We are evaluating the Certified Community Behavioral Health Clinic (CCBHC) Demonstration, which aims to improve the availability, quality, and outcomes of community mental health center ambulatory care, in eight states.
- Behavioral health care for adults and children
- Medicaid behavioral health services
- Mixed-methods evaluations
- Quality measurement
Jonathan Brown is a health services researcher whose work focuses on improving the quality and outcomes of services for adults and children with mental health and substance use disorders. Much of his work has evaluated the implementation and outcomes of programs designed to integrate and coordinate care. He is currently evaluating the Certified Community Behavioral Health Clinic Demonstration and provides evaluation support for state Medicaid Section 1115 Demonstrations focused on serious mental illness, serious emotional disturbance, and substance use disorders. He previously directed a mixed-methods evaluation of the Substance Abuse and Mental Health Services Administration's Primary and Behavioral Health Care Integration Program and has helped states identify policy and financing options to support a full continuum of care. His past work also involved developing and evaluating communications skills trainings for primary care providers to improve early identification and engagement of children, adolescents, and their families in mental health care. As a co-investigator of the Johns Hopkins University Center for Mental Health Services in Pediatric Primary Care, he piloted mental health skills training interventions for medical assistants working in pediatric primary care with support from the National Institute of Mental Health, and led efforts to evaluate Maryland’s Behavioral Health Integration in Pediatric Primary Care initiative.
Brown has worked with state agencies, managed care organizations, hospitals, consumer groups, and professional associations to develop, validate, and implement behavioral health quality measures. Many of these measures have been endorsed by the National Quality Forum and adopted into national reporting programs. He has served on expert panels for the Institute of Medicine, National Quality Forum, Substance Abuse and Mental Health Services Administration, and Centers for Medicare & Medicaid Services; he most recently served on the National Quality Partners Action Team for Serious Mental Illness and the National Quality Forum Panel on Same Day Access to Mental Health Care for Veterans.
His work has been published in issue briefs and peer-reviewed journals, including Pediatrics, Journal of General Internal Medicine, Health Affairs, Psychiatric Services, and Administration and Policy in Mental Health. He holds a Ph.D. in health services research and an M.H.S. in mental health from the Johns Hopkins University Bloomberg School of Public Health.
Integrating Behavioral with Physical Health Care to Improve Access to High Quality Care
Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Mathematica and the RAND Corporation are conducting a mixed-methods evaluation of the CCBHC model to assess the model’s implementation and impacts on service utilization and costs.
Encouraging High Quality, Efficient Inpatient Care for Mental Health and Substance Use: Case-Mix Adjustment in the Optum Achievements in Clinical Excellence Facility
We are reviewing the case mix adjustments in the Achievements in Clinical Excellence Facility program, which encourages delivery of high quality, efficient inpatient care for mental health and substance use disorders.
Evaluation of the Primary and Behavioral Health Care Integration Program
We are evaluating the Primary and Behavioral Health Care Integration program, designed to improve the health status of adults with serious mental illnesses.
Emerging Roles of Residential Treatment Centers in the Child and Adolescent Mental Health Services System
Mathematica examined (1) the extent to which residential treatment providers operationalize systems of care values and principles and whether there are barriers to doing so, (2) the extent to which families, both youth and caregivers, are partners in the development, oversight, and operation of RTC services,...
Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States
Mathematica conducted an environmental scan and discussions with state officials and other stakeholders in Louisiana, North Carolina, Tennessee, and Vermont to describe each state’s approach to integrating and coordinating care for behavioral health populations.
Integrating Physical Health Care and Wellness Services in Community Behavioral Health Agencies: Case Studies of Two Agencies in Pennsylvania
This study examined the implementation of the Behavioral Health Home Plus program in two behavioral health agencies in Pennsylvania. Each agency hired a nurse, provided wellness coaching training, and implemented web-based outcomes tracking.
Developing and Testing Quality Measures to Improve the Quality of Behavioral Health Services
Mathematica worked with the National Committee for Quality Assurance (NCQA) to develop and test measures that can be used to monitor progress toward reaching the goals of the National Behavioral Health Quality Framework.
Comparative Effectiveness Research and Treatment of Serious Mental Illnesses in Medicaid
Mathematica identified Medicaid policies and payment practices that might facilitate or impede the delivery of evidence-based practices for individuals with schizophrenia and bipolar disorder.
Innovative State Systems Supporting Coordinated Services for Individuals with Mental and Substance Abuse Disorders
Mathematica examined the features of innovative state systems that support coordinated services for individuals with mental health and substance use disorders. We conducted case studies of states to examine how they finance, organize, and deliver coordinated care for this target population.
Recent Insights Can Strengthen the Behavioral Health Care System
May is Mental Health Awareness Month, providing a renewed opportunity to reflect on this important health area, especially as the COVID-19 pandemic has exposed how millions across the country struggle with mental health and substance use disorders (SUDs).
Solving the COVID-19 Vaccine Distribution Crisis: The Role of Behavioral Health Providers
The federal government and states have an opportunity to renew their focus on reaching highly vulnerable populations with COVID-19 vaccines.