Bill Overview
Title: Certified Community Behavioral Health Clinic Expansion Act of 2022
Description: This bill incorporates psychosocial rehabilitation services into the Section 223 Demonstration Program for Certified Community Behavioral Health Clinics. It also specifies that for purposes of the program, psychiatric rehabilitation services include community-based services and programs that promote community integration and address social needs.
Sponsors: Rep. Torres, Ritchie [D-NY-15]
Target Audience
Population: People with mental health conditions or substance use disorders
Estimated Size: 56000000
- The bill relates to Certified Community Behavioral Health Clinics (CCBHCs), which serve individuals with behavioral health needs.
- CCBHCs provide mental health and substance use support services, including psychosocial rehabilitation, designed to help people with mental illnesses or substance use disorders.
- The expansion of services to include community-based programs will support individuals with mental health conditions in integrating into communities and addressing their social needs.
- The population primarily affected includes people diagnosed with psychiatric disorders or substance use issues, as these services aim to support their mental health and social wellbeing.
Reasoning
- The policy targets individuals with mental health conditions or substance use disorders who are served by Certified Community Behavioral Health Clinics (CCBHCs).
- The target population is approximately 56 million people in the United States.
- Budget constraints necessitate prioritization of services based on the level of need and potential impact to the community.
- The policy expansion will particularly benefit individuals needing community integration and social support as part of their mental health recovery.
- The simulated interviews will reflect people of different demographics and varying levels of dependency on behavioral health services.
- Interviews will consider the diverse geographic distribution of CCBHCs across urban and rural areas.
Simulated Interviews
Retail Worker (Chicago, IL)
Age: 32 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 10.0 years
Commonness: 5/20
Statement of Opinion:
- I'm really hoping this policy will add more support systems.
- Social anxiety makes it hard for me to integrate into the community, so more community-based support could make a big difference for me.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 7 | 4 |
| Year 5 | 7 | 5 |
| Year 10 | 8 | 5 |
| Year 20 | 8 | 5 |
Unemployed (Dallas, TX)
Age: 45 | Gender: male
Wellbeing Before Policy: 3
Duration of Impact: 20.0 years
Commonness: 7/20
Statement of Opinion:
- Expanding community services is vital, especially after rehab when you're trying to get back to normal life.
- I hope this policy means there will be consistent support to help me avoid relapse and find work.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 3 |
| Year 2 | 6 | 3 |
| Year 3 | 7 | 4 |
| Year 5 | 8 | 4 |
| Year 10 | 9 | 5 |
| Year 20 | 9 | 5 |
Freelance Artist (San Francisco, CA)
Age: 29 | Gender: other
Wellbeing Before Policy: 5
Duration of Impact: 20.0 years
Commonness: 6/20
Statement of Opinion:
- I need better support integrating into work and social settings.
- This policy could mean more targeted help to manage shifts in my mental state effectively.
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 | 6 |
| Year 10 | 8 | 7 |
| Year 20 | 9 | 7 |
Retired (Rural Kentucky)
Age: 58 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 15.0 years
Commonness: 3/20
Statement of Opinion:
- In rural areas, more community programs are necessary as we often feel isolated.
- If this policy improves accessibility, it may significantly increase my quality of life.
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 | 8 | 6 |
College Student (Miami, FL)
Age: 24 | Gender: male
Wellbeing Before Policy: 6
Duration of Impact: 5.0 years
Commonness: 11/20
Statement of Opinion:
- I manage okay now, but I'm worried about support after college.
- Hopefully, the policy helps provide more transitional support systems.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 6 | 6 |
| Year 3 | 7 | 6 |
| Year 5 | 7 | 7 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 8 |
Software Engineer (New York, NY)
Age: 37 | Gender: female
Wellbeing Before Policy: 5
Duration of Impact: 20.0 years
Commonness: 10/20
Statement of Opinion:
- Community resources would help reduce the isolation from remote work life.
- The expansion could directly support mental wellness in my day-to-day.
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 | 6 |
| Year 10 | 9 | 6 |
| Year 20 | 9 | 7 |
Bus Driver (Phoenix, AZ)
Age: 40 | Gender: other
Wellbeing Before Policy: 6
Duration of Impact: 10.0 years
Commonness: 8/20
Statement of Opinion:
- Consistent medication and social support help, but community programs could offer more enriching environments.
- I want these changes to help stabilize my work-life balance.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 6 |
| Year 2 | 7 | 6 |
| Year 3 | 8 | 7 |
| Year 5 | 8 | 7 |
| Year 10 | 9 | 8 |
| Year 20 | 9 | 8 |
Retired Professor (Seattle, WA)
Age: 63 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 15.0 years
Commonness: 12/20
Statement of Opinion:
- I need continuous engagement to keep my spirits up.
- This policy could extend resources that cater to aging and mental health.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 6 | 5 |
| Year 2 | 7 | 5 |
| Year 3 | 7 | 6 |
| Year 5 | 8 | 6 |
| Year 10 | 8 | 7 |
| Year 20 | 8 | 7 |
Administrative Assistant (Philadelphia, PA)
Age: 28 | Gender: female
Wellbeing Before Policy: 4
Duration of Impact: 20.0 years
Commonness: 9/20
Statement of Opinion:
- More local programs could equate to less screen time and more real interaction.
- Integration into the community could help stabilize personal and professional life.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 4 |
| Year 2 | 6 | 4 |
| Year 3 | 7 | 5 |
| Year 5 | 7 | 5 |
| Year 10 | 8 | 6 |
| Year 20 | 8 | 6 |
Mechanic (Cleveland, OH)
Age: 50 | Gender: male
Wellbeing Before Policy: 5
Duration of Impact: 5.0 years
Commonness: 10/20
Statement of Opinion:
- Work constraints limit my access to mental health services.
- Community-based services could fit better into my schedule, hence aiding my mental health.
Wellbeing Over Time (With vs Without Policy)
| Year | With Policy | Without Policy |
|---|---|---|
| Year 1 | 5 | 5 |
| Year 2 | 6 | 5 |
| Year 3 | 6 | 5 |
| Year 5 | 7 | 6 |
| Year 10 | 7 | 6 |
| Year 20 | 8 | 7 |
Cost Estimates
Year 1: $800000000 (Low: $700000000, High: $900000000)
Year 2: $850000000 (Low: $750000000, High: $950000000)
Year 3: $900000000 (Low: $800000000, High: $1000000000)
Year 5: $950000000 (Low: $850000000, High: $1050000000)
Year 10: $0 (Low: $0, High: $0)
Year 100: $0 (Low: $0, High: $0)
Key Considerations
- Expansion of the demonstration program entails significant initial costs but can reduce long-term healthcare expenditures.
- Substantial infrastructural and human resource investments are required to meet the needs of expanded community-based mental health services.