Monday, March 16 | Thought Leadership, Legislative/Policy, Human Services, Partnerships and Collaboration, Netsmart in the Community

Advocating Together to Expand CCBHCs

By Netsmart

Certified Community Behavioral Health Clinics (CCBHCs) provide a comprehensive range of mental health and addiction treatment services at a time of unprecedented demand and scarce resources. Eight states are participating in the CCBHC demonstration program authorized by the bipartisan Excellence in Mental Health Act, and 21 states have clinics that have received CCBHC expansion grants. CCBHCs are making a significant impact on access to care.

A survey by the National Council for Behavioral Health showed that in the first year alone, CCBHCs cared for more than 400,000 people with serious mental illness or addiction disorders. Caseloads increased by nearly 25% with expanded staffing and new programs, such as immediate screening and risk assessment, 24/7 crisis services, and expanded care coordination with primary care providers and community-based partners. Many beneficiaries of these expanded capabilities were persons seeking help for the first time. All CCBHCs have either launched new addiction treatment services or expanded their scope of addiction care, with 92% expanding access to medication-assisted treatment (MAT) for opioid use disorders. Without Congressional action by May 22, funding for the CCBHC demonstration program will expire and communities will lose funding needed to continue these significant life-changing services.

We are privileged to be the technology partner for 18 CCBHCs, which serve more than 70,000 individuals through 2.25 million visits to these providers in the past year. One of those CCBHCs is Care Plus NJ, a full-service community behavioral health center founded in 1978 with headquarters in Paramus, N.J. Care Plus NJ provides services for the entire continuum of care spanning residential, conventional outpatient care, individual and group therapy, medication monitoring and more.

Netsmart joined Care Plus NJ and more than 80 other provider participants in a National Council CCBHC Advocacy day March 11 on Capitol Hill to urge passage of the Excellence in Mental Health and Addiction Treatment Expansion Act (S. 824/H.R. 1767). This legislation would extend the current 8-state CCBHC demonstration program and expand it to 11 additional states. We linked with Care Plus NJ staff and board members for meetings with the offices two New Jersey members of Congress, Sen. Bob Menendez and Cong. Albio Sires. The goal was to educate them on the benefits of the CCBHC program and the benefit to the clients served as part of the program. Care Plus NJ provided examples of substantial enhancements in services that have occurred and would be eliminated or curtailed without a CCBHC funding extension:

Significant reduction in waitlists for intake appointments
12% increase in clients receiving treatment in addictive services program
32% increase in clients receiving MAT for opioid use disorders
Adding a medical social worker that facilitates follow-up for clients with co-occurring medical conditions, including referrals to other community-based services or taking direct action on a problem related to a housing issue or other social determinants of health
Increase in clients receiving care coordination/care management services by health navigators
Ability to identify high-risk patients at kiosks during check-in and send a real-time alert to the clinician

A survey in 2019 by the Substance Abuse and Mental Health Services Administration (SAMHSA) on key substance use and mental health indicators in the U.S. found that only two-thirds of individuals living with serious mental illness receive behavioral health care. In addition, only one in 10 Americans with an addiction disorder receives treatment within a given year.

Netsmart participated in other Hill meetings and we continue to collaborate with our clients and National Council on further advocacy for this critical legislation.