The NRI Newsletter is a bi-monthly publication that brings together news and events relevant to our stakeholders of the public behavioral health system.
NRI Services Highlight: Joint Commission Survey Preparation | Policy and Program Planning and Evaluation
October 4, 2018 



SAMHSA Releases the 2017 Adults with Serious Mental Illness (SMI) and Children with Serious Emotional Disturbance (SED) Prevalence Estimates

NRI compiles data on behalf of SAMHSA for the Uniform Reporting System (URS). URS data are required to be submitted by each state behavioral health authority as part of the Mental Health Block Grant allocation. URS data form the basis for the National Outcome Measures (NOMS).

The 2017 state-by-state prevalence estimates for adults with serious mental illness (SMI) and children with serious emotional disturbance (SED) are now available. States use these estimates as part of their Uniform Reporting System (URS) data reporting requirements. The estimates, prepared by NRI, use the official SAMHSA estimation methodology for the prevalence of SMI and SED. The SAMHSA estimation methodology was developed and tested by SAMHSA during the 1990s and was published in the Federal Register in 1998. The calculated estimate of adults with SMI relies on state civilian population data for the 50 states and the District of Columbia and on the resident population data for Puerto Rico. The estimates for children with SED use a combination of state civilian population and poverty data.


Medicaid Innovation Accelerator Program (IAP) - State Medicaid-Housing Agency Partnerships New Technical Support Opportunity Information Session

The Medicaid Innovation Accelerator Program (IAP)’s Community-Integration through Long-Term Service and Supports (CI-LTSS) Program Area is launching a nine-month technical support opportunity for up to eight states seeking to implement housing and service changes that will increase community integration options for Medicaid beneficiaries requiring long-term services and supports. Learn more.

Maryland Granted $66 Million in Federal Funds to Tackle Opioid Epidemic

State health officials announced Friday that they have received $66 million in federal funding to help tackle opioid addiction, which has lead to record fatal overdoses in Maryland. Read more


Joint Commission Study Finds More Than 70 Percent of Hospital Inpatient Suicides Occur During Psychiatric Inpatient Treatment and by Hanging 

To get a clearer understanding of the incidences of inpatient suicides, the Joint Commission conducted a study to more accurately estimate the inpatient suicide rates, the method used, and location of suicides within U.S. hospitals. Read more.  

Study Finds Dialectical Behavioral Therapy Reduces Suicidal Behaviors Among At-Risk Youth 

Dialectical behavior therapy (DBT) consisting of individual and family therapy effectively reduced future self-harm and suicide attempts among at-risk adolescents, according to new research published online in the August 2018 JAMA Psychiatry. Read more.  

Facing Addiction in America The Surgeon General’s Spotlight on Opioids

The Office of the Surgeon General and the Substance Abuse and Mental Health Services Administration (SAMHSA) developed this Spotlight on Opioids from the Surgeon General’s Report, in order to provide opioid-related information in one, easy-to-read document. Read more. 

Online Resources Could Help Bridge the Pathway to Care for Patients With First-Episode Psychosis

Social media and the internet could play an important role in reaching young people who are experiencing first-episode psychosis but have not yet sought treatment, according to a study published in Psychiatric Services in Advance. Read more

New AHRQ Reports Highlight Seniors’ Struggles with Opioids

Nearly 125,000 hospitalizations among older Americans involved opioid-related diagnoses in 2015, according to an Agency for Healthcare Research and Quality (AHRQ) report that provides new insights into how one of the Nation’s most urgent public health problems is impacting the senior population. Read more

Veteran Affairs Releases National Suicide Data Report for 2005-2016: Analysis Is Part of VA’s Data-driven Approach to Suicide Prevention

The U.S. Department of Veterans Affairs (VA) released national and state-level findings from its most recent analysis of Veteran suicide data, from 2005 to 2016. The analysis is part of VA’s ongoing examination of non-Veteran and Veteran death records that is being used to evaluate and improve VA’s Suicide Prevention Program. Read more


Complex Clinical Decisions in Psychopharmacology Podcast Series

SAMHSA's Recovery to Practice podcast series explores complex clinical decisions in psychopharmacology for providers of services to individuals with serious mental illness (SMI) from a recovery-oriented perspective. Learn more.  

Clinical Decision Support for Prescribers Treating Individuals with Co-Occurring Disorders

This two-course series offers practitioners tools, tips, and strategies for addressing the needs of individuals with serious mental illness and co-occurring substance use disorders from a strength-based and recovery- oriented perspective. The American Academy of Family Physicians offers continuing education credits for the series. Learn more.

OCTOBER 5: Addressing Mental Health Symptoms to Prevent Challenging Behaviors 

Many people with IDD engage in challenging behavior as a way to communicate and get their needs met. Some problem behaviors are caused by symptoms of psychiatric disorders and other mental health conditions. This session will review the complicated factors that contribute to behavior and provide strategies to help Direct Support Professionals address these challenges. Register now.

OCTOBER 11: Teen Depression—Addressing Stress

During this free webinar, Amy Saltzman, M.D., teaches adults how to identify stress and depression in teens, use the power of mindfulness-based stress reduction in difficult times, and truly listen without judgement. During the webinar, caring adults will also learn how to respond—rather than react—to teens during emotionally-charged conversations. Register now.  

