Publications & Reports

 

The following are a selection of BHA and behavioral health reform publications and reports. Not seeing what you are looking for? Reach out to us for assistance!

The Plan for the Creation of the Behavioral Health Administration (BHA) was submitted to Colorado Legislature on November 1, 2021. This plan provides much more detail on how the BHA is expected to operate. It covers the functions of the BHA, as well as how an aligned, strategic approach will advance accountability and transparency. Read the Executive Summary, available in English and Spanish.

This report provides an overview of the Colorado Department of Human Services, Office of Behavioral Health’s progress in implementing House Bill 21-1258, Rapid Mental Health Response for Colorado Youth, pursuant to CRS 27-60-109 (2)(5) for state Fiscal Year 2021-22.

Utilizing the Behavioral Health Task Force six pillars and 19 recommendations and the considerations posed by the Co-Occurring Disabilities and Behavioral Health Workgroup participants, the Steering Committee identified actionable recommendations to improve access to behavioral health care for people with disabilities and co-occurring behavioral health conditions, to include marginalized communities. Click here for their recommendations.

The Behavioral Health Workforce Development Workgroup was tasked with identifying both short-term and long-term solutions to address the workforce shortage. A culturally responsive and diverse behavioral health workforce is needed to deliver high-quality healthcare access to all Coloradans. Click here for their recommendations.

On April 8, 2019, Gov. Jared Polis directed the Colorado Department of Human Services to spearhead Colorado’s Behavioral Health Task Force. The mission of the task force was to evaluate and set the roadmap to improve the current behavioral health system in the state. In September 2020, the task force released its blueprint, as well as several other reports, that outline our vision for reform. Click here for the Task Force’s full report.

Lee en español: Plan de acción para la reforma

In May 2020, Governor Polis asked the Behavioral Health Task Force to establish the COVID-19 Special Assignment Committee. The Committee was tasked with creating an interim report that highlights the short- and long-term impacts of COVID-19 on the behavioral health system, including access to behavioral health services, especially for vulnerable and underserved populations; and evaluate the behavioral health crisis response in Colorado to COVID-19 and provide recommendations for the Behavioral Health Task Force’s Blueprint on improvements to behavioral health services for response during any potential future crisis. Click here to read the full report.

Lee en español: Informe del Comité Especial sobre la Pandemia de COVID-19

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Additional Behavioral Health Reports

Behavioral Health Facility Licensing Task Force

Behavioral Health Facility Licensing Task Force Findings and Recommendations, Dec. 1, 2018

Bridges Project Final Grant Reports — Prepared by Omni

The Youth and Family Bridges Project through the Office of Behavioral Health served 551 Colorado adolescents and transition-age youth with substance use disorders, including those with co-occurring mental health disorders, from September 2013 to August 2017.

  • Bridges Project Policy Assessment-In addition to providing direct service, the Bridges Project focused on policy development to create and/or improve policies around financing, workforce, or other areas in the youth substance use disorder/co-occurring mental health treatment landscape. OMNI Institute conducted several key informant interviews with stakeholders including state agencies, a mental health provider, an advocacy organization, recovery support service organization, and a parent representative. This qualitative policy assessment presents the findings from the key informant interviews and how Colorado can change the policy landscape and create future opportunities for youth and young adult with substance use/co-occurring mental health disorders.
  • Bridges Project Grant-End Report-Bridges used the evidence-based practice known as the Adolescent Community Reinforcement Approach. A total of 335 (61 percent) youth completed both an intake and follow-up survey by the end of the grant for outcome analyses. The proportion of clients abstinent from all substance use increased significantly from intake to follow-up. The Grant-End Report presents all outcomes from intake to follow-up.
Circle Program — WICHE Report

Circle Program: Effectiveness and Operational Scenarios September 2016

Colorado Behavioral Health Care System Needs Analysis - WICHE Report

Needs Analysis - Current Status, Strategic Positioning, and Future Planning April 2015

