{"id":75392,"date":"2025-02-25T15:51:24","date_gmt":"2025-02-25T23:51:24","guid":{"rendered":"https:\/\/www.qualityhealth.org\/bree\/?page_id=75392"},"modified":"2026-02-19T09:17:03","modified_gmt":"2026-02-19T17:17:03","slug":"behavioral-health","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/bree\/behavioral-health\/","title":{"rendered":"Behavioral Health"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row overlay_dotted=&#8221;&#8221; el_id=&#8221;behavioral-health-guidelines-row&#8221;][vc_column][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;addiction-and-dependence-treatment-tour&#8221; title=&#8221;Addiction and Dependence Treatment&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1682019982259-a35bfd1b-2f3b&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Addiction and Dependence Treatment Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Needs minor revisions- to be scheduled<\/p>\n<p><strong>Date of publication: <\/strong>2014<\/p>\n<p><strong>Date of last evidence search: <\/strong>2014<\/p>\n<p><strong>Scope:<\/strong><span id=\"page4R_mcid7\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> stigma and bias reduction, screening, referrals, treatment<\/span><\/span><\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong><span id=\"page9R_mcid8\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The number of people in Washington with addiction and substance use disorders, variation in screening <\/span><span dir=\"ltr\" role=\"presentation\">protocols, and lack of access to treatment were identified by the Bree Collaborative as a priority area for <\/span><span dir=\"ltr\" role=\"presentation\">improvement and the Collaborative elected to form a work group to address these issues.<\/span><\/span><\/p>\n<h4>Supporting Materials<\/h4>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2015\/02\/HCA-letter-ADT.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Letter from Health Care Authority Accepting Addiction and Dependence Treatment Report and Recommendations<\/span><br \/>\n<\/a><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2014\/12\/ADT-Public-Comments.pdf\" target=\"_blank\" rel=\"noopener\">Addiction and Dependence Treatment Public Comment Summary<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2014\/04\/ADT-Charter.pdf\" target=\"_blank\" rel=\"noopener\">Workgroup Charter<\/a><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1682019982930-cc8feaa6-e445&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/04\/ADT-Final-Report.pdf\">Addiction and Dependence Treatment Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1682019993808-51d65f80-7107&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221;]<a href=\"https:\/\/www.samhsa.gov\/resource\/ebp\/asam-clinical-practice-guideline-alcohol-withdrawal-management-pocket-guide\">SAMSHA The ASAM Clinical Practice Guideline on Alcohol Withdrawal Management: Pocket Guide<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/free-or-low-cost-health-care\/i-need-behavioral-health-support\/alcohol-use-treatment\">HCA Alcohol Use Treatment\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.niaaa.nih.gov\/\">National Institute on Alcohol, Abuse, and Alcoholism\u00a0<\/a><\/p>\n<ul>\n<li>Reduce Stigma\n<ul>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/Words-matter-Evergreen-Treatment-Services.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Words Matter: A Stigma Fighting Cheat Sheet<\/a><\/li>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/Anti-Stigma-Toolkit.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Central East Addiction Technology Transfer Center Network Anti-Stigma Toolkit<\/a><\/li>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/effectiveness-of-stigma.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The Effectiveness of Interventions for Reducing Stigma Related to Substances Use Disorders: A systematic Review<\/a><\/li>\n<li><a style=\"font-family: Georgia, 'Times New Roman', 'Bitstream Charter', Times, serif\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/\">NIAAA Alcohol Treatment Navigator\u00a0<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Increase Appropriate Screening\n<ul>\n<li><a href=\"https:\/\/cde.drugabuse.gov\/sites\/nida_cde\/files\/Audit-C_2014Mar24.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Alcohol Use Disorder Identification Test &#8211; Concise (AUDIT-C)<\/a><\/li>\n<li><a href=\"https:\/\/www.healthline.com\/health\/cage-questionnaire\" target=\"_blank\" rel=\"noopener noreferrer\">CAGE Questionnaire for Alcohol Dependence<\/a><\/li>\n<li><a href=\"https:\/\/crafft.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">CRAFFT Screening Tool for Adolescents<\/a><\/li>\n<li><a href=\"https:\/\/cde.drugabuse.gov\/instrument\/e9053390-ee9c-9140-e040-bb89ad433d69\" target=\"_blank\" rel=\"noopener noreferrer\">Drug Abuse Screening Test (DAST-10)<\/a><\/li>\n<li><a href=\"https:\/\/adaa.org\/sites\/default\/files\/GAD-7_Anxiety-updated_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">General Anxiety Disorder Tool (GAD-7)<\/a><\/li>\n<\/ul>\n<\/li>\n<li>Increase Capacity for Brief Intervention and Treatment\n<ul>\n<li><a href=\"https:\/\/www.samhsa.gov\/sbirt\" target=\"_blank\" rel=\"noopener noreferrer\">SAMHSA Screening, Brief Intervention, and Referral to Treatment (SBIRT)<\/a><\/li>\n<li><a href=\"https:\/\/attcnetwork.org\/centers\/northwest-attc\/motivational-interviewing-mi\" target=\"_blank\" rel=\"noopener noreferrer\">ATTC Motivational Interviewing Resources<\/a><\/li>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/CMS-MLN-SBIRT.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CMS Medicare Learning Network SBIRT<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_toggle][vc_toggle title=&#8221;Reduce Stigma&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/Words-matter-Evergreen-Treatment-Services.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Words Matter: A Stigma Fighting Cheat Sheet<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/Anti-Stigma-Toolkit.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Central East Addiction Technology Transfer Center Network Anti-Stigma Toolkit<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/effectiveness-of-stigma.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The Effectiveness of Interventions for Reducing Stigma Related to Substances Use Disorders: A systematic Review<\/a><\/p>\n<p><a style=\"font-family: Georgia, 'Times New Roman', 'Bitstream Charter', Times, serif\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/\">NIAAA Alcohol Treatment Navigator\u00a0<\/a>[\/vc_toggle][vc_toggle title=&#8221;Increase Appropriate Screening&#8221;]<a href=\"https:\/\/cde.drugabuse.gov\/sites\/nida_cde\/files\/Audit-C_2014Mar24.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Alcohol Use Disorder Identification Test &#8211; Concise (AUDIT-C)<\/a><\/p>\n<p><a href=\"https:\/\/www.healthline.com\/health\/cage-questionnaire\" target=\"_blank\" rel=\"noopener noreferrer\">CAGE Questionnaire for Alcohol Dependence<\/a><\/p>\n<p><a href=\"https:\/\/crafft.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">CRAFFT Screening Tool for Adolescents<\/a><\/p>\n<p><a href=\"https:\/\/cde.drugabuse.gov\/instrument\/e9053390-ee9c-9140-e040-bb89ad433d69\" target=\"_blank\" rel=\"noopener noreferrer\">Drug Abuse Screening Test (DAST-10)<\/a><\/p>\n<p><a href=\"https:\/\/adaa.org\/sites\/default\/files\/GAD-7_Anxiety-updated_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">General Anxiety Disorder Tool (GAD-7)<\/a>[\/vc_toggle][vc_toggle title=&#8221;Increase Capacity for Brief Intervention and Treatment&#8221;]<a href=\"https:\/\/www.samhsa.gov\/sbirt\" target=\"_blank\" rel=\"noopener noreferrer\">SAMHSA Screening, Brief Intervention, and Referral to Treatment (SBIRT)<\/a><\/p>\n<p><a href=\"https:\/\/attcnetwork.org\/centers\/northwest-attc\/motivational-interviewing-mi\" target=\"_blank\" rel=\"noopener noreferrer\">ATTC Motivational Interviewing Resources<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/CMS-MLN-SBIRT.