored, two-part webinar “Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries” will be held on Tuesday, April 13 from 2:00 to 3:30 p.m. (ET), with a 60-minute follow-up discussion scheduled for Friday, April 16th at 2:00 p.m. (ET). Dr. David Morrissette, NRI Consultant, and Ted Lutterman, NRI’s Senior Director of Government and Commercial Research are the featured speakers. Register now

NRI and NASMHPD Develop Needs Assessments on Technical Assistance and Education

SMI Adviser released three survey summaries on state-level needs around technical assistance and education. The surveys were fielded in 2019 by the National Association of State Mental Health Program Directors Research Institute (NRI), in partnership with NASMHPD. The audience included State Mental Health Authority (SMHA) Medical Directors, State Psychiatric Hospital Directors, and First-Episode Psychosis (FEP) Programs. Survey questions addressed topics such as the use of clinical practice guidelines, evidence-based practices, training needs, and more.
     

STATE AND FEDERAL


Georgia’s Crisis System Transformation and Lessons Learned in Anticipation of 988

The Georgia Crisis and Access Line or GCAL (1-800-715-4225) is a call center integrated into the local healthcare system with 24-hour mobile crisis response coverage within 100 miles of every community. The system could serve as a model for states as they build out their systems to prepare for 988. The three-digit number for behavioral health emergencies must be available nationwide no later than July 16, 2022. Read more.

Youth Suicide in Georgia

Suicide was the second leading cause of death for Georgia children aged 10-17 in 2018. Read more.

Maryland’s Family Recovery Courts Reunite Families with Customized SUD Treatment

To reduce substance use as a key cause of children removed from their homes, Maryland implemented a Family Recovery Court program that connects parents to intensive treatment for substance use disorder (SUD) and provides case management and incentives. Read more.

Ohio Medicaid Plan to Invest $18 Million to Foster Telehealth

Ohio Medicaid plan Centene/Buckeye Health Plan has committed more than $18 million to expanding telehealth. Efforts include funding for smartphones and network access for patients and technical assistance for Federally Qualified Health Centers to ramp-up telehealth services. Read more.

States Prioritize Equity in their COVID-19 Responses and Beyond

As communities of color have been disproportionately affected by COVID-19, states are working to prioritize equity in their response and recovery efforts. A new blog and the latest update to NASHP’s chart, How States Collect Data, Report, and Act on COVID-19 Racial and Ethnic Disparities, feature the equitable approaches states are using to address the effects of the COVID-19 pandemic today and in the future. Read more.

NASHP Launches Medicaid Managed Care Resource Center

The National Academy for State Health Policy’s new Medicaid Managed Care Resource Center gives state leaders resources to develop and improve Medicaid managed care delivery systems, including nationwide scans of individual state policies, in-depth reports, and interactive maps. Read more.

NASADAD Releases Overview of the Synar Provision

The National Association of State Alcohol and Drug Abuse Directors releases a new resource called, “An Overview of the Synar Provision: History, Impact of Tobacco 21 Legislation, and Recommendations," which offers background on the Synar Amendment, which originally required States and territories to enact and enforce laws prohibiting the sale or distribution of tobacco products to individuals under the age of 18. Read more.

State Medicaid Policies for Maternal Depression Screening at Well-Child Visits

The National Academy for State Health Policy’s updated map, State Medicaid Policies for Maternal Depression Screening During Well-Child Visits highlights each state’s policies for screenings during well-child visits, reimbursements, and policy trends. Read more.

ASPE Report Links Certain 1115 Constructs to Coverage Barriers

The U.S. Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) published an issue brief linking 1115 waivers with community engagement requirements to coverage losses, along with significant levels of member confusion for demonstrations with health savings accounts or healthy behavior incentives. The brief reviews data from research studies of these types of demonstrations. Read more.

CMS Updates 2021 Federal Poverty Level Standards

The Center for Medicaid and CHIP Services (CMCS) issued an Informational Bulletin providing 2021 guidelines for the federal poverty level (FPL). These guidelines are used by states to determine eligibility for their Medicaid and CHIP programs. Read more.

New CMS OMH COVID-19 Vaccine Resources for Vulnerable Populations Webpage

Community partners working with racial and ethnic minorities, people with disabilities, people with limited English proficiency, sexual and gender minorities, and rural populations are critical partners in vaccine COVID-19 distribution. The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) has developed a COVID-19 Vaccine Resources website of the many Federal resources and organized them for health care professionals, partners, consumers, and for assistance in additional languages. Read more

Using Aviation Technology to Prevent Healthcare Errors: The Health IT Black Box

Researchers at the MedStar National Center for Human Factors in Healthcare developed a technology black box to improve electronic health records (EHR) design and usability to ultimately impact patient safety. Read more.

