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Advocacy Materials and Projects

Send an e-mail with your name, address and phone number, and item requested. Our staff will send free materials or contact you with the pertinent information on how to order materials that have a cost attached to them. Allow two weeks for delivery.

NACBH / NAPHS Collaboration: MEDICAID: Principles for Treatment of Children and Youth with Emotional and Substance Use Disorders (2006)

A collaborative effort between NAPHS and the National Association for Children's Behavioral Health (NACBH) is calling on Congress to pay attention to the needs of children and youth with emotional and substance use disorders as they work on implementing the 2007 Medicaid budget. To help policymakers understand the critical role that Medicaid plays in maintaining healthy communities, the two associations have released a shared vision of Medicaid: Principles for Treatment of Children and Youth with Emotional and Substance Use Disorders. Price: Available free at www.naphs.org. Also see a joint news release. Item number NACBH.

Reimbursement for Special Education Services in Residential Placements. (March 2005)

Prepared by nationally known expert in special education law and policy Myrna R. Mandlawitz, Esq., this paper is intended to help the clinical and administrative staff in residential programs to understand the law, to better navigate the special education reimbursement funding system, and to improve internal systems to gather the information necessary to improve education reimbursement. Available exclusively to NAPHS members.

White Paper: Challenges Facing Behavioral Health Care: The Pressures on Essential Behavioral Healthcare Services (2003)
Millions of Americans of all ages experience psychiatric and substance use disorders every year, but access to necessary services is becoming an increasing challenge for many, according to this new NAPHS white paper. Challenges Facing Behavioral Health: The Pressures on Essential Behavioral Healthcare Services gathers data from various sources to outline national trends that are “contributing to unprecedented pressures on essential behavioral healthcare services.” The white paper also offers recommended solutions. Price: The white paper is available free at http://www.naphs.org/News/2003_0407c.html. Printed white papers are $50 per 100. Item number WPA.

“Make Behavioral Health for Youth a Priority" Advocacy Campaign Kit
Get the tools you need to help policymakers and community leaders understand the importance of meeting the behavioral health needs of our nation's youth. The grassroots advocacy kit explains the need for expanded coverage, improved coordination of care, and fair funding and includes detailed reference materials. These include a major, 50-page NAPHS-commissioned policy paper by the Lewin Group on Enhancing Youth Services as well as fact sheets on problems and solutions, the prevalence of mental illness, the economic and human impact of neglecting behavioral health needs of youth, models that work, and recommendations to improve the lives of children with behavioral health disorders. Price: Materials are available free at http://www.naphs.org/youth_services/index.html. Printed kits are $25. Item number YSC.

Behavioral Health Is an Integral Part of Overall Health.
A four-page fact sheet demonstrating that behavioral health care saves money, saves lives, and serves community interests. Developed by the NAPHS Committee on Behavioral Health Services within General Healthcare Systems, the fact sheet brings together references from a wide variety of sources to demonstrate the inseparability of mind and body. Price: Fact Sheet is available free at http://www.naphs.org/news/benefits.html. Printed fact sheets are $10 each or $50 per 100. Item number IPOH.

NAPHS Annual Survey
Each year, NAPHS surveys its membership to track trends in behavioral health care. The NAPHS Annual Survey reports on how the psychiatric health delivery system is changing and tracks key trends in the development of various levels of care (including inpatient, partial hospitalization, residential treatment, and outpatient care). Among key indicators reported in the survey are: admissions and days of care, lengths of stay, payer trends (including the role of Medicare and Medicaid), expenses, and contracting arrangements. The survey is an important reference used throughout the year by clinicians, administrators, financial analysts, media, healthcare consultants, federal agencies, and researchers. Survey Price: $400 for nonmembers;
One copy free to participating NAPHS-member organizations. $300 for additional member copies (no further discount). Item number TAS.