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">CMS Medicare Learning Network SBIRT<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/eRro_ZN8V1s?si=M6ZqH9qJ_hzqWitI&#8221; css=&#8221;&#8221; title=&#8221;What&#8217;s the Latest: Treating Alcohol Use Disorder (2024)&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/Vm82WpXpiAY&#8221; title=&#8221;Addiction and Dependence Treatment&#8221;][vc_video link=&#8221;https:\/\/www.youtube.com\/watch?v=Xlp8XS5YCW0&#8243; title=&#8221;Motivational Interviewing in the SBIRT Model&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1682020010296-039263b8-da82&#8243;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221;]Health System Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-System-Score-Card-_-ADT.xlsx\">Health System Score Card _ ADT<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-ADT.xlsx\">Health Plan Score Card _ ADT<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;][\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1682020064551-3103821c-39ef&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739467965540-967ac578-595c&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table>\n<tbody>\n<tr>\n<th><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td>Charissa Fotinos, MD<\/td>\n<td>Deputy Chief Medical Officer<\/td>\n<td>Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Tom Fritz (Chair)<\/td>\n<td>Chief Executive Officer<\/td>\n<td>Inland Northwest Health Services<\/td>\n<\/tr>\n<tr>\n<td>Linda Grant<\/td>\n<td>Chief Executive Officer<\/td>\n<td>Evergreen Manor<\/td>\n<\/tr>\n<tr>\n<td>Tim Holmes<\/td>\n<td>Vice President of Outreach Services and Behavioral Health Administration<\/td>\n<td>MultiCare Health System<\/td>\n<\/tr>\n<tr>\n<td>Ray Hsiao, MD<\/td>\n<td>Co-Director, Adolescent Substance Abuse Program<\/td>\n<td>Seattle Children\u2019s Hospital<\/td>\n<\/tr>\n<tr>\n<td>Scott Munson<\/td>\n<td>Executive Director<\/td>\n<td>Sundown M Ranch<\/td>\n<\/tr>\n<tr>\n<td>Rick Ries, MD<\/td>\n<td>Associate Director<\/td>\n<td>Addiction Psychiatry Residency Program, University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Terry Rogers, MD<\/td>\n<td>Chief Executive Officer<\/td>\n<td>Foundation for Health Care Quality<\/td>\n<\/tr>\n<tr>\n<td>Ken Stark<\/td>\n<td>Director<\/td>\n<td>Snohomish County Human Services Department<\/td>\n<\/tr>\n<tr>\n<td>Jim Walsh, MD<\/td>\n<td>Physician<\/td>\n<td>Swedish Medical Center<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739467966655-b521ad3d-ce10&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Opioid Use Disorder Treatment:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.healthpointchc.org\/\">HealthPoint <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.uwmedicine.org\/\"><strong>UW Medicine &amp; UW Physicians <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;behavioral-health-integration-tour&#8221; title=&#8221;Behavioral Health: Early Intervention for Youth&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1681485416526-4cb71427-c255&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Behavioral Health: Early Intervention for Youth<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: 2025<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2024<\/p>\n<p><strong>Date for review:<\/strong> TBD<\/p>\n<p><strong>Scope: <\/strong>This report and guidelines focus on strategies in primary care and school settings for advancing the early identification and connection of youth to services and interventions for the most common youth behavioral health needs for which training for effective treatments are most reasonable accessible in Washington state. For this report, \u201cearly\u201d refers to the stage of progress of a behavioral health concern, not chronological age. Focus areas include: Patient, Caregiver and Provider Education and Capacity Building;\u00a0 Screening, Brief Intervention &amp; Referral to Treatment; Coordinated Management of Behavioral Health; Monitoring &amp; Data Sharing; and Incentives &amp; Investments.<br \/>\n<strong><br \/>\n<\/strong><\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong><span id=\"page15R_mcid4\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> This report and set of guidelines build on the Bree Collaborative 2017 Behavioral Health Integration<br \/>\nreport. While not all systems will be able to provide fully integrated behavioral health currently, progress toward full integration should be prioritized. Integrated behavioral health is the most effective mechanism to increase access. The guideline also calls for appropriate funding for the components of integrated care and for State agencies to invest in infrastructure to assess impact of policy and systems changes, training and supervision efforts, and clinical and functional outcomes for prevention and intervention activities. These guidelines also build on a public health framework of universal identification with targeted support and interventions, blending primary (preventing disease), secondary (early disease identification), and tertiary (reducing disease severity) prevention with the socio-ecological model.<\/span><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1681485416723-04acc646-25a0&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/BH-Youth-Repot-Final-0127.pdf\">Behavioral Health Early Intervention for Youth Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1681485416993-21e45231-0329&#8243;][vc_toggle title=&#8221;Primary Care&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/BH-for-Youth-Checklist-Primary-Care-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/BH-for-Youth-Checklist-Primary-Care-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/BH-for-Youth-Checklist-Primary-Care-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plan&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Health-Plans-BH-for-Youth-Checklist-Level-1.pdf\">Level 1<\/a>,<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Health-Plans-BH-for-Youth-Checklist-Level-2.pdf\">Level 2<\/a>,<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Health-Plans-BH-for-Youth-Checklist-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1681485419268-afe65452-c715&#8243;][vc_toggle title=&#8221;Resources and Tools (General)&#8221; css=&#8221;&#8221;]<\/p>\n<div>\n<p><a href=\"https:\/\/library.samhsa.gov\/sites\/default\/files\/d7\/priv\/pep19-03-01-001.pdf\">SAMHSA Student Assistance Program<\/a><\/p>\n<p><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/fast\/\">Seattle Children\u2019s First Approach Skills Training (FAST) Program<\/a><\/p>\n<\/div>\n<p><a href=\"https:\/\/aims.uw.edu\/wordpress\/wp-content\/uploads\/2023\/06\/Pediatric-CoCM-Implementation-Guide_Final-Reduced-Size.pdf\">UW AIMS Center Pediatric Collaborative Care Implementation Guide<\/a><\/p>\n<p><a href=\"http:\/\/Microsoft Word - VBC100322.docx\">UW CoLab Value-Based Care Models in Pediatric Mental\/Behavioral Health Care Report<\/a><\/p>\n<p><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/pal\/mental-health-referral\/\">Washington\u2019s Mental Health Referral Service for Children and Teens<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/assets\/program\/washington-state-childrens-behavioral-health-principles.pdf\">Washington State children\u2019s Behavioral Health principles<\/a><\/p>\n<p><a href=\"https:\/\/wcaap.org\/wp-content\/uploads\/2021\/10\/Crisis-toolkit_final56497.pdf\">WCAAP Supporting Adolescent Patients in Crisis<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/injury-and-violence-prevention\/suicide-prevention\/youth-suicide-prevention\/youth-resources\">Youth Suicide Prevention Resources<\/a>[\/vc_toggle][vc_toggle title=&#8221;Assessments&#8221;]<a href=\"https:\/\/integrationacademy.ahrq.gov\/products\/playbooks\/behavioral-health-and-primary-care\/self-assessment-checklist\">AHRQ Self-Assessment Checklist for Integrating Behavioral Health and Ambulatory Care<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/assets\/P4R-physical-behavioral-health-integration-practice-site.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Maine Health Access Foundation (MeHAF) Site Self-Assessment<\/a><\/p>\n<p><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/PCMH-A.