Browse by Topic: Behavioral Health

July 12, 2017

This primer is designed to increase understanding of the behavioral health care system in Massachusetts and the issues affecting access to care for individuals with mental health and substance use disorders. It is intended to serve as a foundation for future work focused on behavioral health system solutions.

March 8, 2017

This report presents the results of a study analyzing the impact of the Community Support Program for People Experiencing Chronic Homelessness (CSPECH) on the utilization and cost of health care services. CSPECH is an innovative program through which MassHealth reimburses community-based support services provided to chronically homeless individuals residing in permanent supportive housing.

July 26, 2016

This report includes findings from the evaluation of the 2015 Fostering Effective Integration grant program. The goals of the evaluation were to determine 1) how grantees defined “success” for their integration efforts, 2) grantee perceptions of the critical components of effective integration programs, 3) common barriers to integration, and 4) measures grantees used to assess programs.

Fostering Effective Integration of Behavioral Health and Primary Care in Massachusetts, Year One Report
July 21, 2016

In recent years, integrating treatment for mental health and substance use disorders (SUD) with primary care has been the subject of extensive research testing a number of different integration models and specific interventions. While many of these approaches have shown promise in demonstrations or clinical trials, the true test of value is in real-world settings where there are competing demands on scarce resources, strict fidelity to intervention protocols is difficult, and patients have multiple urgent needs.

March 8, 2016

This report, prepared by Robert Belfort and Alex Dworkowitz of Manatt, Phelps & Phillips, LLP, provides a review of the primary Massachusetts and federal privacy laws relevant to the exchange of information among physical and behavioral health providers and an assessment of technological and operational challenges faced by providers seeking to integrate care through enhanced data exchange.

August 5, 2015

The “Making Health Care Affordable” (MHCA) three-year grant program concluded in 2014. Margaret Houy and Kate Bazinsky of Bailit Health Purchasing, LLC report on the impact of the BCBSMA Foundation’s funding initiative. The goal of MHCA was to fund interventions aimed at containing costs while increasing access and quality of care. Bailit examines how the Foundation’s objectives were met, what factors led to successful program implementation, common barriers faced by grantees, and which programs may have generalizability.

June 29, 2015

Social determinants of health, which encompass social, behavioral and environmental influences on one’s health, have taken center stage in recent health policy discussions. While research indicates that greater attention to these non-medical factors may improve health outcomes and reduce health care costs, translating this evidence into actionable recommendations for policy makers and others has been challenging.

June 11, 2015

This report, prepared by Margaret Houy and Michael Bailit of Bailit Health Purchasing, LLC, provides a comprehensive review of the policy and regulatory barriers that impede behavioral health integration in Massachusetts and identifies potential options for addressing these barriers. This report is divided into three sections – licensing, privacy, and, reimbursement barriers – and was developed through a review of reports and other secondary sources, agency regulations and checklists, and interviews and a focus group with key stakeholders.

May 20, 2015

In 2014, the Foundation partnered with the city of Boston to conduct a thorough analysis of the scope of Boston's substance use addiction problem and selected DMA Health Strategies to conduct the research. With the Mayor’s Office, the Foundation also assembled an Addiction Recovery Advisory Group comprised of addiction experts and community stakeholders to work closely with the researchers.

December 9, 2014

Responsible for the health care coverage of nearly two million residents and $13.7 billion in related expenditures, the future of MassHealth matters to all of us. This report, by Manatt Health Solutions, includes a series of recommendations that emerged through interviews with consumer advocates, providers, insurers, business leaders, public officials, and policy experts as priorities for the next governor.

November 13, 2014

One Care is Massachusetts’ demonstration project for adults with disabilities between the ages of 21 and 64 who are dually eligible for Medicare and Medicaid. October 1, 2014 marked the first year anniversary of the demonstration, which is slated to run through December 31, 2016.

October 24, 2011

This report by Colleen Barry of the Johns Hopkins Bloomberg School of Public Health explores opportunities and issues around integrating behavioral health care and primary care under the Affordable Care Act (ACA) and payment and delivery system reforms in Massachusetts. The report provides preliminary recommendations on how these major policy changes might be implemented with the goal of improving the coordination, quality and outcomes of mental health and addiction care in the Commonwealth.

October 29, 2009

This report is based on a survey of 1,982 mental health providers in Massachusetts including psychiatrists, psychiatric clinical nurse specialists, psychologists, social workers, mental health counselors, and marriage and family therapists. It estimates the need for childrens mental health services; assesses child and family mental health service delivery capacity; identifies variation in capacity, including variation by geography, linguistic ability, and cultural competence; and documents challenges to meeting current demand for services.

October 25, 2007

The district court ruling in Rosie D. v. Romney, and the subsequent remedy now being implemented by state health and human service agencies, have the potential to transform the delivery of mental health services for children with serious emotional disturbances in Massachusetts. This issue brief explores the implications and potential effects of the case and the resulting remedy on the MassHealth program, other state programs, the behavioral health and social service delivery systems, and affected children and their families.