“CHRT’s paper, analyzing the state of the integration of health and human services, was absolutely critical to the Kresge Foundation’s Health Program strategic planning process. It has deeply influenced the next stage of our work to foster and support the ongoing transformation of the health system, which is moving towards greater value as well as equity.”
–David D. Fukuzawa, Managing Director, Health Program, The Kresge Foundation
“CHRT brings expertise in knowing where to look for answers and how to collect the information. The report provided us with data we can use and helped us articulate a lot of the issues, and the breadth of the issues, we will need to address as we build a new model.”
–Brian Barrie, Director, Michigan Medicaid Long-term Care Services, Michigan Department of Health and Human Services
In addition to CHRT’s cornerstone programs–the health policy fellowship, the Washtenaw Health Initiative, and the physician and consumer surveys–CHRT regularly manages mission-relevant research, demonstration, and educational projects with funding from public sector partners, as well as paid consulting projects for public and private sector clients.
A sampling of our current projects includes:
- Kresge Foundation – Since 2017, CHRT has served as a Kresge Foundation thought partner around health and human services integration. Last year, CHRT conducted an extensive literature review, interviewed diverse integration leaders across the country, and reviewed operational and organizational structures for integration. This work culminated in a paper outlining the stages of integration along a continuum, a series of case studies that informed and illustrated these stages, and a model to boost integration efforts across the nation. The work will continue through 2020 as the Kresge Foundation awards grants to a cluster of integration initiatives across the U.S.
- Michigan Department of Health and Human Services – CHRT is serving as project manager and evaluator of Michigan’s five-year primary and behavioral health care integration initiative funded by the U.S. Substance Abuse and Mental Health Services Administration. The goal: to integrate primary and behavioral health care in clinical settings and to improve care for adults with a serious mental illness, children with a serious emotional disturbance, and those with co-occurring conditions.
- Starfish Family Services – For Starfish Family Services, CHRT is evaluating the integration of behavioral health consultants into pediatric clinical settings in Wayne County, Michigan. Funded by the Michigan Health Endowment Fund, the two-year grant will establish the cost effectiveness and impact of integrating behavioral health consultants into pediatric practices.
- National Institute on Disability, Independent Living and Rehabilitation Research – For the National Institute on Disability, Independent Living and Rehabilitation Research, CHRT is working with researchers from five University of Michigan departments, in two institutes and four schools, to establish a national Rehabilitation Research and Training Center (RRTC) focused on promoting healthy aging for people with long-term physical disabilities. Over the five-year grant period, the RRTC will conduct research on factors associated with better health and functioning outcomes, will develop evidence-based interventions and knowledge translation activities, and will serve as a national resource center for stakeholders, policymakers, and disability organizations.
- Local Initiatives Support Corporation – CHRT is conducting key informant interviews to assess understanding of social impact bonds (also known as Pay for Success initiatives) and evidence-based diabetes prevention programs. The research, funded by the Local Initiatives Support Corporation, aims to assess the efficacy of using social impact bond funding to participate in the National Diabetes Prevention Program and to outline barriers organizations face when participating in social impact bonds.
- University of Michigan School of Public Health – With funding from the U.S. Health Resources and Services Administration, CHRT is helping the U-M School of Public Health identify successful strategies that states use to recruit and retain behavioral health providers in rural areas. CHRT’s study will include findings from interviews with 101 experts, across all 50 states and the District of Columbia, and will culminate in a toolkit sharing best practices for national distribution.
- Washtenaw County Sheriff’s Office – CHRT serves as backbone organization to the Washtenaw County Mental Health and Criminal Justice Diversion Advisory Council, which is working to reduce the number of low-risk, low-level offenders with mental illness and substance use disorders in the jail system. The initiative does this by uniting leaders from the county and the criminal justice system, behavioral health professionals, and community stakeholders to achieve a common goal: to safely keep people with mental illness and substance use disorder out of jail and on the path to recovery.
- Washtenaw County Community Mental Health – CHRT is working with Washtenaw County Community Mental Health to implement the recommendations of the Washtenaw County Mental Health Advisory Council. These recommendations for mental health millage investments include helping residents better navigate the county’s mental health system, expanding crisis services, increasing prevention work, enhancing youth services, addressing substance use service gaps, and more. CHRT will also assist with evaluation and communications, ensuring that the community is aware of service expansions and that staff have the data they need to continuously improve programs and services.
- Michigan Department of Health and Human Services – CHRT is supporting the Michigan Department of Health and Human Services’ efforts to improve the quality of long-term services and supports in the State of Michigan. CHRT helps department staff by collecting and analyzing relevant data and best practices; developing data-driven, evidence-based programmatic options and quality metrics; and outlining a stakeholder engagement strategy as the state explores a variety of managed long term service and support program elements.