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Patient-Centered Medical Home Assessment (PCMH-A)<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/AtsngZstTrc&#8221; css=&#8221;&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1681485422459-778591a0-8b1a&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Introduction to Evaluation Tools<\/h4>\n<p>The Bree has developed multiple tools specific to Youth Behavioral Health to support the evaluation projects implemented based on our guidelines.<\/p>\n<h4>Evaluation Matrix<\/h4>\n<p>The Bree has developed an evaluation matrix to help clarify measurable objectives, goals, and metrics that are relevant to the recommendations made by the work group. The matrix can be use during planning of your implementation project to help identify long-term outcomes or impacts of your project(s). The matrix provides a broad summary of the recommendations by audience for each component or focus area the guideline addresses (for example: education, access, treatment, etc.).<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Evaluation-Matrix.xlsx\">Youth Behavioral Health Evaluation Matrix<\/a><\/p>\n<h4>Evaluation Framework<\/h4>\n<p>The Evaluation Framework provides further guidance on how organizations can conduct and align their work with other audience actors (example: all health plans in Washington state) or other audience types (example: health plans and providers). It provides specific details for measurement, provides strong and soft recommendations for the types of evaluations each organization may consider conducting, expands on alignment with other initiatives in Washington State, and makes recommendations for ethical and equity considerations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/YBH-evaluation-framework_FINAL.pdf\">EVALUATION FRAMEWORK<\/a><\/p>\n<h4>Data Matrix<\/h4>\n<p>An example of how to fill out this form is available in Appendix B of the Evaluation Framework. The Data Matrix tool can be used in planning your data collection effort for your implementation and evaluation.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Data-Matrix-Template.xlsx\">Data Matrix Template<\/a>&#8211; fillable form<\/p>\n<h4>Theory of Change<\/h4>\n<p>The theory of change illustrates how the work group conceptualized changes that would occur throughout the health care ecosystem as a result of their recommendations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Youth-Behavioral-Health-TOC.pptx\">Youth Behavioral Health Theory of Change<\/a><\/p>\n<h4>Score cards<\/h4>\n<p>To support health system improvement the Bree Collaborative has created evaluation score cards that are designed to help measure progress on the implementation of our guidelines.These measures were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization and download the excel document. There may be more than one audience type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaborative&#8217;s self-report data collection efforts. Organizations are not required to report, however organizations can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p>\n<p>Completed score cards can be sent to <a href=\"mailto:knicholas@qualityhealth.org\">knicholas@qualityhealth.org<\/a><\/p>\n<p>Score cards can be found in the tabs below:[\/vc_column_text][vc_column_text css=&#8221;&#8221;][\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221; css=&#8221;&#8221;]Health clinic and health system score card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/YBH_care-clinic_score-card.xlsx\">YBH_care clinic_score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Schools&#8221; css=&#8221;&#8221;]School and school based health center score card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/YBH_school_score-card.xlsx\">YBH_school_score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;State Agencies&#8221; css=&#8221;&#8221;]Washington State Health Care Authority score card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/YBH_HCA_score-card.xlsx\">YBH_HCA_score card<\/a><\/p>\n<p>Washington State Department of Heath score care <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/YBH_DOH_score-card.xlsx\">YBH_DOH_score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Employers and purchasers&#8221; css=&#8221;&#8221;]Employers or employers as purchasers score card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/YBH_employer_score-card.xlsx\">YBH_employer_score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]Health plan score card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/YBH_health-plan_score-card.xlsx\">YBH_health plan_score card<\/a>[\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1681485435223-e1b3b9f3-c428&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739467991102-c27168a7-eff1&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\" width=\"773\">\n<tbody>\n<tr>\n<td><strong>Name<\/strong><\/td>\n<td><strong>Title<\/strong><\/td>\n<td><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Terry Lee, MD (Chair)<\/td>\n<td>Senior Behavioral Health Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<\/tbody>\n<tbody>\n<tr>\n<td>Linda Coombs, MSW, LCIS<\/td>\n<td>Behavioral Health Clinical Director<\/td>\n<td>United Health Community<\/td>\n<\/tr>\n<\/tbody>\n<tbody>\n<tr>\n<td>Delaney Knottnerus, LICSW, MSW<\/td>\n<td>School-based SBIRT Manager<\/td>\n<td>King County<\/td>\n<\/tr>\n<tr>\n<td>Brittany Weiner, MS, LMFT, CPPS<\/td>\n<td>Senior Behavioral Health Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Libby Hein, LMHC<\/td>\n<td>Director of Behavioral Health<\/td>\n<td>Molina Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Santi Wibawantini, MA, LMFT, CMHS<\/td>\n<td>Child Therapist<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Sarah Rafton, MSW<\/td>\n<td>Executive Director<\/td>\n<td>Washington Chapter of American Academy of Pediatrics<\/td>\n<\/tr>\n<tr>\n<td>Kevin Mangat, LMHC, MHA<\/td>\n<td>Manager, Child &amp; Family Team<\/td>\n<td>Navos<\/td>\n<\/tr>\n<tr>\n<td>Sally McDaniel, LMFT, LMHC, SUDP, CMHS<\/td>\n<td>Clinical Manager, Child and Family Services<\/td>\n<td>Greater Lakes Mental Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Thatcher Felt, DO<\/td>\n<td>Pediatrician<\/td>\n<td>Yakima Valley Farm Workers Clinic<\/td>\n<\/tr>\n<tr>\n<td>Jeffery Greene, MD<\/td>\n<td>Pediatrician<\/td>\n<td>Seattle Children\u2019s<\/td>\n<\/tr>\n<tr>\n<td>Erin Wick, MBA, SUDP<\/td>\n<td>Executive Director, Integrated Student Supports<\/td>\n<td>Educational Service District 113<\/td>\n<\/tr>\n<tr>\n<td>Katie Eilers, MPH, MSN, RN<\/td>\n<td>Director of Office of Family and Community Health Improvement<\/td>\n<td>Department of Health<\/td>\n<\/tr>\n<tr>\n<td>McKenna Parnes, PhD<\/td>\n<td>Postdoctoral Research Fellow<\/td>\n<td>University of Washington CoLab<\/td>\n<\/tr>\n<tr>\n<td>Diana Cockrell, MA, SUDP<\/td>\n<td>Section Manager Prenatal to 25 Lifespan; Mental Health and Substance Use Disorders<\/td>\n<td>Washington HCA<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740099548093-12187080-a796&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Past Meeting Materials<\/h3>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 10th, 2024<\/td>\n<td><p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/BH-Youth-Agenda-23_01.pdf\">January Agenda<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Youth-Behavioral-Health-Workgroup-Charter.pdf\">Draft Charter and Roster<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 14th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/BH-Youth-Agenda-24-02.pdf\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Minutes-YBH-0110.pdf\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/YBH-Draft-Focus-Areas.pdf\">Draft Focus Areas<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 13th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/BH-Youth-Agenda-24-03.pdf\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Minutes-YBH-24-0214.pdf\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Slides-YBH-24-03.pdf\">Slides<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/YBH-Draft-Focus-Areas.pdf\">Draft Focus Areas<\/a><\/td>\n<\/tr>\n<tr>\n<td>April 10th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/BH-Youth-Agenda-24-04.pdf\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/Minutes-YBH-24-0313-1.pdf\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/April-BH-Youth-Article-Summaries.docx\">April 