Policy Research

March 23, 2026

Scalable Strategies to Expand the Behavioral Health Workforce

SUMMARY— The Meadows Mental Health Policy Institute conducted key informant interviews with organizations pioneering workforce innovations within integrated care settings to better understand how those approaches are being implemented on the ground.

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November 25, 2024

‘What gets measured, gets done’

The Meadows Institute shares the value of measurement-based care. Speaking at a Nov. 21 webinar on “The Role of State Policy in Driving Behavioral Health Measurement, Quality Improvement and Cost Control” hosted by the Association…

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July 26, 2023

Pediatric and Adolescent Collaborative Care Roundtable

The nation is facing a critical youth and mental health crisis. Half of all mental health conditions manifest by age 14, and yet children and youth are waiting an average of eight to 10 years…

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June 7, 2023

Improving Behavioral Health Care for Youth Through Collaborative Care Expansion

The country is in the midst of an ongoing and worsening youth mental health crisis. Nearly half of all U.S. teenagers report that they struggle with persistent feelings of sadness and hopelessness. Eleven percent of…

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May 30, 2023

Near-Term Policy Solutions to Bolster Youth Mental Health Workforce through Digital Technology

In partnership with Going Digital: Behavioral Health Tech and with funding from The Commonwealth Fund, the Meadows Institute conducted research with key leaders across the Executive Branch of the Federal Government, Medicaid and Medicaid Managed…

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April 27, 2023

Collaborative Care Implementation Costs Across Health Care Systems

Collaborative Care (CoCM) is an evidence-based treatment model for behavioral health integration. Typically implemented in general medical or pediatric settings, CoCM leverages the services of a specially trained behavioral health care manager to collaboratively manage…

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September 1, 2022

Texas Behavioral Health Rankings

Despite their seeming precision, national rankings of states’ mental health service spending and quality are designed and intended to offer comparisons between states to inform future policy efforts. These ratings are not designed to provide…

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October 30, 2020

The Collaborative Care Model

The Collaborative Care Model (CoCM) is an established, team-based approach to integrated care that routinely measures both clinical outcomes and patient goals over time to increase the effectiveness of mental health and substance use disorder…

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August 17, 2020

CoCM & MAT to Prevent COVID-Related Suicide & Overdose Deaths (COVID-19 Impact Series, Volume 3)

In April, MMHPI began releasing a series of white papers analyzing the potential effects of a COVID-19 recession on rates of suicide and substance use disorder among the general population and among veterans. In those,…

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June 15, 2020

Impacts of a COVID-Induced Economic Recession on MHSUD in Veterans (COVID-19 Impact Series, Volume 2)

In our first in a series of white papers on the anticipated impact of the COVID-19 pandemic, Meadows Mental Health Policy Institute sought to examine and project the impacts of COVID-19 on the mental health…

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May 13, 2020

COVID-19 Federal Appropriations Summary

By early May 2020, Congress passed four bills in response to the COVID-19 pandemic. Substantial funds will flow to health care providers, either directly or through state/local governments. This white paper provides health care related…

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April 21, 2020

Effects of a COVID-Induced Economic Recession (COVID-19 Impact Series, Volume 1)

In April 2020, Meadows Mental Health Policy Institute (MMHPI) issued the first in a series of white papers analyzing the mental health impacts of the COVID-19 pandemic which focused on how an economic recession could…

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February 15, 2020

Multisystemic Therapy for Texas Youth

Multisystemic Therapy (MST) is a proven family- and community-based treatment for at-risk youth (ages 12-17) with intensive needs and their families. It has proven most effective for treating youth who have committed violent offenses, have…

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March 24, 2020

COVID-19 Jail Diversion Prioritization & Admission Protocol Considerations

In response to numerous requests from Texas counties for guidance on the operation of jails during a pandemic, the Justice Policy Team at the Meadows Mental Health Policy Institute (MMHPI) developed a March 24, 2020…

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March 23, 2020

Personal Protective Equipment & the Behavioral Health Workforce

The scarcity of coronavirus personal protective equipment (PPE) has been a concern for health care providers across the United States, and that definitely includes the many people who provide in-person services related to severe mental…

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February 1, 2020

Mental Illness & Violence

In the aftermath of mass violence and the furor of the 24-hour news cycle, the words “mental illness” are often used to try to explain a perpetrator’s actions. In many cases, the assumption that mental…

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February 1, 2020

Coordinated Specialty Care

Each year, about 3,000 Texas youth and young adults ages 12-35 experience a first episode psychosis (FEP). Many have access to health insurance through their parents (up to age 26), Medicaid, or CHIP, but they…

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January 10, 2020

Coordinated Specialty Care – Payment Strategies

The delivery of coordinated specialty care (CSC) in early psychosis programs transforms lives by changing the trajectory of schizophrenia for youth and young adults.  Unfortunately, the future of early psychosis programs is at risk because…

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August 20, 2018

Law Enforcement Assisted Diversion (LEAD) Overview

In 2011, Seattle, Washington piloted the Law Enforcement Assisted Diversion (LEAD) program. LEAD, now growing across the country, is an evidence-based, collaborative, pre-arrest diversion program aimed at improving public safety by reducing drug use, drug…

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August 1, 2018

Severe Violence Trends

The research is clear that severe mental illness alone is not a good predictor of violence. A large-scale, multi-year epidemiological study found that people who only had a severe mental illness and did not have…

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