The intent of the study was to identify and assess existing state and community resources and to recommend strategic future planning, taking into account the many constituent variables associated with the changing behavioral health care system. The Western Interstate Commission for Higher Education Mental Health Program (WICHE), in partnership with the National Association of State Mental Health Program Directors Research Institute (NRI) and Advocates for Human Potential (AHP), formed a team of Colorado and national behavioral health experts to complete this study for OBH. The Colorado OBH Needs Analysis: Current Status, Strategic Positioning, and Future Planning study began in August 2014 and concluded with the final report submission in April 2015. During this time, the project team worked on the 17 specific tasks that were part of the study. This report contains the findings from these tasks ordered by subject-matter relatedness as illustrated in the table below.

Reports Concerning Strengthening Colorado's Behavioral Health Crisis System (Senate Bill 17-207)
In 2017, the Colorado General Assembly enacted Senate Bill (SB) 17-207. This bill allowed for the Colorado Department of Human Services (CDHS) to further expand the Colorado Crisis System (CCS), a coordinated behavioral health crisis response system. In addition, SB 17-207 required that CDHS perform an assessment of the needs and capacity of the Colorado Crisis Services system. Another component of SB 17-207 is to implement and evaluate secure transportation pilot programs for individuals in behavioral health crisis in rural parts of the state. The following reports are connected to SB 17-207.

Transportation Pilot Program Evaluation: A Summary of Findings FY 2019 July 19, 2019

The Transportation Pilot Program (TPP) was initiated in February 2018 at the Center for Mental Health in Montrose, Colorado. The second site, San Luis Valley Behavioral Health Group received funding in April 2018. The purpose of the TPP is to provide comprehensive and secure transportation for individuals placed on a 72-hour treatment and evaluation hold across the region. Individuals who met specifications pursuant to C.R.S. 27-65-105 (1)(a)(1.5), and individuals on a voluntary mental-health-hold status, who necessitate a higher level of care pursuant to Article 65 of Title 27 also qualify to receive secure transport. This report contains the findings of an evaluation of the TPP, and looks at the program's effectiveness and efficiency, as well as access to and satisfaction with the program.

Transportation Pilot Program Evaluation: A Summary of Findings FY 2020 July 2020

The second year of the TPP evaluation began in July 2019. The evaluation expanded upon the first year and focused on areas identified in the FY2019 report: 

  1. Funding and reimbursement
    • How do programs leverage their reimbursement (e.g., what services are provided with transportation funding)?
    • What other ways are providers funding their program?
  2. Quality and efficiency of services
    • What type of transport is provided (e.g., to/from 72-hour treatment, detox, home)?
    • How do program operations impact the quality and efficiency of client services (e.g., capacity to see new clients, quality of care, appointment timeliness and availability)?
    • How long do clients and law enforcement wait before secure transport is available?
  3. Best practices
    • How do the pilot sites and other state programs compare in terms of their transportation protocols (e.g., services provided by operation type [subcontract or in-house service provision], what works/does not work)?

Expansion of the Colorado Crisis System Report (C.R.S. 27-60-103 (6) (c))May 1, 2018

Report provides a brief overview on the status of Colorado Crisis Services expansions. Senate Bill 17-207, which was signed by Gov. John Hickenlooper in May 2017, provided $7.1 million to the Office of Behavioral Health (OBH) in the Colorado Department of Human Services (CDHS) to expand the crisis system and better equip law enforcement to respond to individuals in mental health crisis. In addition, the Long Bill allocated $2.6 million for Law Enforcement-Assisted Diversion (LEAD) pilots to assist law enforcement with redirecting individuals to community-based services instead of jail.

Expansion of the Colorado Crisis System Report (C.R.S. 27-60-103 (6) (b)) November 1, 2017

Report provides a brief overview on the status of Colorado Crisis Services expansions. Senate Bill 17-207, which was signed by Gov. John Hickenlooper in May 2017, provided $7.1 million to the Office of Behavioral Health (OBH) in the Colorado Department of Human Services to expand the crisis system and better equip law enforcement to respond to individuals in mental health crisis. In addition, the Long Bill allocated $2.6 million for Law Enforcement Assisted Diversion (LEAD) pilots to assist law enforcement with redirecting individuals to community-based services instead of jail.

