Center for Integrated Behavioral Health Policy

The Center for Integrated Behavioral Health Policy is dedicated to changing the way people with mental health and substance use disorders get the help they need. For too long behavioral health care has been separated from general medical care. This division between the mind and the body is an historical anomaly that contributes to stigma, discrimination, and poor care. By creating policy solutions that bring behavioral health and physical health back together, the Center for Integrated Behavioral Health Policy works to help create a healthier America.

Key Program Areas

National Health Care Reform: The Center leads a collaborative of 25 mental health and substance use treatment and prevention organizations to inform the national debate about how to improve America's health care.

Behavioral Health Screening and Brief Intervention: The Center works with employers, health plans, employee assistance programs, and other health systems to improve the early identification and treatment of depression, addiction, and other behavioral health problems.

Solving Behavioral Health Problems: The Center develops innovative solutions to difficult national behavioral health problems. Current projects include integrating behavioral health into electronic health records, developing new visions for federal behavioral health agencies, and creating nation-wide performance standards for health plans and employee assistance programs.

Health Care Financing: The Center brings together insurers and health care providers to develop financial incentives for improved treatment access and quality of care.

Research

Research Inititives of the Center for Integrated Behavioral Health Policy

The Center's research includes a comprehensive list of topics important to researchers, consumers, employers, health insurers and providers interested in all areas of behavioral health policy.

Veterans' Behavioral Health Overview

Since soldiers fighting in Operation Enduring Freedom and Operation Iraqi Freedom began to return, there has been a call-to-action to improve the government's role in helping veterans cope with behavioral health problems. There are current efforts by the Department of Defense (DoD), Veteran's Affairs (VA), and various non-profit interest organizations to address the inadequacies of behavioral health services to veterans. The challenges include, reducing the stigma associated with mental health and substance issues, implementing relevant screening measures, and improving access to care.

Depression and Alcohol Screening May Benefit Employers

 Depression, one of the leading causes of disability in the U.S., has a debilitating effect on U.S companies which lose upwards of $44 billion per year due to employee depression. Because more than 57 percent of adults who experienced a major depressive episode in 2004 also used alcohol, addressing these issues when they appear as dual disorders may greatly benefit many U.S. workplaces.

Health Information Privacy, Patient Safety, and Health Care Quality: Issues and Challenges in the Context of Treatment for Mental Health and Substance Abuse

Finding the right balance among health care quality, patient safety and health information privacy is a major policy challenge. No health issue better illustrates this challenge than the use and disclosure of personal mental health and substance use information in electronic health information systems.

Reimbursement Codes Change the Landscape of Substance Use Screening

 Alcohol and drug use contributes to injury and often complicates healthcare. The recent development of medical reimbursement codes for alcohol and substance use assessment and brief intervention may help primary care providers, trauma professionals, and behavioral health counselors more readily establish alcohol and drug screening as routine practice.

Workplace SBI Survey Report (Executive Summary)

 The 2007 Workplace SBI Survey is a biennial review of alcohol screening and brief intervention (SBI) activities and services offered to employees. The Executive Summary presents the survey findings based on the responses of employers and behavioral health vendors across the U.S., representing a wide-range of industry sectors and company sizes.

 
 

 

Publications

 

Amaral, T., Attridge, M., Bjornson, T., Goplerud, E., McPherson, T. "Implementation of EAPs." EASNA Research Notes, Issue No. 9. Vol. 9 Apr 2010.

Goplerud, E., McPherson, T. "SBIRT at Work: The BIG (Brief Intervention Group) Initiative." Feb 9, 2010.

Browne, K., Edgman-Levitan, S., Roseman, D., Shaller, D. "Measuring Patient Experience As A Strategy For Improving Primary Care." Health Affairs, Issue No. 5. Vol. 29 921-25. 2010. (External Access)

Goplerud, E., McPherson, T., Sharar, D. "Workplace Alcohol Screening, Brief Intervention, and EAPs: What Employers Need to Know." Health and Productivity Management., 2010.