OCTOBER 17: Addressing Addiction in Acute Care Settings 

This webinar aims to describe programs that are currently underway including the supportive evidence to capitalize on the time that a patient spends in the acute care setting to promote health and therapeutic engagement while minimizing future harm. Optimizing these treatment strategies will improve patient care and satisfaction while reducing unnecessary resource utilization. Register now.

OCTOBER 17: System of Care Expansion Leadership Learning Community: SOAR for Children 

SOAR is a successful national program, funded by SAMHSA, originally designed to increase access for adults to the disability income benefit programs administered by the Social Security Administration (SSA). This month’s learning community will introduce the new SOAR Child Curriculum, an online course designed by the SAMHSA SOAR TA Center to increase access to Supplemental Security Income (SSI) for children and youth under the age of 18 with disabling conditions who experience or are at risk of homelessness. Participants will learn about this new curriculum and how it can be used as a tool that SOC providers can integrate into programming and referral processes to ensure that children and youth receive the right combination of services to best suit their current and future needs. Register now.  

OCTOBER 24: Direct Connect Learning Community Youth Engagement Steps to Success: Creating Youth Friendly Environments 

Developing and implementing youth engagement strategies in your community? This webinar will assist youth leaders, adult supporters, and organizational staff in identifying ways to enhance supportive youth engagement and working environments. Register now.  

OCTOBER 25: The Power of Telling Your Story 

Join Family-Run Executive Director Leadership Association (FREDLA) staff for a lively discussion of The Power of Telling Your Story and share your thoughts on: Guiding families to effectively tell their story while respecting their child’s story; Do’s and don’ts of social media; Involving youth in story telling; Developing a story bank for your organization; Tools and resources. Register now.

NOVEMBER 15: Longitudinal Trends from the Residential Information Systems Project about Services and Supports to People with IDD – How States Vary Compared to Other States and the U.S 

The Residential Information Systems Project (RISP) has been tracking supports and services, particularly deinstitutionalization, for over 40 years. Comparing states across the United States to overall trends within the country can be revealing about how government service models differ in the types of supports and services they provide. Register now.

NOVEMBER 20: Cognitive Decline in Adults with Down Syndrome 

This presentation will review the care and assessment process when decline is suspected including Alzheimer’s disease and related dementia. Register now.

DECEMBER 11: Making an Impact: How Managed Care Organizations Can Enter the Equation 

This session will share Amerigroup’s integrated care coordination approach for individuals with Intellectual and developmental disabilities and will outline an approach to addressing the physical, behavioral, and social needs of individuals with IDD holistically, providing access to a wide array of services through a single coordination point—supporting meaningful community integration and reducing complexity not only for the individual, but for their families and caregivers. Register now.


SAMHSA Funds Expanded Transformation Transfer Initiative (TTI) Grants for FY 2019; 20 State Grants Available to Establish, Expand Psychiatric Crisis Bed Registries 

The Center for Mental Health Services (CMHS) is funding another year of the Transformation Transfer Initiative (TTI). The TTI provides, on a competitive basis, flexible funding awards to states, the District of Columbia, and the Territories to strengthen innovative programs. For Federal Fiscal Year (FFY) 2019, SAMHSA will award TTI grants of up to $150,000 to up to twenty (20) states or territories for projects to establish and expand comprehensive, psychiatric crisis bed registry programs.

All states and territories are eligible to apply, the application follows, and all proposals are due back to NASMHPD by October 26, 2018. Any questions regarding the attached TTI application or your proposal, can be directed to David Miller, NASMHPD Project Director, the staff lead on this project. He can be reached at 703-399-6892, or


October is National Disability Employment Awareness Month NDEAM celebrates the contributions of workers with disabilities and provides education about the value of a workforce inclusive of their skills and talents. Check out the following resources from the SAMHSA SOAR TA Center and incorporate them into your work!  

SAMHSA Suicide Prevention Resources: 

Centers for Disease Control and Prevention National Suicide Statistics at a Glance & National Survey on Drug Use and Health (NSDUH)
SAMHSA’s Suicide Prevention Efforts and the Action Alliance’s Your Life Matters! Campaign and the Suicide Prevention Resource Center 

Also, see the archived Zero Suicide Webinar Assessing Workforce Readiness to Provide Comprehensive Suicide Care.

State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis, Becky Normile, Carrie Hanlon & Hannah Eichner, National Academy for State Health Policy, September 2018

Implementing Tobacco Cessation Programs in Substance Use Disorder Treatment Settings

Suicide Prevention for Veterans: Safety Planning Intervention and Phone Follow-up Helps Lower Suicide Risk 


David Shern, Ph.D., President
Lorrie Jones, Ph.D., Immediate Past President
Lynda Zeller, Vice President
Lisa Clements, Ph.D., Treasurer
Stephen Baron, M.S.W., Secretary
Members At Large 
Joyce Allen, M.S.W., Tom Betlach, M.P.A., Sheri Dawson, Miriam Delphin-Rittmon, Ph.D., Ron Manderscheid, Ph.D., Joe Parks, M.D., Tanya Royster, M.D., Matthew Salo, Dena Stoner, Ann Marie Sullivan, M.D. 
Executive Leadership
Tim Knettler, M.B.A., CAE, Executive Director/CEO, Board Member, Ex-Officio
Ted Lutterman, Government & Commercial Research
Lucille Schacht, Ph.D., Performance & Quality Improvement
Vera Hollen, M.A., Research and Consulting
Copyright (C) 2018 National Association of State Mental Health Program Directors Research Institute All rights reserved.

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