Bill Overview
Title: Behavioral Health Crisis Care Centers Act of 2022
Description: This bill requires the Department of Health and Human Services to establish a grant program for states, Indian tribes, territories, and localities to support one-stop crisis facilities. These are facilities that provide behavioral health, substance use disorder, and housing services at a single location, as well as coordinate with other services available in the community.
Sponsors: Rep. Smith, Adam [D-WA-9]
Target Audience
Population: People experiencing behavioral health crises
Estimated Size: 1500000
- The act targets individuals experiencing behavioral health crises.
- One-stop crisis facilities will cater to people with substance use disorders.
- Those needing housing services related to behavioral health might benefit.
- People within states, Indian tribes, and territories served by these facilities will be impacted.
- The act will potentially impact service providers operating in this ecosystem.
Reasoning
- A significant portion of the population in the U.S. experiences behavioral health challenges, making this policy highly relevant.
- The policy is set to roll out with significant funding, targeting both direct services and integration with existing services which could enhance individual outcomes.
- Given the large targeted population and varying degrees of current access to services, the impact will vary significantly based on geography and existing infrastructure within communities.
- We need to consider individuals not directly affected due to accessibility issues, regional funding disparities, and individuals not engaging with available services.
Simulated Interviews
Freelance Graphic Designer (New York City, NY)
Age: 29 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 10.0 years
Commonness: 15/20
Statement of Opinion:
- The new policy could provide easier access to crisis care when I need it.
- Having everything in one place would be less stressful than coordinating multiple appointments.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 7 | 5 |
| Year 5 | 8 | 5 |
| Year 10 | 8 | 4 |
| Year 20 | 7 | 3 |
Construction Worker (Austin, TX)
Age: 45 | Gender: male
Wellbeing Before Policy: 3
Duration of Impact: 20.0 years
Commonness: 10/20
Statement of Opinion:
- This policy might help me find support for both my addiction and getting a roof over my head.
- I hope the facility staff are understanding and not judgmental.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 3 |
| Year 2 | 5 | 3 |
| Year 3 | 6 | 3 |
| Year 5 | 6 | 3 |
| Year 10 | 7 | 2 |
| Year 20 | 6 | 2 |
Barista (Chicago, IL)
Age: 33 | Gender: other
Wellbeing Before Policy: 4
Duration of Impact: 10.0 years
Commonness: 18/20
Statement of Opinion:
- It would be great to have immediate access to mental health professionals when I’m facing a crisis.
- I worry about the availability of such facilities in high-demand areas like mine.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 6 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 7 | 5 |
| Year 20 | 6 | 4 |
Retired (Rural Iowa)
Age: 60 | Gender: female
Wellbeing Before Policy: 2
Duration of Impact: 20.0 years
Commonness: 8/20
Statement of Opinion:
- I don't currently have local access to such help. If these services were nearby, it could change things for me.
- Transportation is a challenge for me still, so I hope they offer some help with that as well.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 3 | 2 |
| Year 2 | 4 | 2 |
| Year 3 | 5 | 2 |
| Year 5 | 5 | 1 |
| Year 10 | 6 | 1 |
| Year 20 | 5 | 1 |
Software Developer (San Francisco, CA)
Age: 24 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 20/20
Statement of Opinion:
- I think it’s a great initiative but I have private insurance coverage already.
- It might make it easier for friends I know who need these services but can't afford them.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 6 | 6 |
| Year 3 | 6 | 6 |
| Year 5 | 6 | 6 |
| Year 10 | 6 | 6 |
| Year 20 | 5 | 6 |
Social Worker (Miami, FL)
Age: 55 | Gender: female
Wellbeing Before Policy: 7
Duration of Impact: 10.0 years
Commonness: 5/20
Statement of Opinion:
- I see this policy as a much-needed support improvement for the communities I serve.
- Coordination with existing services will be critical for its success.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 7 |
| Year 2 | 8 | 7 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 6 |
| Year 10 | 8 | 6 |
| Year 20 | 7 | 5 |
College Professor (Boston, MA)
Age: 38 | Gender: male
Wellbeing Before Policy: 8
Duration of Impact: 0.0 years
Commonness: 12/20
Statement of Opinion:
- Policy seems well-intentioned, but I don't think it will impact me significantly aside from possibly influencing the community at large.
- Hope it gets the resources it needs to be effective for those who really need it.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 8 | 8 |
| Year 2 | 8 | 8 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Unemployed (Seattle, WA)
Age: 42 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 20.0 years
Commonness: 14/20
Statement of Opinion:
- I hope this policy will make getting to mental health appointments easier and faster.
- These one-stop centers might reduce the stress of navigating different systems.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 6 | 3 |
| Year 5 | 7 | 3 |
| Year 10 | 7 | 3 |
| Year 20 | 6 | 2 |
Business Owner (Atlanta, GA)
Age: 50 | Gender: male
Wellbeing Before Policy: 7
Duration of Impact: 5.0 years
Commonness: 7/20
Statement of Opinion:
- I’m concerned whether facilities like these can handle people in recovery like me.
- With the right staff, it could provide much needed support for those relapsing.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 7 | 7 |
| Year 2 | 7 | 7 |
| Year 3 | 7 | 7 |
| Year 5 | 7 | 6 |
| Year 10 | 6 | 6 |
| Year 20 | 5 | 6 |
Student (Phoenix, AZ)
Age: 19 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 13/20
Statement of Opinion:
- It’s helpful to have these services but my main treatment comes from my university.
- Many students like me could benefit, especially when university resources are limited.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 6 | 5 |
| Year 10 | 6 | 5 |
| Year 20 | 6 | 5 |
Cost Estimates
Year 1: $500000000 (Low: $400000000, High: $600000000)
Year 2: $500000000 (Low: $400000000, High: $600000000)
Year 3: $520000000 (Low: $410000000, High: $620000000)
Year 5: $540000000 (Low: $430000000, High: $640000000)
Year 10: $600000000 (Low: $480000000, High: $720000000)
Year 100: $800000000 (Low: $640000000, High: $960000000)
Key Considerations
- The effectiveness of the centers in reducing emergency healthcare costs.
- The extent of coordination with existing community services, influencing overall outcomes.
- Potential disparities in the implementation success across different jurisdictions depending on local needs and governance.