Mauery, D., Rosenbaum, S., Teitelbaum, J. "Sub-State Purchasing of Managed Behavioral Health Care: An Analysis of County-Level Managed Care Contracts." Sep 2009.

Cunningham, C., Hayashi, S., Roose, R. "Self-Management of Injection-Related Wounds Among Injecting Drug Users." Journal of Addictive Diseases, Issue No. 80. Vol. 28 (1) : 74. Journal of Addictive Diseases, Florence, KY. Jan 2009. (External Access)

Goplerud, E., Jacobus-Kantor, L., Lusby-Treber, K., McPherson, T., Olufokunbi-Sam, D., Walsh, T. "Workplace alcohol screening, brief intervention, and referral to treatment (SBIRT): A survey of employer and vendor practices." Journal of Workplace Behavioral Health, Issue No. 3. Vol. 24 2009.

Amaral, T., Attridge, M., Bjornson, T., Goplerud, E., Herlihy, P., McPherson, T., Paul, R., Routledge, S., Sharar, D., Stephenson, D., Teems, L. "History and growth of the EAP field. EASNA Research Notes." EASNA Research Notes, 2009.

Amaral, T., Attridge, M., Bjornson, T., Goplerud, E., Herlihy, P., McPherson, T., Paul, R., Routledge, S., Sharar, D., Stephenson, D., Teems, L. "The workplace burden of mental health and substance abuse problems." EASNA Research Notes, 2009.

Goplerud, E., McPherson, T. "Screening and brief intervention (SBI): Guide and Resource Manual for Workplace Practitioners." 2008. (External Access)

Goplerud, E., McPherson, T. "Alcohol screening and brief intervention in the workplace: Year Two Final Report." 2008. (External Access)

Goplerud, E., McPherson, T. "Alcohol screening and brief intervention in the workplace: Year One Final Report." 2006. (External Access)

Back, A., Cook, R., ersch, R., McPherson, T. "A field test of a web-based substance abuse prevention training program for health promotion professionals." American Journal of Health Promotion, Issue No. 6. Vol. 20 396-400. 2006.

Mauery, D., Rosenbaum, S., Stewart, A., Teitelbaum, J. "Reasonable Modification or Fundamental Alteration? Recent Developments in ADA Caselaw and Implications for Behavioral Health Policy.." Behavioral Health Issue Brief Series, Issue No. 21. GW Department of Health Policy, Washington, DC. Feb 2003. 

Mauery, D., Rosenbaum, S., Teitelbaum, J. "An Analysis of the Medicaid IMD Exclusion." Dec 2002.

Kamoie, B. "HIPAA s Electronic Transactions Rule: Implications for Behavioral Health Providers." Behavioral Health Issue Brief Series, Issue No. 22. Dec 2002.

Kamoie, B., Mauery, D., Rosenbaum, S., Teitelbaum, J. "Model Managed Care Contract for Health Professionals and Clinical Providers of Mental Illness and Addiction Disorder Treatment and Prevention Services." May 2002.

Lerman, J., Mauery, D., Rosenbaum, S., Teitelbaum, J. "An Analysis of Contracts for the Delivery of Managed Behavioral Health Care Services in State Correctional Facilities." Behavioral Health Issue Brief Series, Issue No. 15-16. Feb 2002.

Markus, A., Rosenbaum, S., Teitelbaum, J. "The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care." Behavioral Health Issue Brief Series, Issue No. 20. Dec 2001.

Rosenbaum, S. "Federal Implementation Guidelines, and Analysis of Recent Cases Regarding Medicaid Coverage of Long Term Care Services for Persons with Disabilities." Behavioral Health Issue Brief Series, Issue No. 17. Oct 2001.

Rosenbaum, S. "Olmstead v L.C. Federal Implementation Guidelines, and Analysis of Recent Cases Regarding Medicaid Coverage of Long Term Care Services for Persons with Disabilities." Behavioral Health Issue Brief Series, Issue No. 17. Oct 2001.