Colorado Ignition Interlock Evaluation Report

Colorado Ignition Interlock Evaluation Report, January 2019 — Contains findings from a study evaluating the impacts of Colorado's ignition interlock program on impaired driving.

Competency Restoration Services

The report provide san overview of the Office of Behavioral Health's (OBH) provision of competency restoration services and OBH efforts toward the coordination of competency restoration services with other existing programs pursuant to C.R.S. 27-60-105. The report highlights data regarding the number of individuals ordered to competency restoration services, the average time frame for beginning and ending such services, the types of settings in which competency restoration services are provided, and the outcomes of such services.

Controlled Substance Diversion Prevention and Control Report

Controlled Substance Diversion Prevention and Control Report May 2018

The Office of Behavioral Health produces an annual report summarizing the yearly data and activities for the controlled substance diversion prevention and control program. OBH rule defines diversion as the transfer of any controlled substance from a licit to an illicit channel of distribution or use. This could also be interpreted as taking a medication that is not prescribed. CDHS is required to make recommendations for improving control and prevention of controlled substance diversion and track the number of diversion instances across the state.

Co-Responder Evaluation

People with behavioral health conditions may find themselves involved with law enforcement if their symptoms trigger a need for services. Law enforcement officers may arrest a suspect or take them to a hospital, rather than refer them to a community-based behavioral health program, because officers don't have enough training or resources.

The co-responder model pairs law enforcement officers with a behavioral health provider to respond to calls for service.

The Office of Behavioral Health provides funding in 25 counties to implement Co-Responder Programs. In 2020, OBH contracted with the Colorado Health Institute (CHI) to evaluate eight of the state's Co-Responder Programs.

The Costs and Effectiveness of Substance Use Disorder Programs (Forfeiture Dollars Annual Report)

This report provides a brief overview on the costs and effectiveness of alcohol and drug abuse programs for the individuals who received substance use services, the actual cost of serving these individuals and the outcomes related to substance use treatment services.

Culturally Informed and Inclusive Report
Children and Youth Mental Health Treatment Act
  • CYMHTA FY 2019-20 Annual Report. – Provides a brief overview of the Children and Youth Mental Health Treatment Act (C.R.S. 27-67) and its revenue sources, services offered, program changes and available data.
Drug Trends Report

The Office of Behavioral Health prepares a report annually that analyzes treatment admissions for OBH-licensed facilities. The report focuses on treatment admissions for alcohol, marijuana, cocaine, methamphetamine, heroin, and prescription opioids.

Evaluation of Intensive Residential Substance Use Disorder Treatment Provided through Managed Service Organizations

Statewide Evaluation of the Effectiveness of Intensive Residential Substance Use Disorder Treatment Provided through Managed Service Organizations Fiscal Year 2019 December 2018

Pursuant to 27-80-107.5(6)(c), C.R.S., this report evaluates whether the Medicaid behavioral health benefit should be expanded to include intensive residential treatment for substance use disorders. The report contains a literature review, key informant interviews, State data analysis, and recommendations.

Gambling Addiction Program Reports

Gambling Addiction Program Strategic Plan March 2020 

This strategic plan addresses problem gambling in Colorado in compliance with Colorado Revised Statutes 44-30-1301(1)(b).

Gambling Addiction Program Report Fiscal Year 2020-21, January 2022

Gambling Addiction Program Report Fiscal Year 2019-20, January 2021

Gambling Addiction Program Report Fiscal Year 2018-19, January 2020

Gambling Addiction Program Report (C.R.S. 12-47.1-1601 (1) (a.5) (II)) Fiscal Year 2017-18 January 2019

Gambling Addiction Program Report (C.R.S. 12-47.1-1601 (1) (a.5) (II)), Fiscal Year 2016 - 17 January 2018

This report provides a brief overview of the Gambling Addiction Program and how it supports individual applicants seeking national certification for gambling addiction counseling and organizations serving uninsured and underinsured clients. Services reimbursed by private insurance or Medicaid are not represented in this report.

