This section contains several resources for primary care, behavioral health providers, and state agency partners on CBHI services.
New Training for Outpatient Providers
CANS Training and Certification
The UMass CANS Online Certification and Training Program Website.
In-Home Therapy Practice Profile
In partnership with the Children’s Behavioral Health Knowledge Center and in-home therapy providers across the state, MassHealth developed a practice profile for in- home therapy (IHT). A practice profile is defined by the National Implementation Research Network (NIRN) as a tool for operationalizing the core elements of a program or practice. It breaks down large concepts such as “engagement” into discreet skills and activities that can be taught, learned, and observed. The IHT Practice Profile is housed on the Children’s Behavioral Health Knowledge Center website. In continued collaboration with the Knowledge Center, MassHealth will develop more tools and resources to support implementation of the practice profile across the state, which will be shared on the Knowledge Center’s practice profile page.
Tip Sheet for Outpatient Clinicians
This resource provides outpatient clinicians with information about their roles as Hub providers, as well as links to other resources to enhance their effectiveness as members of a youth and family’s team.
Evaluation of Need for Intensive Care Coordination (ICC)
Families with children younger than 21 in outpatient services should be reevaluated periodically on their need for ICC. To make sure this happens, all MCEs require documentation within 30 days of a client’s first visit and every six months thereafter using this form if the youth has SED.
System of Care Tip Sheet: Caring Together and CBHI
CBHI and the Departments of Children and Families (DCF) and Mental Health (DMH) created this Tip Sheet for providers to describe the interface, coordination, and transition between CBHI/MassHealth services and Caring Together Services.
CBHI Home- and Community- Based Behavioral Health Services
Performance Specifications lay out the requirements to which all MassHealth Providers contracted for a service or level or care are expected to comply.
Medical Necessity Criteria
MassHealth providers who have contracted for a service use medical necessity criteria established by MassHealth to evaluate whether a member has a medical need for a service.
- Target Case Mgmt. Services: Intensive Care Coordination
- Mobile Crisis Intervention
- Family Support and Training Services
- In-Home Therapy Services
- Therapeutic Mentoring Services
- In-Home Behavioral Services
Practice Guidelines support the alignment of MassHealth home- and community-based services with the values that are important to families, support positive outcomes, and reflect the best intentions and expectations of CBHI. The Guidelines reference professional standards, recommended practices, required service components, and quality measures consistent with Wraparound principles.
The following Practice Guidelines are available.
- Intensive Care Coordination and Family Support and Training: Program Description and Operations Manual
- In-Home Behavioral Services (IHBS) Practice Guidelines
- In-Home Therapy Practice Guidelines file size 1MB
- Outpatient Therapy as a CBHI Clinical Hub: Practice Guidelines
- Collaborative Helping Map Template
- Mobile Crisis Intervention Practice Guidelines file size 5MB file size 8MB
- Therapeutic Mentoring Practice Guidelines file size 1MB
CBHI-State Agency Protocols
CBHI collaborated with Executive Office of Health and Human Services agencies to develop referral protocols for accessing MassHealth's behavioral health services for state agency staff. The following protocols are available.
Conflict Resolution Process. The process described in the document below is to be used by Community Service Agencies (CSAs) delivering Intensive Care Coordination (ICC), CBHI providers delivering In-Home Therapy (IHT), and state agency staff participating in ICC Care planning teams, coordinating care with IHT providers, or otherwise serving youth who are also receiving MassHealth ICC or IHT services.
- CBHI Conflict Resolution Process
- Department of Children and Families (DCF)
- Department of Developmental Services (DDS)
- Department of Mental Health (DMH)
- Department of Public Health-Bureau of Substance Abuse Services (BSAS)
- Department of Public Health-Early Intervention (EI)
- Department of Public Health-School Based Clinics
- Department of Transitional Assistance (DTA)
- Department of Youth Services (DYS)
- Massachusetts Commission for the Blind (MCB)
- Massachusetts Rehabilitation Commission (MRC)
Please note that state agencies will be updating their specific protocols throughout Fiscal Years 2016 and 2017.
Other Helpful Resources
System of Care Philosophy
A "system of care" is an organizational philosophy that involves collaboration across agencies, families, and youth to improve access and to expand the array of coordinated community-based, culturally and linguistically competent services and supports for children and youth with a serious emotional disturbance and their families.
This organization works to promote understanding about the components and benefits of care coordination using the Wraparound practice model, and to provide the field with resources and guidance that facilitate high quality and consistent Wraparound implementation.
Caring Together is the result of Department of Mental Health (DMH) and Department of Children and Families (DCF) developing joint service standards, program specifications and management structures to create a more rational, effective, and administratively efficient system of residential care for youth. This website is for Caring Together providers.
MCPAP is a system of regional children's mental health consultation teams designed to help primary care providers (PCPs) meet the needs of children with psychiatric problems.
This website provides basic information on postpartum depression and resources for mothers and caregivers as well as regulations and reporting requirements for providers.
This program promotes maternal and child health by building the capacity of providers serving pregnant and postpartum women and their children up to one year after delivery to prevent, identify, and manage depression.
This six-part series is designed with the primary care practice in mind – those who may or may not be familiar with adverse childhood experiences (ACEs) and the process of asking families about exposure to ACEs or other traumatic events. This project was funded through a grant from the U.S. Health Resources and Services Administration, Maternal and Child Health Bureau.
This toolkit was developed by the Early Childhood Mental Health Partnership, a joint effort of the Massachusetts Executive Office of Health and Human Services, the Department of Public Health, and the Boston Public Health Commission. A small change at the pediatrician's office can make a large difference for children. Integrating early childhood mental health staff, services, and systems into pediatric practices, also known as medical homes, transforms primary care visits into holistic visits that attend to the physical and mental health of a young child and provide a source of support for the whole family.
This is a step-by-step health care providers’ guide to prevent and address substance use disorder among youth. It was developed through a partnership of the Massachusetts Departments of Public Health (DPH) and Mental Health (DMH), and the Massachusetts Child Psychiatry Access Project (MCPAP).
This center is located in the Department of Mental Health in the Division of Child and Adolescent Health. Its mission is to ensure the following
- The workforce of clinicians and direct care staff providing children’s behavioral health services are highly skilled and well trained
- The services provided to children are cost-effective and evidence-based
- The Commonwealth continues to develop and evaluate new models of service delivery.
This network provides weekly news and unbiased analysis of key issues focused on children, youth, and families’ mental health and well-being. The Network reaches a widely diverse audience. Readers and contributors to the Network come from all walks of life – parents, youth, community leaders, policy-makers, state and federal officials, and increasingly, similar groups from countries across the globe.