10 Research<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 8th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/05\/BH-Youth-Agenda-24-05.pdf\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/05\/Minutes-YBH-24-0410.pdf\">April Minutes<\/a><br \/>\n<a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/fast\/\">FAST Program<\/a>\/<a href=\"https:\/\/www.tandfonline.com\/doi\/full\/10.1080\/23794925.2024.2330397\">Evaluation<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 12th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/BH-Youth-Agenda-24-06.pdf\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Minutes-YBH-24-0508-1.pdf\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/YBH-Workplan.pdf\">Workplan<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Evidence-Table-Screening-Brief-Intervention-and-Referral-to-Treatment-in-Primary-Care-Settings-.xlsx\">Evidence Table<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Implementing-SBIRT-in-Pediatric-Primary-Care-Worksheet.pdf\">Draft Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 10th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/BH-Youth-Agenda-24-07.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Minutes-YBH-24-0612.pdf\">June Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Draft-School-Setting-Guidelines.pdf\">Draft School Based Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Evidence-Table-School-Based-SBIRT-and-EBPs-.xlsx\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 14th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/BH-Youth-Agenda-24-08.pdf\">August Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/Minutes-YBH-24-0710.pdf\">July Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/Aug-YBH-Evidence-Table.xlsx\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 11th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/BH-Youth-Agenda-24-09.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/Minutes-YBH-24-08-1.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/Draft-YBH-Guidelines-0911.pdf\">Draft Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>October 9th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/BH-Youth-Agenda-10.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Minutes-YBH-24-09-1.pdf\">September Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Draft-YBH-Guidelines-1009.docx\">Draft Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/True-North-Student-Assistance-Bree-10-9-24-FINAL.pptx\">Student Assistance Professional Powerpoint<\/a><\/td>\n<\/tr>\n<tr>\n<td>November 13th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/11\/BH-Youth-Agenda-11.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Minutes-YBH-24-10.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/11\/Draft-YBH-Guidelines-1112.docx\">Draft Report &amp; Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>December 11th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/YBH-Agenda-24-12-10.pdf\">December Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Minutes-YBH-24-11.pdf\">November Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/BH-Youth-Checklist-Primary-Care-2024-11-1.docx\">Checklist-PC<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/BH-Youth-Checklists-Health-Plans-2024-11-1.docx\">Checklist-Plans<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/BH-Youth-Checklist-Schools-2024-11-1.docx\">Checklist-Schools<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/YBH-evaluation-framework_DRAFT-1.docx\">Eval Plan<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Evaluation-Matrix_DRAFT-1.xlsx\">Eval Matrix<\/a><\/td>\n<\/tr>\n<tr>\n<td>January 15th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/YBH-Agenda-25-01.pdf\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Minutes-YBH-24-12.pdf\">December Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Draft-YBH-Guidelines-011425-pdf.pdf\">Draft Final Report<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/YBH-Public-Comments-Upload.xlsx\">Public Comment Matrix<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Summary-YBH-Public-Comments.docx\">Summary Public Comments\/<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/SBS-Preliminary-Recommendations-Memo-7-11-24-1.pdf\">SBS HCA Preliminary Recommendations<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739467992051-7174602c-0ee3&#8243;][\/vc_tta_section][\/vc_tta_tour][vc_btn title=&#8221;Message Board&#8221; color=&#8221;blue&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Ffhqc.qualityhealth.org%2Fmembers%2Fforum%2Ftopic_list.php%3Fbid%3D4446537&#8243;][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Behavioral Health Integration&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1730220999199-a3d6e0a6-e583&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Behavioral Health Integration Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Needs minor revisions &#8211; to be scheduled<\/p>\n<p><strong>Date of publication<\/strong>: 2016<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2016<\/p>\n<p><strong>Date for review:<\/strong> TBD<\/p>\n<p><strong>Scope: <\/strong><span id=\"page15R_mcid5\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Integrated Care, <\/span><\/span><span id=\"page15R_mcid6\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Patient Access, information sharing, population health<\/span><\/span><span id=\"page15R_mcid8\" class=\"markedContent\">, treatment, patient communication<\/span>, data and metrics.<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong><span id=\"page15R_mcid4\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> This Report and Guidelines are focused on integrating behavioral health care services into primary <\/span><span dir=\"ltr\" role=\"presentation\">care for those with behavioral health concerns and diagnoses for whom accessing services through <\/span><span dir=\"ltr\" role=\"presentation\">primary care would be appropriate.<\/span><\/span><\/p>\n<h4>Supporting Materials<\/h4>\n<p><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2017\/04\/HCA-letter-accepting-Behavioral-Health-Integration.pdf\" target=\"_blank\" rel=\"noopener\">Letter from Health Care Authority Accepting Behavioral Health Integration Recommendations<\/a><\/span><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/05\/Behavioral-Health-Charter-Final-2016.pdf\" rel=\"\"><br \/>\n<span class=\"doc\">Beh<\/span>avioral<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/05\/Behavioral-Health-Charter-Final-2016.pdf\" target=\"_blank\" rel=\"noopener\">\u00a0Healt<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/05\/Behavioral-Health-Charter-Final-2016.pdf\" target=\"_blank\" rel=\"noopener\">h Charter and Roster<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/05\/Behavioral-Health-Charter-Final-2016.pdf\" rel=\"\"><br \/>\n<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/BHI-Core-Process-Measures.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Beh<\/span>avioral\u00a0Health\u00a0Integration Core Process Measures<br \/>\n<\/a><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/09\/BHI-Guideline-Checklist-1-1.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Beh<\/span>avioral\u00a0Health\u00a0Integration Guideline Checklist<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1730220999502-5b87ee7c-f769&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Behavioral-Health-Integration-Final-Recommendations-2017-03.pdf\">Behavioral Health Integration Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1730220999828-94f5e3d8-211b&#8221;][vc_toggle title=&#8221;Generic Audience&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/09\/BHI-Guideline-Checklist-corrected.pdf\">Behavioral Health Integration Checklist<\/a>&#8212;Developed 2020[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1730221000154-f6e130ad-66e0&#8243;][vc_toggle title=&#8221;Resources and Tools (General)&#8221;]<a href=\"https:\/\/doh.wa.gov\/licenses-permits-and-certificates\/facilities-z\/behavioral-health-agencies-bha\/behavioral-health-integration\">WA DOH Behavioral Health Integration\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/billers-providers-partners\/program-information-providers\/washington-integrated-care-assessment-wa-ica\">WA State Integrated Care Assessment\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/bhinstitute.uw.edu\/training-workforce-policy\/\">UW Training, Workforce, and Policy Innovation Center<\/a><\/p>\n<p><a href=\"https:\/\/www.cdc.gov\/childrensmentalhealth\/documents\/access-infographic.html\">CDC Behavioral Health Integration\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/integrationacademy.ahrq.gov\/about\/integrated-behavioral-health\">AHRQ What is Integrated Behavioral Health?