banner image

CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness
November 15, 2018

On November 13, 2018, at a meeting of National Association of Medicaid Directors, the Centers for Medicaid & Medicare Services (CMS) announced a new opportunity for states to seek short-term institution for mental disease (IMD) exclusion waivers, which would allow Medicaid to pay for inpatient mental health services for adults with serious mental illness and children with serious emotional disturbance. NRI executive director, Tim Knettler and senior director, Vera Hollen were in attendance and reported that the announcement was positively received. Learn more


Two New Technical Assistance Coalition Working Papers
November 1, 2018

TA Coalition Assessment Working Paper DRAFT: Experiences and Lessons Learned in States with On-Line Databases (Registries) of Available Mental Health Crisis, Psychiatric Inpatient, and Community Residential Placements

This report, authored by NRI’s Senior Research Analyst, Robert Shaw,  describes the experiences of states with bed registries and shows how a holistic approach, including a robust crisis service system, can serve people experiencing a psychiatric crisis. Read more.

TA Coalition Assessment Working Paper DRAFT: Speaking Different Languages- Breaking Through the Differences in the Perspectives of Criminal Justice and Mental Health Stakeholders on Competency to Stand Trial Services: Part 1

This report, authored by NRI Research Associate, Amanda Wik and NRI Senior Consultant, William H. Fisher, Ph.D, examined the perspective of the criminal justice officials that have the power to order the admission of an incompetent to stand trial (IST) defendant to a state psychiatric hospital for competency restoration services. Read more. 


Snapshot of State Plans for Using the Community Mental Health Block Grant 10% Set-Aside to Address First Episode Psychosis
October 18, 2018

The Community Mental Health Services Block Grant (MHBG) requires each state to use at least 10 percent of its MHBG funding to support early intervention and treatment of people with early serious mental illness, including psychosis. The goals of this 10 percent set-aside are to minimize the risk of disability that often accompanies serious mental illness and to promote the use of evidence-based practices, especially Coordinated Specialty Care (CSC), to treat psychosis.

In the report, Snapshot of State Plans for Using the Community Mental Health Block Grant 10% Set-Aside to Address First Episode Psychosis, prepared by NRI compiles the responses of all states and U.S. territories that participate in the MHBG. Read the report.

2016 Mental Health Client-level Data (MH-CLD) Annual Report

October 18, 2018

The 2016 Mental Health Client-level Data (MH-CLD) Annual Report was written by staff at Eagle Technologies, Inc., under the direction of SAMHSA Center for Behavioral Health Statistics and Quality. NRI participated in the development of this report as a subcontractor to Eagle Technologies, Inc. NRI’s roles in this report included working with State Mental Health Agencies to process, clean, and summarize the Mental Health Client Level data files and reviewing and commenting on the report produced by Eagle Technologies. Learn more.  


SAMHSA Releases the 2017 Adults with Serious Mental Illness (SMI) and Children with Serious Emotional Disturbance (SED) Prevalence Estimates
October 4, 2018

NRI compiles data on behalf of SAMHSA for the Uniform Reporting System (URS). URS data are required to be submitted by each state behavioral health authority as part of the Mental Health Block Grant allocation. URS data form the basis for the National Outcome Measures (NOMS).

The 2017 state-by-state prevalence estimates for adults with serious mental illness (SMI) and children with serious emotional disturbance (SED) are now available. States use these estimates as part of their Uniform Reporting System (URS) data reporting requirements. The estimates, prepared by NRI, use the official SAMHSA estimation methodology for the prevalence of SMI and SED. The SAMHSA estimation methodology was developed and tested by SAMHSA during the 1990s and was published in the Federal Register in 1998. The calculated estimate of adults with SMI relies on state civilian population data for the 50 states and the District of Columbia and on the resident population data for Puerto Rico. The estimates for children with SED use a combination of state civilian population and poverty data.