High-Risk Families Cash Fund Report

This report provides a brief overview of the High-Risk Families Cash Fund (Cash Fund) for Fiscal Year (FY) 2020-2021, and includes:

  1. A summary of expenditures from the fund made by the department;
  2. The impact of the expenditures in increasing services for high-risk families; and
  3. Any recommendations to strengthen and improve access to services and services provided with money from the fund.
I Matter
Jail Based Behavioral Health Services Reports
Involuntary Mental Health Commitment Reports and Fact Sheets

Menu of Behavioral Health Screening Tools for Children and Perinatal Individuals (SB 19-195)

Menu of Behavioral Health Screening Tools for Children and Perinatal Individuals Posted July 2020

The Office of Behavioral Health (OBH) contracted the Colorado Health Institute to create a menu of screening tools for identifying behavioral health issues among children ages 0 to 26 and in perinatal individuals. This work is mandated by Senate Bill 19-195, which requires OBH to "select developmentally appropriate and culturally competent statewide behavioral health standardized screening tools for primary care providers, which may be made available electronically for health care professionals."

Opioid State Policy Analysis Report

Policy Analysis of State Legislation and Response to the Opioid Crisis, Fiscal Year 2018 September 2017

This analysis outlines some of the types of opioid and other substance use disorder legislation that have been proposed and passed in other states, case studies in success, and Colorado's progress.

Prescription Drug Abuse Prevention: A Colorado Community Reference

The Office of Behavioral Health and the Colorado Consortium for Prescription Drug Abuse Prevention have released Prescription Drug Abuse Prevention: A Colorado Community Reference. The new online guide is intended to provide local communities, groups, and organizations engaging in efforts to prevent the misuse and abuse of prescription drugs with a compilation of resources, practices, and tools to enhance existing work or to develop new strategies and programs to address Colorado's opioid crisis. June 2019

Profile of the State of Colorado's Plan to Enhance Substance Use Disorder Services (SB16-202)

Senate Bill 16-202, passed in June 2016, requires the Managed Service Organizations and the Office of Behavioral Health to complete a set of reports highlighting the community need for substance use services and the action plan for addressing unmet needs.

State Fiscal Year 2020

Senate Bill 16-202 Expenditures Report Final FY 2020

State Fiscal Year 2019

View the Fiscal Year 19 expenditure report:
Senate Bill 16-202 Expenditures Report All MSOs FINAL FY 2019

View each region's annual report on of how the funds in the expenditure report were spent:
Signal Behavioral Health (Sub-State Planning Areas 1, 2 and 4)
AspenPointe (Sub-State Planning Area 3)
West Slope Casa (Sub-State Planning Areas 5 and 6)
Mental Health Partners (Sub-State Planning Area 7)

State Fiscal Years 2016-2018

-A Profile of the State of Colorado's Plan to Enhance Substance Use Disorder Services May2017

View each region's community action plan:
Signal Behavioral Health (Sub-State Planning Areas 1, 2 and 4)
AspenPointe (Sub-State Planning Area 3)
West Slope Casa (Sub-State Planning Areas 5 and 6)
Mental Health Partners (Sub-State Planning Area 7)

View the Fiscal Year 17-18expenditure report:
FY1718 SB202 Supported Substance Use Disorder Programs Year-End Report

View the Needs Assessment summarizing the general needs and gaps related to specific populations, funding priorities, and promising practices for SUD services across the state and within the seven MSO regions.
Bridging the Divide: Addressing Colorado\'s Substance Use Disorder Needs February 2017

Residential Substance Use Treatment for Pregnant and Parenting Women and their Children: A Colorado Implementation Guide

Substance Use Treatment for Pregnant and Parenting Women and their Children Implementation Guide: A Colorado Implementation Guide- This resource is for Colorado providers seeking to implement, expand or enhance the residential substance use treatment services offered for pregnant and parenting women and their children. It covers the ways that typical treatment for substance use disorders should be modified to address the needs of pregnant and parenting women. It also details expected start-up expenses, provides budget considerations and presents a description of funding streams that can be useful to starting a program in Colorado. It further contains sample policies, schedules and program descriptions that can be tailored to specific settings and offers lessons learned from other providers who have embarked on this important and challenging work.

