Certified community behavioral health clinics address mental health and substance use crises with expanded access to care

According to a recent survey by the National Council for Mental Wellbeing, CCBHCs increase the number of people served per clinic by 23%.

WASHINGTON, October 26, 2022 / PRNewswire / – Community Behavioral Health Clinic (CCBHC) Certified Clinics Continue to Expand Access to Care, Alleviate Workforce Challenges, and Strengthen the Crisis Care System, According to New Data from the CCBHC Impact Report 2022 of the National Council for Mental Wellbeing conducted by The Harris Poll – an online survey conducted between July and August, including 249 CCBHC. CCBHCs offer access to mental health services much faster than the national average waiting time and provide access to certain forms of substance use disorder treatment at significantly higher rates than non-CCBHCs.

The National Council for Mental Wellbeing, together with its members and state and federal policy makers, created the framework for the CCBHC more than a dozen years ago and collaborated closely in the implementation of this new and transformative model. CCBHCs are clinics – certified by their states as CCBHC or recipients of a federal CCBHC grant – that receive flexible funding to expand the scope of mental health and substance use services in their community. They serve anyone who walks in the door, regardless of their diagnosis and insurance status.

“The CCBHC model continues to represent our nation’s best response to ongoing mental health and substance use crises,” he said. Chuck Ingoglia, president and chief executive of the National Council for Mental Wellbeing. “CCBHCs expand access to comprehensive and integrated care at a time when the vast majority of people enter the 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 in the continuum of care in America. “

Download the report on the impact of CCBHC 2022

Since 2017, when the first CCBHCs were established, the National Council for Mental Wellbeing has annually interviewed CCBHCs and beneficiaries to gather information on their activities and achievements. This year’s report provides further evidence of the program’s remarkable success, showing that evidence-based clinical care supported by effective funding can dramatically increase access to care and provide comprehensive, life-saving services nationwide.

The report comes on the heels of the Biden-Harris administration’s announcement last week that CCBHCs will be expanded nationwide: Planning grant applications are now available to help more states implement the CCBHC model, using funding authorized by the Bipartisan Safer Communities Act. The announcement was made at a press conference on October 18which included the observations of Saverio BecerraSecretary of the United States Department of Health and Human Services, Senator of Legislative Architects of the CCBHC Debbie Stabenow (D-Mich.) And Senator Roy Blunt (R-Mo.), As well as representatives of a CCBHC and law enforcement agencies.

Highlights of the National Council’s 2022 survey of active CCBHCs:

  • CCBHCs serve millions of people and provide thousands of new clients with the care they need.
    • 1.2 million people are currently served each year in the 249 responding clinics, which means approximately 2.1 millionI they are served nationally by all CCBHCs and beneficiaries.
    • CCBHCs and beneficiaries who reported an increase in workload, on average, serve more than 900 more people per clinic than before the implementation of the CCBHC, an increase of 23%.
  • The CCBHC model is helping to address health inequalities by enabling clinics to improve access to care for disadvantaged communities.
    • Since becoming a CCBHC, 100% say they have taken 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 on culturally sensitive / competent care (94%).
  • CCBHCs provide life-saving crisis support services in their communities, which help divert people in crisis from hospitals, emergency wards, and prisons.
    • Directly or through referrals, 98% of respondents offer 24/7 access to crisis lines, 97% offer access to mobile crisis response, and 94% offer access to services of stabilization of the crisis.
  • CCBHC and beneficiaries are addressing the nation’s opioid crisis by vastly expanding access to drug-assisted treatment (MAT)
    • 82% of CCBHCs and beneficiaries use one or more forms of MAT for opioid use disorder, while only 58% of drug use clinics nationwide provide MAT servicesii
  • The CCBHC model is alleviating the impact of labor shortages on mental health and drug use treatment in the community, enabling clinics to increase intakes.
    • 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 an estimated 11,240 new staff positions added across all CCBHCs and beneficiariesiii.


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

These grants have proved a vital stepping stone to 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 event will expand to include 10 new states every two years, starting in 2024, and will ultimately offer all states the opportunity to translate their beneficiaries’ work into a new model. sustainable assistance nationwide.

Survey methodology

The research was conducted online in the United States by The Harris Poll on behalf of the National Council for Mental Wellbeing among 249 certified community-based behavioral health clinics (CCBHC and beneficiaries). The survey was conducted July 14August 26, 2022.

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

Respondents for this survey were among the total 449 CCBHC participants and beneficiaries who were asked to participate, of which 249 participated in our survey and are included in the final results. The sampling accuracy of Harris online surveys is measured using a credible Bayesian interval. For this study, the sample data is accurate to within + 6.2 percentage points using a 95% confidence level. This credible range will be wider among subsets of the population of interest surveyed.

All surveys and sample surveys are subject to multiple other sources of error which very often it is not possible to quantify or estimate, including but not limited to, coverage error, error associated with non-response, error associated with the formulation of the question and options for survey response and post-weighting and adjustments.

I Estimate based on survey responses indicating that 249 respondents served 1,188,856 customers per year as of the survey date.
ii Opioid and Health Indicator Database: Facilities that provide at least two different forms of drug-assisted treatment. amfAR. (2022). Retrieved from https://opioid.amfar.org/indicator/TMAT_fac
iii Estimate based on survey responses indicating that 249 respondents had 6,220 newly created staffing positions as a result of becoming a CCBHC at the survey date.

Sofia Majlessi
[email protected]


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