Variation in Services Offered by Certified Community Behavioral Health Clinics and Community Mental Health Centers
National Surveys of Mental Health and Substance Use Disorder Treatment Facilities
Prepared for:
U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration
- A higher percentage of Certified Community Behavioral Health Clinics (CCBHCs) provided most types of services than community mental health centers (CMHCs) across all states with CCBHCs.
- For most services, the difference in the percentage of CCBHCs versus CMHCs providing the service was larger in the states participating in the CCBHC demonstration than in the states not participating in the demonstration.
- A higher percentage of CCBHCs than CMHCs provided services to all populations included in the 2020 National Mental Health Services Survey and offered treatment at no charge or for minimum payment in demonstration and non-demonstration states.
Community mental health centers (CMHCs) across the country can vary in the scope of services they provide. This variation is, in part, because of differences across states and communities in the availability of funding and staff to provide services. Further, some evidence suggests that payment rates for CMHCs historically have not covered the full cost of the services they currently provide, making it challenging to expand or offer a more comprehensive array of services.
The Certified Community Behavioral Health Clinic (CCBHC) model aims to ensure that all consumers who seek care have access to a common set of services. CMHCs or other behavioral health organizations must provide the following nine types of services to qualify as a CCBHC: crisis mental health services; screening, assessment, and diagnosis; outpatient mental health and substance use disorder (SUD) treatment; person-centered treatment planning; primary care screening and monitoring of key health indicators; targeted case management; psychiatric rehabilitation; peer support; and intensive services for members of the armed forces and veterans.
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