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The NRI Newsletter is a bi-monthly publication offers news and events relevant to the public behavioral health system.
December 1, 2022

State & FederalResearch | Upcoming Events | Funding | Helpful Resources

SPOTLIGHT

State Mental Health Agency (SMHA) Organization And Structure In State Government

Did you know that 42 states combine responsibilities for the provision of mental health and substance use services into a single state agency? Or that 13 states combine responsibilities for the provision of intellectual/developmental disability and mental health services into a single state agency (and 12 states combine all three disability services into a single state agency)? In 15 states, the State Mental Health Agency (SMHA) is organized as an independent state agency, however, in most states, the SMHA is located within a State Department of Human Services. Six states have the SMHA organizationally located within the State Medicaid agency.

This information and more about the organization, structure, and responsibilities of state mental health authorities are detailed in a new NRI State Profiles report available at www.nri-inc.org/profiles. The report is one of 15 new Profiles reports available to the public. SMHA staff have exclusive access to additional detailed state-by-state information that is summarized in the public reports. For more information about the State Profiles system, please e-mail profiles@nri-inc.org. Look for new reports to be published in early 2023.

NRI Job Opening - Research Associate

NRI is currently seeking a Research Associate who performs quantitative and qualitative research involving the organization, funding, operation, services, policies, statutes, staffing and the consumers of State Mental Health Agencies (SMHAs); assessments and analyses of state behavioral health systems, original data collection, secondary data analysis; and drafting written reports or developing research products as needed. Read full job description.

To apply, please fill out the NRI Application, including salary expectations and submit along with your cover letter and resume to: careers@nri-inc.org

     

STATE AND FEDERAL

Medicaid Reimbursement of Midwifery Services in Minnesota and Washington State Supports Diverse Pathways to Care

Minnesota and Washington State are among a growing number of states that provide Medicaid reimbursement to midwives without a nursing degree as a tool to improve health outcomes and expand the maternal health workforce. Read more.

Police Departments Bring Mental Health Professionals to Help Respond to Crisis Calls

In some local police departments, they’re trying something new. Mental health professionals are now riding along with officers to deal with the rise in mental health cases they’re seeing, but some critics question how safe this is. Read more.

HHS Approves Nation’s First Medicaid Mobile Crisis Intervention Services Program, To Be Launched in Oregon

The Oregon Medicaid program received federal approval for a state plan amendment (SPA) to add mobile behavioral health crisis intervention services as a new state plan benefit. Read more.

Infographics that Debunk the Myths on SMI

SMI Adviser has updated a series of infographics provides evidence-based answers to counter myths on topics like treatment, psychopharmacology, technology,  recovery and more. These are ideal for trainees and any clinicians, teams, and organizations that provide care to individuals who have SMI. Learn more.

Telehealth Policy Changes After the COVID-19 Public Health Emergency

On Thursday, Oct. 13, 2022, the Department of Health and Human Services announced an extension (renewal) of the COVID-19 public health emergency (PHE) for an additional 90 days. The latest extension of the COVID-19 PHE will end on January 11, 2023. Learn more.

Three Counties Receive In-Depth Assistance to Improve Crisis and Diversion Strategies

Among the opportunities offered through the Justice and Mental Health Collaboration Program (JMHCP) in 2021 was the chance for three jurisdictions to receive intensive support to better understand how people with mental illnesses flow through their local criminal justice systems. Read more.

HHS Releases New Report on National Guidelines for Child and Youth Behavioral Health Crisis Care

The Department of Health and Human Services (HHS) released a new report on the National Guidelines for Child and Youth Behavioral Health Crisis Care, which provides guidance for communities to improve crisis response services for children and youth in particular. Read more.

SAMHSA Officially Launches New Disparity Impact Statement for Discretionary Grantees

The Substance Abuse and Mental Health Services Administration (SAMHSA) launched the new SAMHSA Disparity Impact Statement (DIS 2.0) to provide clarity to the DIS expectation for grant recipients. Read more.

SAMHSA Releases Interim Strategic Plan

On November 10, The Substance Abuse and Mental Health Services Administration (SAMHSA) released their Interim Strategic Plan (ISP), which presents a new mission and vision that emphasize a more person-centered approach and briefly describes SAMHSA's priorities and guiding principles. Learn more.

RESEARCH

Rates of Smoking Among People With MH/SUD Fell From 2008 to 2019, Study Suggests

The rates of smoking by adults with mental and/or substance use disorders (MH/SUD) fell by about 10% between 2008 and 2019, a study in Addiction suggests. Read more.

Adverse Social Determinants of Health Associated With Self-Harm Among Youth

Youth with a psychiatric illness who experience at least one adverse social determinant of health—such as child welfare placement, abuse, or neglect—have a significantly increased risk of self-harm, according to a study published in Psychiatric Services. Read more.

Long-Term Use of Some Antipsychotics Increases Risk of Fractures, Study Shows

Individuals who take antipsychotics that increase the hormone prolactin for four years or more are at heightened risk of low-energy fractures (fractures resulting from falls from standing height or lower), according to a report in Schizophrenia Bulletin. Read more.

Most Youth Who Died by Suicide Sought Health Care in Year Prior to Death

Nearly 90% of young people who died by suicide were seen by a health care professional at least once in the year prior to their death, including more than 40% who were seen in the month prior to death, a report in Psychiatric Services has found. Read more.

Most Smokers With SMI Don’t Get Treated for Smoking Cessation, Study Finds

From 2005 to 2019, nearly 98% of smokers—including those with and without serious mental illness (SMI)—were not prescribed treatments for tobacco use disorder, according to a study published in Psychiatric Services. Read more.

Sleep Debt, Daytime Sleepiness Common Among American Adults

Nearly 30% of adults have trouble falling or staying asleep, a study in JAMA Network Open has found. Read more.

What Prevents Indigenous People From Seeking Mental Health Treatment?

A lack of Indigenous mental health professionals and mistrust of the effectiveness of mental health treatment are two of multiple barriers that may keep Indigenous people from seeking and using mental health services, a review in Psychiatric Services suggests. Read more.
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