About CHRT

Washtenaw County Public Safety and Mental Health Preservation Millage Implementation

Client(s): Washtenaw County Community Mental Health, Washtenaw County Sheriff's Office
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Community partners in public safety seek to reduce the number of low-risk, low-level offenders with moderate to severe mental illness or substance use in jail and to redirect them to a supported and well-resourced path to community-based recovery. Community partners in mental health hope to offer immediate mental health and substance use disorder crisis response; to provide short-term services for adults and youth, regardless of insurance status or ability to pay, who have difficulty securing the services they require; to enhance mental health and substance use disorder assessment and treatment in the jail while supporting diversion options and offering expanded education and support for first responders; and to support education, prevention, and awareness in collaboration with schools, faith communities, health care providers, and other local groups.

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Lack of behavioral health workers in rural america

Recruiting and retaining behavioral health workers in rural America: Our report and action guide

In the U.S., there are not enough behavioral health workers to meet the demand for mental health and substance use services, particularly in rural areas. Over the past year, the Center for Health and Research Transformation (CHRT) has worked closely with the University of Michigan’s Behavioral Health Workforce Research Center (BHWRC) to explore the approaches states have taken to address …

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Evaluating the Shelter Association of Washtenaw County medical recuperative care program

Client(s): Shelter Association of Washtenaw County, Packard Health, St. Joseph Mercy Health System, Michigan Medicine
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The Shelter Association of Washtenaw County (SAWC) works to end homelessness one person at a time. Over the years, it has recognized the strong correlation between poor health and homelessness. To address this, SAWC is partnering with area health providers--Packard Health, St. Joseph Mercy Hospital, and Michigan Medicine--to provide onsite primary and behavioral health services to it clients and to strengthen connections with acute care hospital providers. However, SAWC clients continue to suffer from a gap in the local healthcare system, the need for recuperative care such as wound care, adherence to complicated medication regimens (including those delivered intravenously), and more. While this level of service is available for those with housing, it is not available for the homeless. SAWC believes this gap causes early mortality for its clients, increases the cost of their care for Medicaid and Medicare, and adds to ER and hospital bed congestion.

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Mapping gaps and redundancies in behavioral health care: Community mental health and Medicaid clients

Client(s): Washtenaw County Community Mental Health, Blue Cross Complete
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Many individuals who receive Community Mental Health (CMH) services in Washtenaw County have complex health and social service needs. They may receive a variety of services – physical and behavioral health services, care coordination, care management, and social support services – provided by both their CMH and by their Medicaid health plan (MHP). These services, however, are often not coordinated and may be difficult to navigate.

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Exploring behavioral health care integration models for workforce planning

Client(s): University of Michigan Behavioral Health Workforce Research Center; U.S. Department of Health and Human Services Health Resources and Services Administration (HRSA)
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Integrating behavioral health workers into primary care settings allows physicians to focus on medical needs while their patients have convenient access to mental health and substance use treatment professionals. However, behavioral health care workers are in short supply, particularly in rural areas across the country. To understand the impact integration will have on workforce supply, the University of Michigan Behavioral Health Workforce Research Center has been asked to explore four behavioral health care integration models.

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Bridge Magazine: Rheingans in “Michigan finds some success fighting opiate crisis on front line: emergency rooms”

“The biggest challenge that ER docs have is that if somebody is ready for treatment, there’s not a place for them to go. Treatment can be different things for different people.” Carrie Rheingans, acting human services director, CHRT Carrie Rheingans, acting human services director, is quoted in this Bridge Michigan article by Ted Roelofs. “A couple of months ago, Detroit …

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CHRT Michigan Physician Survey – Perspectives on opioid prescribing policies and medication assisted treatment

Over the last decade, there has been a startling increase in the number of deaths attributed to opioid overdose. Between 1999 and 2016, the number of overdose deaths in Michigan increased seventeen fold—from 99 to 1,699. In 2017, more deaths were due to overdose than car accidents State of Michigan (2019). Get the facts about opioids. In 2017, Michigan enacted …

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Cover Michigan Survey: Use of Health Care Benefits in Michigan

Data from the Center for Health and Research Transformation’s (CHRT) 2018 Cover Michigan Survey show health benefits that Michiganders with health insurance coverage have used in the past year (1)Survey participants were asked whether or not they or other family members covered by their plans used each health care benefit in the past 12 months.. Detail on the Cover Michigan …

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References   [ + ]

1. Survey participants were asked whether or not they or other family members covered by their plans used each health care benefit in the past 12 months.

Quick Facts: Chronic Pain in Michigan

Not everyone suffers from chronic pain in Michigan, but many people do. Our Cover Michigan Survey found that more than 35 percent of the state’s residents say they experienced chronic pain which limits their lives or work within the last year. These infographics from the Center for Health and Research Transformation are based on consumer response, and show how many …

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Michigan at a Crossroads

Michigan’s Key Health Policy Issues, 2018 The Michigan government has jurisdiction over a wide array of health policy issues. From the regulation of insurance products, to oversight of the state’s Medicaid program, to investing in local public health efforts, Michigan policymakers craft policies and budgets that impact the health of millions of Michiganders. This brief will provide an overview of …

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