<\/a><\/p>\n<p><a href=\"https:\/\/www.samhsa.gov\/resource\/ebp\/integrated-models-behavioral-health-primary-care\">SAMSHA Integrated Models for Behavioral Health and Primary Care\u00a0<\/a>[\/vc_toggle][vc_toggle title=&#8221;Integrated Care Teams&#8221;]<a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Common-Barriers-Strategies-Support-Health-Care-Teams.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Common Barriers and Strategies to Support Effective Health Care Teams for Integrated Behavioral Health<\/a><\/p>\n<p><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Making-Case-Change-Overcoming-Resistance.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Making the Case for Change and Overcoming Barriers<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/02\/AHRQ_AcadLitReview.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Provider and Practice Level Competencies for Integrated Behavioral Health in Primary Care: A Literature Review<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/02\/Preparing_the_Workforce_for_Behavioral_Health_and_.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Preparing the Workforce for Behavioral Health and Primary Care Integration<\/a><\/p>\n<p><a href=\"https:\/\/www.ahrq.gov\/hai\/cusp\/toolkit\/morning-briefing.html\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Conducting a Morning Briefing\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/edhub.ama-assn.org\/steps-forward\/module\/2702506\" target=\"_blank\" rel=\"noopener noreferrer\">AMA Ed Hub: Daily Team Huddles Learning Module<\/a>[\/vc_toggle][vc_toggle title=&#8221;Patient Access to Behavioral Health as a Routine Part of Care&#8221;]<a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Implementation-Guide-Enhanced-Access.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Enhanced Access Implementation Guide<\/a><\/p>\n<p><a href=\"https:\/\/www.ahrq.gov\/patient-safety\/reports\/engage\/interventions\/warmhandoff.html\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Warm Handoff Resources<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/03\/warm-handoff-scripts.docx\" target=\"_blank\" rel=\"noopener noreferrer\">Integrated Behavioral Health Partners:\u00a0 Warm Handoff Practice Scripts<\/a>[\/vc_toggle][vc_toggle title=&#8221;Accessibility and Sharing of Patient Information&#8221;]<a href=\"http:\/\/www.ibhpartners.org\/get-started\/behavioral-health-data-sharing-toolkit\/\" target=\"_blank\" rel=\"noopener noreferrer\">IBHP Data Sharing Toolkit<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/02\/Electronic_Health_Record_Challenges_Workarounds_an.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Electronic Health Record Challenges, Workarounds and Solutions Observed in Practices Integrating Behavioral Health and Primary Care<\/a><\/p>\n<p><a href=\"https:\/\/collectivemedical.com\/impact\/behavioral-health\/\" target=\"_blank\" rel=\"noopener noreferrer\">Collective Medical Care Coordination (EDIE or PreManage ED)\u00a0<\/a>[\/vc_toggle][vc_toggle title=&#8221;Practice Access to Psychiatric Services&#8221;]<a href=\"https:\/\/www.hca.wa.gov\/billers-providers-partners\/program-information-providers\/partnership-access-lines-pal\">WA Partnership Access Lines (PAL)<\/a><\/p>\n<p><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/access-services\/partnership-access-line\/wa-pal\/\" target=\"_blank\" rel=\"noopener noreferrer\">Washington Partnership Access Line<\/a>[\/vc_toggle][vc_toggle title=&#8221;Operational Systems and Workflows to Support Population Health&#8221;]<\/p>\n<p style=\"padding-left: 40px\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2021\/04\/20200422_NCQA_Behavioral_Health_Resource_Guide-Pop-Health.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">NCQA Population Health Management Resource Guide for Behavioral Health<\/a><\/p>\n<p style=\"padding-left: 40px\"><a href=\"https:\/\/edhub.ama-assn.org\/steps-forward\/module\/2702760\" target=\"_blank\" rel=\"noopener noreferrer\">AMA Ed hub: Identifying the Optimal Panel Sizes for Primary Care Physicians<\/a><\/p>\n<p style=\"padding-left: 40px\"><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Implementation-Guide-Empanelment.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Empanelment Implementation Guide<\/a><\/p>\n<p style=\"padding-left: 40px\"><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Clinical-Standards-Empanelment.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Clinical Standards for Empanelment<\/a><\/p>\n<p style=\"padding-left: 40px\"><a href=\"https:\/\/www.careinnovations.org\/wp-content\/uploads\/4.-Empanelment-Four-Cut-Methodology_CP3-Toolkit-2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Empanelment: Four-Cut Methodology\u00a0<\/a><\/p>\n<p style=\"padding-left: 40px\"><a href=\"https:\/\/aims.uw.edu\/resource-library\/care-management-tracking-system-cmts\" target=\"_blank\" rel=\"noopener noreferrer\">AIMS Center Care Management Tracking System (CMTS)<\/a><\/p>\n<p>[\/vc_toggle][vc_toggle title=&#8221;Evidence-Based Treatment&#8221;]<a href=\"https:\/\/cde.drugabuse.gov\/sites\/nida_cde\/files\/Audit-C_2014Mar24.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Alcohol Use Disorder Identification Test \u2013 Concise (AUDIT-C)<\/a><\/p>\n<p><a href=\"https:\/\/adaa.org\/sites\/default\/files\/GAD-7_Anxiety-updated_0.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">General Anxiety Disorder Tool (GAD-7)<\/a><\/p>\n<p><a href=\"https:\/\/www.apa.org\/depression-guideline\/patient-health-questionnaire.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Patient Health Questionnaire \u2013 9 (PHQ-9)<\/a><\/p>\n<p><a href=\"https:\/\/www.ncqa.org\/programs\/health-care-providers-practices\/patient-centered-medical-home-pcmh\/\" target=\"_blank\" rel=\"noopener noreferrer\">NCQA Patient Centered Medical Home (PCMH)<\/a><\/p>\n<p><a href=\"https:\/\/www.ahrq.gov\/health-literacy\/improve\/precautions\/tool10.html\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Health Literacy Universal Precautions Toolkit<\/a>[\/vc_toggle][vc_toggle title=&#8221;Patient Involvement in Care&#8221;]<a href=\"https:\/\/attcnetwork.org\/centers\/northwest-attc\/motivational-interviewing-mi\" target=\"_blank\" rel=\"noopener noreferrer\">ATTC Motivational Interviewing (MI) Resources<\/a>[\/vc_toggle][vc_toggle title=&#8221;Data for Quality Improvement&#8221;]<a href=\"https:\/\/med.fsu.edu\/sites\/default\/files\/userFiles\/file\/SAMHSA_Business_Case_for_Behavioral_Health_Care_Monograph.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">SAMHSA Business Case for Behavioral Health Care<\/a><\/p>\n<p><a href=\"https:\/\/nexusipe.org\/informing\/resource-center\/primary-care-workforce-study-cost-tool\" target=\"_blank\" rel=\"noopener noreferrer\">Primary Care Workforce Study Cost Tool\u00a0<\/a>[\/vc_toggle][vc_toggle title=&#8221;General Integration Resources&#8221;]<a href=\"https:\/\/integrationacademy.ahrq.gov\/products\/lexicon\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Lexicon for Behavioral Health and Primary Care Integration<\/a><\/p>\n<p><a href=\"https:\/\/aims.uw.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\">University of Washington AIMS Center<\/a><\/p>\n<p><a href=\"https:\/\/www.oregon.gov\/oha\/HPA\/dsi-pcpch\/Pages\/index.