Safety Net System: Comprehensive Plan to Strengthen and Expand the Behavioral Health Safety Net System (SB 19-222)

Comprehensive Plan to Strengthen and Expand the Safety Net System (July 2021)

This document outlines the key goals and steps required to close the gaps in the current delivery system and ensure that individuals with the most difficult-to-treat mental health disorders receive services. Read the executive summary and the full plan.

State Targeted Response to the Opioid Crisis Needs Assessment Report

Needs Assessment for the SAMHSA State Targeted Response to the Opioid Crisis Grant Report. July2017

This needs assessment was prepared on behalf of the Office of Behavioral Health (OBH) in the Colorado Department of Human Services (DHS) under the State Targeted Response (STR) to the Opioid Crisis grant program. The assessment identifies areas where opioid misuse and its harms are most prevalent, existing activities and funding sources that address the opioid crisis and gaps in the existing system to be addressed in the strategic plan.

Statewide Strategic Plan for Primary Prevention of Substance Abuse: 2019-2024

Putting Prevention Science to Work: Statewide Strategic Plan for Primary Prevention of Substance Abuse, 2019-2024 December 2018

Full Strategic Plan Two-Page Summary

 

The Office of Behavioral Health retained Colorado Health Institute (CHI) to conduct a statewide needs assessment of substance use primary prevention. The goal of the assessment is to help OBH and other statewide funders better use their resources to strengthen Colorado's substance use prevention programming.

The Office of Behavioral Health undertook a needs assessment and planning process in 2017-18 that has produced this Statewide Strategic Plan for Primary Prevention. OBH retained the Colorado Health Institute to conduct the needs assessment and aid in the strategic planning process. The plan aims to strengthen the prevention system in place in Colorado by coordinating funders and the efforts they support. It outlines distinct, coordinated roles for prevention funders to play to best support and strengthen the system.

Making the Wise Investment Statewide Needs Assessment of Primary Prevention for Substance Abuse February 2018

Full Needs Assessment Report

Statewide Strategic Plan for Substance Use Disorder Recovery: 2020-2025

Colorado's Statewide Strategic Plan for Substance Use Disorder Recovery: 2020-2025 (August 2019)

Full Strategic Plan Two-Page Summary

 

In House Bill 18-1003, the General Assembly tasked the Colorado Consortium for Prescription Drug Abuse Prevention to assess the state's recovery needs and create a strategic plan to address them. This plan - funded through the Office of Behavioral Health and created in partnership with the state's leaders in behavioral health and with hundreds of people in recovery - fulfills that mandate. It sets forth a vision of a system of care in Colorado that supports people who have struggled with addiction throughout their lives, and that vision will guide us as we focus on next steps to improve recovery resources for Coloradans.

Supported Substance Use Disorder Programs

FY 2017-18 Supported Substance Use Disorder Programs Year-End Report (Completed by Managed Service Organizations per Senate Bill 202) September 2018

In accordance with27-80-107.5(5)(a) C.R.S., designated managed service organizations must submit an annual report to the Colorado Department of Human Services, Office of Behavioral Health, the Joint Budget Committee, the Health and Human Services Committee in the Senate, and the Public Health Care and Human Services Committee of the House of Representatives regarding the amount and purpose of actual expenditures made using money from the marijuana tax cash fund in the previous state fiscal year.

SYNAR Report

42 U.S.C 300x-26 requires each state to submit an annual report of its progress in meeting requirements of the Department of Health and Human Services about the sale/distribution of tobacco products to individuals under age 18 as a provision federal Block Grant funding.

Transition Specialist Program - Behavioral Healthcare Inc. Report

Transition Specialists Program (TSP) FY17 Annual Report