Certified Community Behavioral Health Clinics Address Mental Health and Substance Use Crises with Expanded Access to Care

CCBHCs increase the number of people served per clinic by 23%, according to a recent study by the National Council on Mental Well-Being.

WASHINGTON, October 26, 2022 /PRNewswire/ — Certified Community Behavioral Health Clinics (CCBHCs) continue to expand access to care, ease workforce challenges and strengthen the crisis care system, according to new data from the National Council on Mental Health’s 2022 CCBHC Impact Report well-being, produced by The Harris Poll – an online survey conducted between July and August among 249 CCBHCs. CCBHCs offer access to mental health services much faster than the national average wait time and provide access to certain forms of substance use disorder treatment at much higher rates than non-CCBHCs.

The National Council on Mental Well-Being, along with its members and state and federal policymakers, created the framework for CCBHCs more than a dozen years ago and have collaborated closely to implement this new and transformative model. CCBHCs are clinics—either certified by their states as CCBHCs or recipients of a federal CCBHC grant—that receive flexible funding to expand the reach of mental health and substance use services in their community. They serve everyone who walks through the door, regardless of their diagnosis and insurance status.

“The CCBHC model continues to represent our nation’s best response to the ongoing mental health and substance use crises,” they said Chuck Ingolia, president and CEO of the National Council on Mental Well-Being. “CCBHCs are expanding access to comprehensive and integrated care at a time when the vast majority of people in United States agree that our country is experiencing a mental health crisis. Their proven ability to transform the way people access care in their communities is a blueprint for the future of mental health and substance use care in America.”

Download CCBHC’s 2022 Impact Report

Since 2017, when the first CCBHCs were established, the National Council on Mental Well-Being has annually surveyed CCBHCs and beneficiaries to gather information about their activities and outcomes. This year’s report provides further evidence of the program’s remarkable success, demonstrating that evidence-based clinical care supported by effective funding can dramatically increase access to care and provide comprehensive and life-saving services across the country.

The report follows an announcement by the Biden-Harris administration last week that CCBHCs will be expanded across the country: applications are now available for planning grants to help more states implement the CCBHC model using funding authorized of the bipartisan Safer Communities Act. This was announced at a press conference on October 18which includes notes from Xavier BecerraSecretary of the US Department of Health and Human Services, CCBHC Legislative Architects, Senator Debbie Stabenov (D-Mich.) and Sen Roy Blunt (R-Mo.), as well as CCBHC and law enforcement representatives.

Key Highlights of the National Council’s 2022 Survey of Active CCBHCs:

  • CCBHCs serve millions and provide thousands of new clients with the care they need.
    • Currently, 1.2 million people are served annually in 249 responding clinics, which translates to about 2.1 millionI are served nationwide by all CCBHCs and beneficiaries.
    • CCBHCs and grantees that reported an increase in their caseload served an average of 900 more people per clinic than before CCBHC implementation, a 23% increase.
  • The CCBHC model helps address health care disparities by enabling clinics to improve access to care for underserved communities.
    • Since becoming a CCBHC, 100% reported taking steps to improve access to care and reduce health disparities between people of color and other historically marginalized populations. At the top of the list is staff training in culturally sensitive/competent care (94%).
  • CCBHCs provide life-saving crisis support services in their communities, helping to divert people in crisis from hospitals, emergency rooms and prisons.
    • Directly or through referral, 98% of respondents offer access to 24/7 crisis lines, 97% offer access to mobile crisis response and 94% offer access to crisis stabilization services.
  • CCBHC and grantees are addressing the nation’s opioid crisis by dramatically expanding access to medication-assisted treatment (MAT)
    • 82% of CCBHCs and grantees use one or more forms of MAT for opioid use disorder, while only 58% of substance use clinics nationwide provide MAT servicesii
  • The CCBHC model alleviates the impact of community mental health and substance use treatment workforce shortages by enabling clinics to increase hiring.
    • Responding clinics hired 6,220 new staff positions, or an average of 27 new staff per clinic, as a result of becoming a CCBHC, with approximately 11,240 new staff positions added across all CCBHCs and beneficiariesiii.

Background

The CCBHC model was initially implemented in eight states in a 2017 demonstration program through the passage of the Excellence in Mental Health Care Act of 2014, with two states added to the demonstration in 2020. As of 2018, grants from the Abuse of Substance and Mental Health Services Administration (SAMHSA) has also funded clinics in dozens of states to take over CCBHC activities and services.

These grants have proven to be a vital springboard for CCBHC implementation, positioning clinics and states for further delivery system transformations as they implement the CCBHC model in their Medicaid programs. Under the bipartisan Safer Communities Act of 2022, the demonstration would expand to include 10 new states every two years starting in 2024 — and eventually offer all states the opportunity to turn the work of its beneficiaries in a new, sustainable national model of care.

Research methodology

The research was conducted online in United States by The Harris Poll on behalf of the National Council on Mental Well-Being among 249 Certified Community Behavioral Health Clinics (CCBHCs and grantees). The research was conducted July 14August 26, 2022.

The raw data are not weighted and are therefore only representative of those who completed the survey.

Respondents to this study were among a total of 449 participating CCBHCs and grantees who were asked to participate—of which 249 participated in our study and are included in the final results. Sampling precision of online Harris polls is measured using a Bayesian confidence interval. For this study, the sample data is accurate to within + 6.2 percentage points using the 95% confidence level. This credible interval will be wider among subsets of the study population of interest.

All sample surveys and surveys are subject to numerous other sources of error that are often impossible to quantify or estimate, including but not limited to coverage error, nonresponse error, with question wording and response options, and post-weighting and survey corrections.

I The estimate is based on survey responses indicating that 249 respondents served 1,188,856 customers annually as of the survey date.
ii Opioid and Health Indicators Database: Facilities Providing at Least Two Different Forms of Medication-Assisted Treatment. amfAR. (2022). Retrieved from https://opioid.amfar.org/indicator/TMAT_fac
iii The estimate is based on survey responses indicating that 249 respondents had 6,220 newly created positions as a result of becoming a CCBHC as of the survey date.

Contact:
Sofia Milesi
[email protected]
202-621-1631

SOURCE NATIONAL COUNCIL ON MENTAL WELL-BEING

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