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: Survey Development and Validation | Olmstead and Other Legal Issues
November 15, 2018 



CMS Announces Short-Term IMD Exclusion Waivers for Serious Mental Illness

On November 13, 2018, at a meeting of National Association of Medicaid Directors, the Centers for Medicaid & Medicare Services (CMS) announced a new opportunity for states to seek short-term institution for mental disease (IMD) exclusion waivers, which would allow Medicaid to pay for inpatient mental health services for adults with serious mental illness and children with serious emotional disturbance. NRI executive director, Tim Knettler and senior director, Vera Hollen were in attendance and reported that the announcement was positively received. Learn more

Happy Thanksgiving!

The NRI board of directors and staff wish you a very Happy Thanksgiving. Our thoughts turn gratefully to you with warm appreciation. 


Suicide Rising Across the US

Suicide is a leading cause of death in the US. Suicide rates increased in nearly every state from 1999 through 2016. Mental health conditions are often seen as the cause of suicide, but suicide is rarely caused by any single factor. In fact, many people who die by suicide are not known to have a diagnosed mental health condition at the time of death. Learn more.  

Cataloguing Federal Programs for Serious Mental Illness and Serious Emotional Disturbance

ISMICC Federal officials are conducting a government-wide inventory of programs, services, surveillance efforts, and research related to serious mental illness (SMI) and to serious emotional disturbance (SED). This is a broad undertaking to catalogue more than 160 Federal programs across eight Federal departments. Read more

SAMHSA Strategic Plan – FY 2019 - FY 2023

The SAMHSA Strategic Plan FY2019-FY2023 outlines five priority areas with goals and measurable objectives that provide a roadmap to carry out the vision and mission of SAMHSA over the next four years. Read more.

CMS Model Addresses Opioid Misuse Among Expectant and New Mothers

The Centers for Medicare & Medicaid Services (CMS) announced the Maternal Opioid Misuse (MOM) model, an important step in advancing the agency’s multi-pronged strategy to combat the nation’s opioid crisis. Read more.  

Suicide Prevention Surveillance Success Stories – Centerstone of Tennessee

SAMHSA’s Suicide Prevention Resource Center (SPRC) released its latest Surveillance Success Story. This story details how Centerstone Tennessee, through improved data collection efforts, was able to identify patients at high risk, improve treatment protocols, and reduce suicide deaths within its health care system Learn more.  


College Students Seeking Mental Health Care Nearly Doubles Over Decade

Over the past decade, the percentage of students at U.S. college campuses seeking mental health care has increased significantly—from 19% in 2007 to 34% in 2017, according to a study published in Psychiatric Services. Read more.  

Negative Thoughts, Fears Linked to Risk of Suicide in Patients With Psychosis

Negative thoughts about psychotic experiences and fears of losing mental control may heighten the risk of suicide in patients with psychosis who were not taking antipsychotics, suggests a report in Schizophrenia Bulletin. Read more.  

Gene Risk Scores May Predict Antipsychotic Response in Patients With First-Episode Psychosis

A study published in AJP in Advance suggests that calculating the polygenic risk score (PRS) of a patient with first-episode psychosis can offer clues as to whether he or she will respond to antipsychotics. A PRS involves adding up the total number of genetic variants associated with schizophrenia risk in an individual’s DNA. Read more.

Common Use of Antipsychotics Shown Ineffective for Delirium in Intensive Care Patients

Critically ill patients in intensive care units (ICUs) did not benefit from two antipsychotic drugs used to treat delirium, according to a large clinical trial funded by the National Institute on Aging, part of the National Institutes of Health. Read more.

Chronic School Absenteeism Among Children With Selected Developmental Disabilities: National Health Interview Survey, 2014–2016

This report describes associations between chronic school absenteeism and selected developmental disabilities, including attention-deficit/hyperactivity disorder and autism spectrum disorder, among school-aged children. Children with developmental disabilities had higher chronic school absenteeism. Similarly, as the number of developmental disabilities increased, the odds of chronic school absenteeism increased. Read more.  


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.

NOVEMBER 27: Risk-Need-Responsivity: Applications across Behavioral Health and Criminal Justice 

The Risk-Need-Responsivity (RNR) principles have applications that benefit both criminal justice and behavioral health practitioners. This webinar will provide an overview of RNR and its relevance to both the criminal justice and behavioral health systems, including substance use treatment programming. Guidance on applying the principles at the program-level, as well as case-specific approaches, will be presented. Register now.  

NOVEMBER 27: Early Childhood System of Care Learning Community: Home Visiting and Systems of CareThis webinar’s presenter will share information on the benefits of providing evidence-based home visiting services to strengthen maternal child health and well-being. This prevention-based strategy can be part of an integrated early childhood system of care. Participants will have an opportunity for questions, peer sharing, and dialogue about using evidence-based home visiting strategies as part of a systemic approach to early childhood mental health. Register now.

NOVEMBER 28: System of Care Leadership LC: Developments and Opportunities in Financing Systems of Care 

This Learning Community session will provide information on changes and opportunities in the financing landscape for children’s behavioral health to advance system of care reforms, particularly within Medicaid and child welfare delivery systems. 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.


Applications are Being Accepted for the Youth in Custody Practice Model Initiative 

The Council of Juvenile Correctional Administrators and the Center for Juvenile Justice Reform at Georgetown University’s McCourt School of Public Policy are accepting applications for the Youth in Custody Practice Model (YICPM) initiative. The initiative is designed to assist state and county juvenile correctional agencies and facility providers implement a comprehensive and effective approach to serve youth in residential treatment. YICPM Cohort III: Application Packet YICPM: An Abbreviated Guide

Healthy Transitions: Improving Life Trajectories for Youth and Young Adults with Serious Mental Disorders Program

The Substance Abuse and Mental Health Services Administration (SAMHSA), Center for Mental Health Services (CMHS), is accepting applications for fiscal year (FY) 2019 Healthy Transitions: Improving Life Trajectories for Youth and Young Adults With Serious Mental Disorders Program grants (Short Title: Healthy Transitions).  The purpose of this program is to improve access to treatment and support services for youth and young adults, ages 16-25, who have a serious emotional disturbance (SED) or a serious mental illness (SMI), hereafter referred to as serious mental disorders. Learn more.

Screening and Management of Unhealthy Alcohol Use in Primary Care: Dissemination and Implementation of PCOR Evidence 

The Agency for Healthcare Research and Quality (AHRQ) seeks applications to disseminate patient-centered outcomes research (PCOR) findings directly to primary care practices and support practices in implementing PCOR clinical and organizational findings. Learn more.


New Tool Offers Hope To People Experiencing Early Serious Mental Illness And Their Families SAMHSA’s new Early Serious Mental Illness Treatment Locator will help connect people experiencing a first onset of serious mental illness to effective care. Read more.

Online Training: Preventing Adverse Childhood Experiences The Centers for Disease Control and Prevention (CDC) has launched a new online training to help prevent adverse childhood experiences (ACEs). It includes information about the risk and protective factors and outcomes associated with ACEs and evidence-based prevention strategies. Learn more.


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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