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Happy New Year!

The Board of Directors and NRI Staff wish everyone a Happy New Year! We have much to look forward to in 2018 as we follow up on an incredibly busy and exciting 2017 at NRI!

Over the last year, NRI produced the following landmark reports and will continue its work in this new year on these and other important focus areas.

Additionally, NRI produced the following strategically important reports:

NRI’s Performance and Quality Improvement division continued to expand its webinars and reports to its existing clients to foster continued improvements (behavioral healthcare performance measurement systems) in quality of and transitions from inpatient psychiatric care.

We also hosted NRI Day at the 2017 NASMHPD Annual Meeting, which shared challenges across the systems of care, and identified solutions that have worked in peer States. This was the first time that a meeting of its kind has been held. Presentations and session recaps from the day are available.We also recently launched a new web site to provide easier access to national and state-level information on behavioral health systems.

We want to end this note by thanking our Board of Directors for their leadership, NRI staff for all their hard work this past year and many heartfelt thanks to all the collaborating organizations with which we have partnered on many of these and other important projects and new initiatives.

Respectfully yours,

Tim Knettler
Executive Director/CEO


Positive Health Determinants as Vaccination and Remedy

November 9, 2017

NRI Board Member and Executive Director at NACBHDD & NARMH, Ron Manderscheid, PhDrecently published an article about positive health determinants as vaccination and remedy.

In the article Dr. Manderscheid writes, "In the most recent decade, we have come to understand that trauma is a key mechanism that links the negative health determinants to the onset of behavioral health conditions, such as depression and substance use. In fact, we now believe that up to three quarters of all behavioral health conditions are due to trauma. As a consequence, major steps have been taken by SAMHSA and others to institute trauma-informed care, with motivational interviewing and essential peer support services.” 

Slides from the 2016 MH Client-Level Data Reporting Results Webinar, along with a Q&A summary report, are now available on the BHSIS Resource Center. 


Funding and Characteristics of Single State Agencies for Substance Abuse Services and State Mental Health Agencies, 2015

October 18, 2017

Last week SAMHSA released the report, Funding and Characteristics of Single State Agencies for Substance Abuse Services and State Mental Health Agencies, 2015.  NRI, NASMHPD, NASADAD and Truven Health Analytics led the development of this report that documents the organization, structure, services, financing, and policies of all the State Mental Health Agencies and State Substance Abuse Agencies. The report includes detailed state-by-state information about the number and characteristics of individuals who received mental health and substance use disorder services, agency controlled expenditures and funding, and number of specialty providers in the SMHA and SSA service systems.  The report discusses national and regional trends in mental health and substance use disorder policies and services.  The report Appendices provide detailed state specific profiles of every state’s SMHA and SSA system.  Key findings from the 2015 Profiles Report include:

  • The majority of states have combined the planning and delivery of mental health and substance use disorder services into a single state government agency that addresses behavioral health.
  • There are 8,500 public providers in 48 states; community-based, non-profit organizations (e.g., community mental health centers and psychosocial rehabilitation programs) comprise 87% of these providers.
  • All states continue to operate psychiatric inpatient beds for individuals with the highest levels of service needs.
  • In 2014, 98% of the 7.3 million individuals served by state mental health authorities received mental health services in community settings.
  • Most individuals served by state systems are young and poor; disproportionate numbers of those served represent racial and ethnic minorities.
  • Information management systems for mental health and substance use disorder services are combined in 25 states, presaging the day when the availability of integrated data can improve the understanding and evaluation of effective, multi-morbid treatment interventions.
  • Thirty-five SMHAs have implemented electronic health records in their state psychiatric hospitals.  Ten of these SMHAs have agreements in place to share state psychiatric EHR data with a health information exchange.
  • Collectively, the SSAs and SMHAs control $45.8 billion in services, with $40.8 billion of that amount within the SMHA.  In FY14, the average per-capita expenditure by SMHAs was $127.08, and the average per-capita expenditure by SSAs was $15.61. 

For questions or more information about this report, please contact Ted Lutterman. NRI thanks SAMHSA and Truven Health Analytics for their support in the development of this valuable reference document for states and policy makers.