Kamoie, B., Rosenbaum, S., Teitelbaum, J. "The Ticket to Work and Work Incentives Improvement Act of 1999: Implications for the Design and Support of Comprehensive Integrated Health Systems for Persons with Mental Illness and Addiction Disorder Disabilities." Sep 2001.

Golde, M., Markus, A., Rosenbaum, S., Teitelbaum, J., Zakheim, M. "The Devolution of Managed Care Contractor Duties: Analysis and Implications for Public Policy in Managed Behavioral Health Care." Sep 2001.

Borzi, P., Kamoie, B. "A Crosswalk Between the Final HIPAA Privacy Rule and Existing Federal Substance Abuse Confidentiality Requirements." Behavioral Health Issue Brief Series, Issue No. 18-19. Aug 2001.

Mauery, D., Rosenbaum, S., Teitelbaum, J. "An Overview of Legal Developments in Managed Care Caselaw and Selected Case Studies of Legal Developments in State Contracting for Managed Behavioral Health Services." Behavioral Health Issue Brief Series, Issue No. 14. Aug 2001.

Kamoie, B., Mauery, D., Rosenbaum, S. "Care Coordination and Physical and Behavioral Service Integration in Managed Care Contracts: Analysis and Sample Purchasing Specifications." Behavioral Health Issue Brief Series, Issue No. 11-12. May 2001.

Borzi, P., Rosenbaum, S. "Behavioral Health Benefits For Public Employees: Effect of Mental Health Parity Legislation."Behavioral Health Issue Brief Series, Issue No. 13. Apr 2001.

Rosenbaum, S., Teitelbaum, J. "Pegram v Herdrich: Implications for Consumer Protections in Managed Care." Nov 2000.

Rosenbaum, S., Smith, B. "Medicare, Managed Care, and Behavioral Health Care." Behavioral Health Issue Brief Series, Issue No. 10. Nov 2000.

Mauery, D., Rosenbaum, S., Teitelbaum, J. "Special Report: Mental Illness and Addiction Disorders and Medicaid Managed Care." Negotiating the New Health System, 3rd Edition, May 2000.

Rosenbaum, S., Shaw, K., Shin, P., Teitelbaum, J., Zakheim, M. "Mental Illness and Addiction Disorder Treatment and Prevention." May 2000.

Rosenbaum, S., Teitelbaum, J. "Coverage Decisions Versus the Quality of Care: An Analysis of Recent ERISA Judicial Decisions and Their Implications for Employer-Insured Individuals." Behavioral Health Issue Brief Series, Issue No. 8. Apr 2000.

Mauery, D., Rosenbaum, S., Teitelbaum, J. "An Evaluation of Agreements Between Managed Care Organizations and Community-Based Mental Illness and Addiction Disorder Treatment and Prevention Providers." Behavioral Health Issue Brief Series, Issue No. 9. Mar 2000.

Rosenbaum, S., Teitelbaum, J. "Designing a Complaint and Grievance System and Other Member Assistance Services Under Medicaid Managed Care." Behavioral Health Issue Brief Series, Issue No. 7. Feb 2000.

Rosenbaum, S., Silverstein, R., Teitelbaum, J. "The Americans with Disabilities Act: Implications for Managed Care for Persons with Mental Illness and Addiction Disorders." Issue No. 5-6. Dec 1999.

Rosenbaum, S., Teitelbaum, J. "Cultural Competence in Medicaid Managed Care Purchasing: General and Behavioral Health Services for Persons With Mental and Addiction-Related Illnesses and Disorders." Behavioral Health Issue Brief Series, Issue No. 4. May 1999.

Burgess, W., DeCourcy, L., Rosenbaum, S., Teitelbaum, J. "Selected Key Issues in the Development and Drafting of Public Managed Behavioral Health Care Carve-Out Contracts." Behavioral Health Issue Brief Series, Issue No. 3. Dec 1998.

