The tremendous social and economic consequences of behavioral health problems are well documented, including an estimated annual cost of $247 billion per year. Given such consequences, the NIH, the CDC, and other federal agencies, as well as private foundations, have invested millions in research directed toward the development, testing, implementation and dissemination of preventive interventions over the past three decades. The positive result is that there are now numerous, wide-ranging evidence-based interventions (or EBIs, over 50 by one estimate) and RCTs have demonstrated the long-term effectiveness of EBI dissemination systems. Partially for this reason, there is an emerging literature on strategies to “move the needle” on EBI scale up. In this context, the Affordable Care Act (ACA) and health care reform have created opportunities for fostering behavioral health EBI scale up through better-integrated behavioral health and health care service delivery.
This roundtable will focus on addressing the “grand” challenge of behavioral health scale up and associated issues by seizing current funding opportunities created by ACA-driven health care reform, along with development of collective impact approaches, state prevention implementation systems, emerging funding models, and related workforce development. Notably, there are success stories associated with these opportunities.
Toward this end, the discussants will share their viewpoints and success stories on the following topics.
- State Prevention Funding Models
- Center for Medicare & Medicaid Innovation-Supported State Funding Models
- ACA Community Benefit requirements for non-profit hospital outreach
- ACA support for AAP Bright Futures and reimbursable preventive services
- National health learning collaboratives addressing sustainable state infrastructures
- States’ Accountable Care Organizations/medical home resources
- Application of state university resources to behavioral health prevention workforce development
- Potential National Prevention Council support for networked state prevention systems