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Oregon Health Authority Patient-Centered Primary Care Home Program<\/a>[\/vc_toggle][vc_toggle title=&#8221;BHI Implementation Guides&#8221;]<a href=\"https:\/\/aims.uw.edu\/collaborative-care\/implementation-guide\" target=\"_blank\" rel=\"noopener noreferrer\">Collaborative Care Implementation Guide<\/a><\/p>\n<p><a href=\"http:\/\/www.thinglink.com\/channel\/622854013355819009\/slideshow\" target=\"_blank\" rel=\"noopener noreferrer\">SAMHSA-HRSA Center for Integrated Health Solutions Quick Start Guide to Behavioral Health Integration for Safety-Net Primary Care Providers<\/a><\/p>\n<p><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/Implementation-Guide-Behavioral-Health-Integration.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Qualis Health Implementation Guide to Behavioral Health Integration<\/a>[\/vc_toggle][vc_toggle title=&#8221;Assessments&#8221;]<a href=\"https:\/\/integrationacademy.ahrq.gov\/products\/playbooks\/behavioral-health-and-primary-care\/self-assessment-checklist\">AHRQ Self-Assessment Checklist for Integrating Behavioral Health and Ambulatory Care<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/assets\/P4R-physical-behavioral-health-integration-practice-site.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Maine Health Access Foundation (MeHAF) Site Self-Assessment<\/a><\/p>\n<p><a href=\"http:\/\/www.safetynetmedicalhome.org\/sites\/default\/files\/PCMH-A.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Patient-Centered Medical Home Assessment (PCMH-A)<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/www.youtube.com\/watch?v=0xYsSTg7WAQ&#8221; title=&#8221;Related Bree Webinars Link&#8221;][vc_video link=&#8221;https:\/\/www.youtube.com\/watch?v=PGWqMYfzlQA&#8221; title=&#8221;Related Bree Webinars Link&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1730221003518-4161dadb-30ac&#8221;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221; css=&#8221;&#8221;]Health System Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Health-System-Score-Card-_-Behavioral-Health.xlsx\">Health System Score Card _ Behavioral Health<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Health-Plan-Score-Card-_-Behavioral-Health.xlsx\">Health Plan Score Card _ Behavioral Health<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;]The Bree work group recommends several standard measures to support Behavioral Health Integration with Primary Care.<\/p>\n<p><span id=\"page56R_mcid6\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">HEDIS 2017 includes two depression-specific measures:<\/span><\/span><span id=\"page56R_mcid7\" class=\"markedContent\"><\/span><\/p>\n<ul>\n<li><span id=\"page56R_mcid7\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults<\/span><\/span><span id=\"page56R_mcid8\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">Depression Remission or Response for Adolescents and Adults<\/span><\/span><span id=\"page56R_mcid9\" class=\"markedContent\"><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">The HEDIS measure,<\/span> <span dir=\"ltr\" role=\"presentation\">Depression Remission or Response for Adolescents and Adults<\/span><span dir=\"ltr\" role=\"presentation\">, allows health <\/span><span dir=\"ltr\" role=\"presentation\">plans to assess and report the percentage of health plan members 12 years and older with a<\/span><br role=\"presentation\" \/><span dir=\"ltr\" role=\"presentation\">diagnosis of depression who had evidence of response or remission within 5 to 7 months of <\/span><span dir=\"ltr\" role=\"presentation\">their initial diagnosis. Remission is documented by a PHQ-9 score less than 5 points and <\/span><span dir=\"ltr\" role=\"presentation\">response is indicated by a 50% decrease over the initial PHQ-9 score.<\/span> <\/span><\/li>\n<\/ul>\n<p><span id=\"page56R_mcid9\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This is one of only two <\/span><span dir=\"ltr\" role=\"presentation\">measures for which health plans have the option of using an Electronic Clinical Data System <\/span><span dir=\"ltr\">(<\/span><\/span><span id=\"page56R_mcid10\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">ECDS<\/span><\/span><span id=\"page56R_mcid11\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">) such as a registry or other clinical management tracking system in addition to their EHR <\/span><span dir=\"ltr\" role=\"presentation\">to capture reporting data. More information can be found <a href=\"https:\/\/www.ncqa.org\/hedis\/measures\/\">here.<\/a><\/span><\/span><\/p>\n<p><span id=\"page56R_mcid12\" class=\"markedContent\"><\/span><span id=\"page56R_mcid15\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">National Quality Forum measure 0418 (NQF 0418) Screening for clinical depression and follow-up plan<\/span> (NEEDS\u00a0 LINK)<\/span><\/p>\n<ul>\n<li><span id=\"page56R_mcid15\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">\u201c<\/span><span dir=\"ltr\" role=\"presentation\">Percentage of patients aged 12 years and older screened for clinical depression on the date of the <\/span><span dir=\"ltr\" role=\"presentation\">encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up <\/span><span dir=\"ltr\" role=\"presentation\">plan is documented on the date of the positive screen<\/span><span dir=\"ltr\" role=\"presentation\">.\u201d This measure is consistent with the need to <\/span><span dir=\"ltr\" role=\"presentation\">impact and measure the impact of access to mental health treatment in Washington State.<br \/>\n<\/span><br \/>\n<\/span><\/li>\n<\/ul>\n<p><span id=\"page60R_mcid1\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The Healthier <a href=\"https:\/\/www.hca.wa.gov\/sites\/default\/files\/measures_fact%2520sheet.pdf\">Washington Common Measure Set<\/a> on Health Care Quality and Cost<\/span><\/span><span id=\"page60R_mcid3\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> includes six behavioral health-focused measures including:<\/span><\/span><span id=\"page60R_mcid4\" class=\"markedContent\"><\/span><\/p>\n<ul>\n<li><span id=\"page60R_mcid4\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Adult Mental Health Status. Measured by the Department of Health through Washington State <\/span><span dir=\"ltr\" role=\"presentation\">the Behavioral Risk Factor Surveillance System survey.<\/span><\/span>\n<ul>\n<li><span id=\"page60R_mcid5\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of adults ages 18 and older who answer \u201c14 or more days\u201d in response <\/span><span dir=\"ltr\" role=\"presentation\">to the question, \u201cNow thinking about your mental health, which includes stress, <\/span><span dir=\"ltr\" role=\"presentation\">depression and problems with emotions, for how many days during the past 30 days <\/span><span dir=\"ltr\" role=\"presentation\">was your mental<\/span> <span dir=\"ltr\" role=\"presentation\">health not good?\u201d on<\/span> <span dir=\"ltr\" role=\"presentation\">the Behavioral Risk Factor Surveillance System.<\/span><\/span><span id=\"page60R_mcid6\" class=\"markedContent\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page60R_mcid6\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Mental Health Service Penetration (Broad Version). Measured by health plans and Washington <\/span><span dir=\"ltr\" role=\"presentation\">State Department of Social and Health Services (DSHS) from claims data.<\/span><\/span><span id=\"page60R_mcid7\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page60R_mcid7\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of members with a mental health service need who received mental <\/span><span dir=\"ltr\" role=\"presentation\">health services in the measurement year. Separate reporting for age groups: 6-17 years <\/span><span dir=\"ltr\" role=\"presentation\">and 18-64 years.<\/span><\/span><span id=\"page60R_mcid8\" class=\"markedContent\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page60R_mcid8\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Substance Use Disorder Service Penetration. Measured by DSHS from claims data.<\/span><\/span><span id=\"page60R_mcid9\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page60R_mcid9\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of members with a substance use disorder treatment need who <\/span><span dir=\"ltr\" role=\"presentation\">received a substance use disorder treatment in the measurement year. Reported for <\/span><span dir=\"ltr\" role=\"presentation\">Medicaid only. Separate reporting for age groups: 6-17 years and 18-64 years.