RESEARCH


Psychosocial Programs for Black Families May Mitigate Mental Health Effects of Racial Discrimination

Family-centered psychosocial interventions may protect young Black adolescents who experience frequent racial discrimination from subsequent mental health problems, according to a report in JAMA Open Network. Read more.

Hypertension During Pregnancy May Increase Risk of Neurodevelopmental Disorders in Children

Women experiencing hypertensive disorders during pregnancy may be at a higher risk of having children with autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) than those without hypertensive disorders, reports a study published in JAMA Pediatrics. Read more.

The Impact of COVID-19 on Pediatric Mental Health

FAIR Health, Inc published a study of private healthcare claims that explorates of private healthcare claims, details the impact of the COVID-19 pandemic on the mental health of young people, from birth through age 22 over the first months of the public health crisis. Read more.

‘Zero Suicide’ Practices at Mental Health Clinics Reduce Suicide Among Patients, Study Finds

Patients who were seen at outpatient mental health clinics were significantly less likely to attempt suicide when clinics practiced “Zero Suicide” principles, including suicide screening, safety planning, and support during care transitions with follow-up after discharge from acute care settings. These findings were published in a report in Psychiatric Services in Advance. Read more.

Tailored CBT Protocol May Help Patients With Body Dysmorphic Disorder

Cognitive-behavioral therapy (CBT) designed specifically to address body dysmorphic disorder may be more effective for treating patients with the condition than more generalized supportive psychotherapy, a study in Depression and Anxiety suggests. Read more.

Older Schizophrenia Patients Found More Likely to Be Diagnosed With Dementia

Older U.S. adults with schizophrenia may be more likely to be diagnosed with dementia than those who do not have a serious mental illness (SMI), according to a report in JAMA Psychiatry. Read more.

Demand for Care for Depression, Suicidal Thoughts Among U.S. Youth Is Growing, Report Finds

Roughly 1 in 5 U.S. adolescents received mental health care between 2005 and 2018, with the greatest proportion receiving care for internalizing mental health conditions such as depression and suicidal ideation, a study in JAMA Psychiatry has found. Read more.

Younger Age of First Cannabis Use or Prescription Drug Misuse is Associated with Faster Development of Substance Use Disorders

A new study shows that in the time after first trying cannabis or first misusing prescription drugs, the percentages of young people who develop the corresponding substance use disorder are higher among adolescents (ages 12-17) than young adults (ages 18-25). Read more.
     

MEMBER HIGHLIGHT




Dena Stoner is treasurer of the NRI Board of Directors. She serves Director of Innovation Strategy for the Texas Health and Human Services Commission’s IDD / Behavioral Health Division.

UPCOMING
WEBINARS


Apr 8: Community Health Workers & Pharmacists: Their Frontline Role in the Response to COVID-19

Apr 13: Improving Access to Behavioral Health Crisis Services with Electronic Bed Registries

Apr 16: GAINS Center Webinar on Risk Assessment and Management in the Context of Competency Restoration

Apr 20: Medication-Assisted Treatment in Drug Courts Virtual Learning Community: Addressing the Concerns of Court Staff about MAT

Apr 22: Part 2: Addressing the Critical Need for Housing and Strategies to Overcome Barriers to Improve Housing Access

Apr 28: Meeting the Mental Health Needs of Unemployed Individuals: Scope of the Problem and Testing Evidence-Based Strategies-Part 1

Apr 30: Meeting the Mental Health Needs of Unemployed Individuals: Scalable Approaches to Address Mental Health Barriers to Employment-Part 2

May 6: 4th Annual Older Adult Mental Health Awareness Day Symposium

FUNDING



Apr 12: Project AWARE State Education Agency Grants

Apr 27: Medication Assisted Treatment – Prescription Drug and Opioid Addiction

May 3: Behavioral Health Workforce Development Technical Assistance and Evaluation (BHWD TAE) Program

May 10: Drug-Free Communities (DFC) Support Program

HELPFUL RESOURCES


See our full list of COVID-19 Resources.

Advisory: Addressing Suicidal Thoughts and Behaviors in Substance Use Treatment

Advisory: Screening and Treatment of Substance Use Disorders among Adolescents

Advisory: Treating Substance Use Disorders Among People with HIV

Breaking Down Common Mental Health Misconceptions

Reaching Youth at Risk for Substance Use and Misuse: Early Intervention Resources and Practices

Individual Placement and Support (IPS) for Young Adults

Adaptive Screener May Help Identify Youth at Risk of Suicide


 
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