White Paper: Lessons Learned from Pilot Testing of the NAPHS Benchmarking Indicators (2001)
Behavioral healthcare providers are eager to create industry-wide core performance measures. However, a pilot test of key benchmarking indicators found that substantial challenges remain in gathering, reporting, and comparing data across systems. The NAPHS White Paper: Lessons Learned from Pilot Testing of the NAPHS Benchmarking Indicators identified measures that hold great promise for the field. More importantly, the participants in this 2000 pilot test demonstrated their willingness to share this critical data. The pilot test focused on nine indicators (adverse drug reactions, completed suicide, attempted suicide, restraint, seclusion, symptom/function measure, readmission, patient satisfaction, and peer review) chosen from an earlier consensus-driven process. While no specific data is reported, the document outlines challenges identified in the testing phase. Commentary is provided on each of the pilot test indicators. Price: One free to NAPHS members, $40 for nonmembers. Item number WP.

NAPHS Benchmarking Survey Report (1999)
The NAPHS Benchmarking Indicators Survey Report presents two important perspectives. The first is a consensus-based selection of indicators that the NAPHS Benchmarking Committee felt may be useful tools for behavioral healthcare organizations regardless of the level of care they provide. The report includes some of the background thinking that led the NAPHS Benchmarking Committee to select these indicators for further study, as well as a bibliography that helped inform the committee’s selections. The second perspective provided in the report is a snapshot of which performance measures are currently in use within various levels of care. The survey was conducted for NAPHS and the Association of Behavioral Group Practices by the Center for Quality Innovations and Research, headed by Naakesh A. Dewan, M.D., and was supported in part by the federal Center for Mental Health Services. Price: One free to NAPHS members, $40 for nonmembers. Item number BEN.

Get Ready for Outpatient PPS
As of August 1, 2000, Medicare implemented an outpatient prospective payment system (OPPS) for reimbursement of partial hospitalization and other behavioral outpatient services delivered by hospitals and community mental health centers. This audiotape/notebook package is designed to help organizations understand the new rules and regulations and to revamp financial systems. The package includes an audiotape of a 2-hour teleconference led by Kathy Bolmer, Ph.D., of KB Behavioral Healthcare. The tape also features Janet Samen of the Centers for Medicare and Medicaid Services (formerly Health Care Financing Administration), fiscal intermediary Donna Rohrmiller of Empire Blue Cross/Blue Shield, and NAPHS Executive Director Mark Covall. The package also includes a 100+-page notebook with a summary of key changes resulting from OPPS and key CMS (formerly HCFA) training documents. Price: $175 ($125 to NAPHS members). Item Number: AUD

Health Care Plan Design and Cost Trends: 1988 through 1998.
A 1999 update to a landmark report looking at the erosion of behavioral health benefits compared to general healthcare benefits over the past decade. Includes past-year (1997-1998) changes as well as historical trends. Prepared by the Hay Group actuarial firm for NAPHS and ABGP. Price: Free. Also available at http://www.naphs.org/News/hay99/hay99.html. Item Number: HAY.

Impact of the Balanced Budget Act of 1997 on PPS-Exempt Psychiatric Facilities: Final Report
Prepared by Chuan-Fen Liu, Ph.D., and Jerry Cromwell, Ph.D., of Health Economics Research, Inc. March 6, 1998.
This report demonstrates that psychiatric hospitals and units will be hard-hit by financial cuts in the Medicare TEFRA payment system. It is the basis for a major effort by the National Association of Psychiatric Health Systems to move toward a prospective payment system for behavioral health, tied to a more rational implementation of the cuts mandated by the BBA. Among the study’s findings: 84% of psychiatric hospitals and units of general hospitals, exempted from the Medicare prospective payment system, will suffer actual payment reductions in 1998 as a result of certain Medicare savings provisions of the BBA. These reductions will compound their already negative Medicare margins. Price: $25 (single copy free to NAPHS members) Item number BBA.



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