Rosenbaum, S., Silver, K., Wehr, E. "An Evaluation of Agreement Between Managed Care Organizations and Community-Based Mental Illness and Addiction Disorder Treatment and Prevention Providers 1st Ed.." Apr 1997.

Advisory Board

The Center's advisory board is a key component of our mission to find policy solutions that integrate behavioral health care into overall health care so that people with mental illnesses and substance use disorders get the help they need. Advisers are leaders in health care, health policy, business, and government.

James Abernathy
Chairman and CEO, Abernathy MacGregor

Tom Brady, MD
Chief Medical Officer, CRC Health Group, Inc.

David Broecker
CEO, Alkermes

Jonathan Diesenhaus
Partner, Hogan & Hartson

Representative Patrick J. Kennedy
Rhode Island, First District

David C. Lewis, MD
Donald G. Millar Distinguished Professor of Alcohol and Addiction Studies, Brown University

Louise Murphy
President, Aetna Behavioral Healthcare

Representative Jim Ramstad
Minnesota, Third District

Paul M. Schyve, MD
Senior Vice President, The Joint Commission

Mike Sime
President, Creative Carton and Rapid Packaging

Bertha Madras, PhD
Professor of Psychobiology in the Department of Psychiatry and Associate Director for Public Education in the Division on Addictions at Harvard Medical School

 

Center Toolkits

Alcohol Cost Calculators
Workplace SBI Toolkit
  • The Workplace SBI Toolkit offers tools for implementing workplace screening and brief intervention including offering information about the best process for identifying employees with alcohol and drug problem. 
SBI Toolkit for Health Care
Alcohol Exclusion Laws Toolkit
  • The Alcohol Exclusion Laws Toolkit provides FAQs, talking points, model legislation, and additional resources for policy makers and advocates to use in order to repeal these challenging laws that often interfere with effective alcohol treatment.read more »
Behavioral Health Screening in Primary Care
  • The Stone Soup: Behavioral Health Screening and Treatment in Primary Care initiative is a cooperative effort to assess the feasibility and desirability of developing a broad-based national initiative to promote behavioral health screening, acute management, and ongoing care management in primary care and hospital care.
Medical Education in Substance Abuse
  • At the Third National Leadership Conference on Medical Education in Substance Abuse, hosted by the White House Office of National Drug Control Policy, experts in the field of substance abuse presented strategies for advancing physician training in SBI. The presentations are available online. read more »

About

The mission of the Center for Integrated Behavioral Health Policy is to find policy solutions that integrate behavioral health care into overall health care so that people with mental illnesses and substance use disorders get the help they need.

The Center began as Ensuring Solutions to Alcohol Problems - a major health policy project funded by The Pew Charitable Trusts to change the way that America provides care for people with alcohol problems. Within five years, Ensuring Solutions:

  • Helped businesses nationwide to demand better alcohol-related services from their health plans. Health plans held to these new standards increased the identification of patients with alcohol problems by more than 15 percent in one year, ensuring treatment for tens of thousands of additional patients.
  • Convinced the American Medical Association and the Center for Medicaid and Medicare Services to create new billing codes that encourage primary care physicians to identify and treat people with substance use disorders.
  • Developed new research-based standards for the identification and treatment of substance use disorders. These standards were endorsed by the National Quality Forum in 2007.
  • Created an online technical assistance program to help repeal insurance laws that discourage emergency room doctors from identifying patients with alcohol-related problems. Since 2002, this resource has helped to repeal laws in nine states and the District of Columbia.

Contact

Center for Health Policy Research

2121 K St., NW, Suite 210
Department of Health Policy
Milken Institute School of Public Health
The George Washington University 
Washington, DC 20006
Phone: (202) 994-4303
Fax: (202) 296-0025
Email: info@integratedbehavorialhealth.org

Director: Eric Goplerud, Ph.D