<\/span><\/span><span id=\"page60R_mcid10\" class=\"markedContent\"><\/span><\/li>\n<li><span id=\"page60R_mcid10\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This measure is reported for Medicaid only.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page60R_mcid11\" class=\"markedContent\"> <span dir=\"ltr\" role=\"presentation\">Antidepressant Medication Management. Measured by the Washington Health Alliance from <\/span><span dir=\"ltr\" role=\"presentation\">Claims data.<\/span><\/span><span id=\"page60R_mcid12\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page60R_mcid12\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of members 18 years and older who were treated with antidepressant <\/span><span dir=\"ltr\" role=\"presentation\">medication, had a diagnosis of major depression and who remained on an <\/span><span dir=\"ltr\" role=\"presentation\">antidepressant medication treatment.<\/span><\/span><span id=\"page60R_mcid13\" class=\"markedContent\"><\/span><\/li>\n<li><span id=\"page60R_mcid13\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Two rates will be reported: Effective Acute Phase Treatment and Effective Continuation <\/span><span dir=\"ltr\" role=\"presentation\">Phase Treatment.<\/span><\/span><span id=\"page60R_mcid14\" class=\"markedContent\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page60R_mcid14\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Follow-up After Hospitalization for Mental Illness. Measured by health plans from claims data.<\/span><\/span><span id=\"page60R_mcid15\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page60R_mcid15\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">The percentage of discharges for members 6 years of age and older who were <\/span><span dir=\"ltr\" role=\"presentation\">hospitalized for treatment of selected mental illness diagnoses and who had a follow-up <\/span><span dir=\"ltr\" role=\"presentation\">visit with a mental health practitioner within 30 days of discharge.<\/span><\/span><span id=\"page60R_mcid16\" class=\"markedContent\"><\/span><\/li>\n<\/ul>\n<\/li>\n<li><span id=\"page60R_mcid16\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">30-day Psychiatric Inpatient Readmissions. Measured by DSHS from claims data.<\/span><\/span><span id=\"page60R_mcid17\" class=\"markedContent\"><\/span>\n<ul>\n<li><span id=\"page60R_mcid17\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">For members 18 years of age and older, the number of acute inpatient psychiatric stays <\/span><span dir=\"ltr\" role=\"presentation\">that were followed by an acute readmission for a psychiatric diagnosis within 30 days.<\/span><\/span><span id=\"page60R_mcid18\" class=\"markedContent\"><\/span><\/li>\n<li><span id=\"page60R_mcid18\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">This measure is reported for Medicaid only.<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><a href=\"https:\/\/www.ncqa.org\/hedis\/measures\/\" target=\"_blank\" rel=\"noopener noreferrer\">NCQA HEDIS Measures<\/a><\/p>\n<p><a href=\"https:\/\/integrationacademy.ahrq.gov\/products\/behavioral-health-measures-atlas\" target=\"_blank\" rel=\"noopener noreferrer\">AHRQ Atlas of Integrated Behavioral Health Care Quality Measures<\/a><\/p>\n<p><a href=\"https:\/\/www.hca.wa.gov\/about-hca\/healthier-washington\/performance-measures\" target=\"_blank\" rel=\"noopener noreferrer\">Washington State Common Measure Set<\/a>[\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1730221005664-35a37add-7782&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468013953-6270841c-6788&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table>\n<tbody>\n<tr>\n<th width=\"35%\"><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td>Brad Berry<\/td>\n<td>Executive Director<\/td>\n<td>Consumer Voices Are Born<\/td>\n<\/tr>\n<tr>\n<td>Regina Bonnevie, MD<\/td>\n<td>Medical Director<\/td>\n<td>Peninsula Community Health Services<\/td>\n<\/tr>\n<tr>\n<td>Michelle Guerra, MD<\/td>\n<td>Senior Clinician<\/td>\n<td>Premera<\/td>\n<\/tr>\n<tr>\n<td>Larry Marx, MD<\/td>\n<td>Medical Director, Behavioral Health Support Services<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Rose Ness, MA, LMHC, CDP<\/td>\n<td>Behavioral Health Expert<\/td>\n<td>Sound Integration for Behavioral Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Kim McDermott, MD<\/td>\n<td>Physician<\/td>\n<td>NeighborCare<\/td>\n<\/tr>\n<tr>\n<td>Mary Kay O\u2019Neill MD, MBA<\/td>\n<td>Partner<\/td>\n<td>Mercer<\/td>\n<\/tr>\n<tr>\n<td>Joe Roszak<\/td>\n<td>\u00a0CEO<\/td>\n<td>Kitsap Mental Health Services<\/td>\n<\/tr>\n<tr>\n<td>Anna Ratzliff, MD, PhD\/<br \/>\nAnne Shields, MHA, RN<\/td>\n<td>Director of the UW Integrated Care Training Program, Associate Director for Education\/Associate Director<\/td>\n<td>AIMS Center, University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Jeff Reiter, \u00a0PhD<\/td>\n<td>Lead Psychologist<\/td>\n<td>Swedish Medical Services<\/td>\n<\/tr>\n<tr>\n<td>Julie Rickard, PhD<\/td>\n<td>Program Director of Integrated Behavioral Services<\/td>\n<td>Confluence Health<\/td>\n<\/tr>\n<tr>\n<td>Brian Sandoval, PsyD<\/td>\n<td>Behavioral Health Manager, Oregon and Washington Services<\/td>\n<td>Yakima Valley Farmworkers Clinics<\/td>\n<\/tr>\n<tr>\n<td>Lani Spencer, RN, MHA<\/td>\n<td>Vice President<\/td>\n<td>Health Care Management Services, Amerigroup \u2013Washington<\/td>\n<\/tr>\n<tr>\n<td>Emily Transue, MD, MHA<\/td>\n<td>\u00a0Senior Medical Director<\/td>\n<td>Coordinated Care<\/td>\n<\/tr>\n<tr>\n<td>Melet Whinston, MD<\/td>\n<td>Medical Director<\/td>\n<td>United Health Care<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468014863-f60214e9-7eb0&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Behavioral Health Integration into Primary Care:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.multicare.org\/\"><strong>MultiCare <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;First Episode Psychosis &#8211; NEW!&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1765909164740-f794bb75-9774&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: First Episode Psychosis Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: 2025<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2025<\/p>\n<p><strong>Date for review:<\/strong> TBD<\/p>\n<p><strong>Scope: <\/strong><span id=\"page15R_mcid6\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">Patient access, early identification and referral, population health<\/span><\/span><span id=\"page15R_mcid8\" class=\"markedContent\">, treatment<\/span>, data and metrics.<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong><span id=\"page15R_mcid4\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"> This Report and Guidelines are focused on improving access to CSC statewide through early identification and referral and alignment of comprehensive coverage for team-based early intervention<\/span><\/span><\/p>\n<h4>Supporting Materials<\/h4>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/CHARTER-Roster-Psychosis-Draft-0114.pdf\">First Episode Psychosis Charter and Roster<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1765909164905-a9a8bd66-fcb7&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Bree-FEP-Report-Draft-FINAL.pdf\">First Episode Psychosis Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1765909544403-d3b23a98-c951&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<div>\n<ul>\n<li><a href=\"https:\/\/www.hca.wa.gov\/billers-providers-partners\/program-information-providers\/new-journeys-and-first-episode-psychosis\">WA HCA New Journeys and First Episode Psychosis<\/a><\/li>\n<li><a href=\"https:\/\/www.newjourneyswashington.org\">New Journeys Washington <\/a><\/li>\n<li><a href=\"https:\/\/www.wa-ceep.org\/en\">Center for Excellence in Early Psychosis <\/a><\/li>\n<li><a href=\"https:\/\/www.nami.org\/wp-content\/uploads\/2024\/11\/Scaling-CSC-for-FEP-Insights-from-a-National-Impact-Model.pdf\">Scaling Coordinated Specialty Care for First-Episode Psychosis: Insights From a National Impact Model<\/a><\/li>\n<li><a href=\"https:\/\/www.nami.org\/about-mental-illness\/mental-health-conditions\/psychosis\/\">NAMI Psychosis<\/a><\/li>\n<li><a