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Mental health reports
Health Care Authority produces a number of reports providing the public with information about mental health services ranging from program performance to external quality reporting. The Health Care Authority uses these reports in our efforts to improve service delivery and quality of care.
In 2013, the Washington State Legislature passed Second Substitute Senate Bill 5732 and Engrossed House Bill 1519. Both of these bills directed the Health Care Authority, along with the Department of Social and Health Services, to develop a set of performance measures to track. These measures are included in Medicaid contracts with Regional Support Networks (now behavioral health organizations), managed care organizations, County Chemical Dependency Coordinators, and Area Agencies on Aging.
The measures that developed from this legislation address the following outcomes:
- Improvement in client health status
- Increases in client in participation in employment, education, and meaningful activities
- Reduced client involvement in criminal justice systems and increased access to treatment for forensic patients
- Reduced avoidable use of hospital, emergency rooms, and crisis services
- Increased housing stability in the community
- Improved client satisfaction with quality of life
- Decreased population level disparities in access to treatment and treatment outcomes
The state convened a steering committee and multiple workgroups which produced a menu of 51 performance measures. Performance measures have been included in state contracts and a public reporting website is available for viewing at the Cross-System Outcome Measures for Adults Enrolled in Medicaid.
Below you will find the measure set and legislative reports on the effort.
- Menu of Recommended Performance Measures
- Behavioral Health Improvement Strategy Implementation Status
Ongoing status reports to the Legislature regarding implementation of the cross-system performance measure will occur yearly via a report required under SB 5147:
SB 5732 also sought to increase the use of evidence based, research based and promising practices as well to make recommendations related to workforce issues.
- WSIPP inventory of evidence-based, research-based, and promising practices
- 5732 Evidence Based Practices Workgroup Final Report
- Workforce Development Workgroup Final Report-PowerPoint
For more information, please contact: Kara Panek, Kara.Panek@hca.wa.gov or 360-725-1400.
The Involuntary Treatment Act (ITA) provides for the process of investigation and evaluation of individuals who may need either mental health or substance use disorder involuntary treatment if it is determined the individual presents likelihood of serious harm or is gravely disabled. A single bed certification permits a person to be detained under the mental health Involuntary Treatment Act (ITA) and temporarily receive services from a licensed facility that is not currently certified to treat involuntary clients under WAC 388-865-0500. When someone is detained, they must be placed in a certified evaluation and treatment bed or a bed certified under the single bed certification process. Single bed certifications require that the facility be willing and able to provide timely and appropriate mental health treatment.
In this section you will find updates and reports on single bed certifications across Washington State.
Single bed certification updates
- Quarter 4-2020
- Quarter 3-2020
- Quarter 2-2020
- Quarter 1-2020
- Quarter 4-2019
- Quarter 3-2019
- Quarter 2-2019
- Quarter 1-2019
- Quarter 5-2018
- Quarter 4-2018
- Quarter 3-2018
- Quarter 2- 2018
- Quarter 1-2018
- Quarter 4-2017
- Quarter 3-2017
- Quarter 2-2017
- Quarter 1-2017
- Quarter 5-2016
- Quarter 4-2016
- Quarter 3-2016
- Quarter 2-2016
- Quarter 1-2016
Single bed certification updates from Designated Crisis Responders (formerly Designated Mental Health Professionals)
The reports below detail incidents when an individual meets detention criteria, but an evaluation and treatment (E &T) bed or less restrictive alternative (LRA) is not available.
On April 1, 2018, two changes in the adult and youth Involuntary Treatment Act (ITA) for Substance Use Disorders (SUD) went into effect.
- Designated mental health professionals became designated crisis responders (DCRs).
- Community members who are a danger to themselves or others, other’s property, or gravely disabled due to a drug or alcohol problem may be involuntarily detained to a secure withdrawal management and stabilization (SWMS) facility.
In this section you will find updates and reports on SWMS facilities across the state.
SWMS facility reports
Federal requirements mandate that every state Medicaid agency that contracts with managed care organizations provide for an external quality review of health care services provided to enrollees, to assess the accessibility, timeliness, and quality of care they provide. The technical reports below describe the results of these reviews each year. Information in the reports below were collected from managed care organization and behavioral health organizations through review activities based on Centers for Medicare & Medicaid Services (CMS) protocols.
- External quality review statewide report 2017
- External quality review statewide report 2016
- External quality review statewide report 2015
- External quality review statewide report 2014
- External quality review statewide report 2013
- External quality review statewide report 2012
- External quality review statewide report 2012 - appendix
- External quality review statewide report 2011
- External quality review statewide report 2011 - appendix
- External quality review statewide priority standards report 2011
- Quality of behavioral health services for youth in Washington State
- Quality of behavioral health services for adults in Washington State
- Assessment of the Washington State mental health transformation project
- Disparities in access and outcomes for mental health services
- Gaps analysis of research/evidence-based treatment for children's public mental health
- Mentally ill offender community transition program
- Peer counselor survey report