href=\"https:\/\/www.nami.org\/advocacy\/policy-priorities\/improving-health\/coverage-of-coordinated-specialty-care-csc-for-early-or-first-episode-psychosis\/\">NAMI Coverage of Coordinated Specialty Care (CSC) for Early or First-Episode Psychosis<\/a><\/li>\n<li><a href=\"https:\/\/pcl.psychiatry.uw.edu\">University of Washington Psychiatry Line<\/a><\/li>\n<li><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/pal\/wa-pal\/\">Washington Partnership Access Line<\/a><\/li>\n<\/ul>\n<\/div>\n<p>[\/vc_column_text][vc_video link=&#8221;https:\/\/youtu.be\/1iC0Zb-ctz0&#8243; css=&#8221;&#8221; title=&#8221;Bree Report Spotlight on First Episode Psychosis&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1765909165066-42d60acb-ca80&#8243;][vc_toggle title=&#8221;Primary Care&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Primary-Care-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Primary-Care-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Primary-Care-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Behavioral Health Agencies&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-BH-Agency-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-BH-Agency-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-BH-Agency-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]<a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Health-Plan-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Health-Plan-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"http:\/\/www.qualityhealth.org\/wp-content\/uploads\/2025\/12\/FEP-Checklist-Health-Plan-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools &#8211; NEW!&#8221; tab_id=&#8221;1765909166524-67d6d0f6-3fe8&#8243;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<h4>Introduction to Evaluation Tools<\/h4>\n<p>The Bree has developed multiple tools specific to the Health Impacts of Extreme Heat and Wildfire Smoke report, to support the evaluation projects implemented based on our guidelines.<\/p>\n<h4>Evaluation Framework<\/h4>\n<p>The Evaluation Framework provides further guidance on how organizations can conduct and align their work with other audience actors (example: all health plans in Washington state) or other audience types (example: health plans and providers). It provides specific details for measurement, provides strong and soft recommendations for the types of evaluations each organization may consider conducting, expands on alignment with other initiatives in Washington State, and makes recommendations for ethical and equity considerations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/02\/FEP-evaluation-framework_FINAL_V1.0.pdf\">EVALUATION FRAMEWORK<\/a><\/p>\n<h4>Data Matrix<\/h4>\n<p>An example of how to fill out this form is available in Appendix B of the Evaluation Framework. The Data Matrix tool can be used in planning your data collection effort for your implementation and evaluation.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Data-Matrix-Template.xlsx\">Data Matrix Template<\/a>\u2013 fillable form<\/p>\n<h4>Theory of Change<\/h4>\n<p>The theory of change illustrates how the work group conceptualized changes that would occur throughout the health care ecosystem as a result of their recommendations. The subcommittee for this report has not yet developed a theory of change.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Theory-of-Change_final_V1.0.pptx\">THEORY OF CHANGE<\/a><\/p>\n<h4>Score cards<\/h4>\n<p>To support health system improvement the Bree Collaborative has created evaluation score cards that are designed to help measure progress on the implementation of our guidelines.These measures were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization and download the excel document. There may be more than one audience type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaborative\u2019s self-report data collection efforts. Organizations are not required to report, however organizations can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p>\n<p>Completed score cards can be sent to <a href=\"mailto:knicholas@qualityhealth.org\">knicholas@qualityhealth.org<\/a><\/p>\n<p>Score cards can be found in the tabs below:[\/vc_column_text][vc_toggle title=&#8221;Primary Care and Health Systems&#8221; css=&#8221;&#8221;]Primary Care Setting <a href=\"https:\/\/arcg.is\/1DLWCW1\">Score Card<\/a><\/p>\n<p>Health System <a href=\"https:\/\/arcg.is\/0aeWST2\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]Health Plan <a href=\"https:\/\/arcg.is\/zWWnS0\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;State Agencies&#8221; css=&#8221;&#8221;]Washington State Health Care Authority <a href=\"https:\/\/arcg.is\/zPr5b\">Score Card<\/a><\/p>\n<p>Washington State Department of Health<a href=\"https:\/\/arcg.is\/L1O1L\"> Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Behavioral Health Providers&#8221; css=&#8221;&#8221;]Behavioral Health Agency <a href=\"https:\/\/arcg.is\/1mnrmy6\">Score Card<\/a><\/p>\n<p>Behavioral Health CSC Teams <a href=\"https:\/\/arcg.is\/10DGWi3\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Employers&#8221; css=&#8221;&#8221;]Employer <a href=\"https:\/\/arcg.is\/1LfrXK3\">Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Schools and Academic Institutions&#8221; css=&#8221;&#8221;]School <a href=\"https:\/\/arcg.is\/Xqe8y1\">Score Cards<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics &#8211; Coming soon!&#8221; css=&#8221;&#8221;][\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1765909167119-c999ee95-5204&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1765909167205-154daa66-463f&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"29%\"><strong>Name<\/strong><\/td>\n<td width=\"39%\"><strong>Title<\/strong><\/td>\n<td width=\"31%\"><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Darcy Jaffe, ARNP (chair)<\/td>\n<td width=\"39%\">Senior Vice President for Safety and Quality<\/td>\n<td width=\"31%\">WSHA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Rebecca (Becky) Daughtry, LICSW, CMHS<\/td>\n<td width=\"39%\">First Episode Psychosis Program and Policy Manager<\/td>\n<td width=\"31%\">HCA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Kim Moore, MD<\/td>\n<td width=\"39%\">VP Medical Operations<\/td>\n<td width=\"31%\">Virginia Mason Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Anne Marie Patterson, NP<\/td>\n<td width=\"39%\">Family Psychiatric Nurse Practitioner<\/td>\n<td width=\"31%\">Behavioral Health Resources, Thurston, Mason &amp; Grays Harbor<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Rebekah Woods, LMFT, CMHS<\/td>\n<td width=\"39%\">Children and Youth Crisis Services Program Manager<\/td>\n<td width=\"31%\">KC Behavioral Health and Recovery Division<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Lauren Farmer, LMFT, CMHS<\/td>\n<td width=\"39%\">Director of Children, Youth, and Family Services<\/td>\n<td width=\"31%\">Behavioral Health Resources &#8211; Olympia<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Libby Hein, LMHC<\/td>\n<td width=\"39%\">Director of Behavioral Health<\/td>\n<td width=\"31%\">Molina<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Brian Allender, MD<\/td>\n<td width=\"39%\">Chief Medical Officer<\/td>\n<td width=\"31%\">King County Behavioral Health and Recovery Division<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Tobias Dang, MD<\/td>\n<td width=\"39%\">Medical Director, Mental Health and Wellness, Psychiatrist<\/td>\n<td width=\"31%\">Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Ryan Robertson, CHPQ<\/td>\n<td width=\"39%\">Director, Clinical Excellence<\/td>\n<td width=\"31%\">WSHA<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Stephanie Giannandrea, MD<\/td>\n<td width=\"39%\">Psychiatrist<\/td>\n<td width=\"31%\">Confluence<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Dixie Weber, MSN<\/td>\n<td width=\"39%\">Public Health Consultant<\/td>\n<td width=\"31%\">Department of Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Carolyn Brenner, MD<\/td>\n<td width=\"39%\">Outpatient Behavioral Health Medical Director, Psychiatrist<\/td>\n<td width=\"31%\">Harborview Medical Center<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Christina Warner, MD<\/td>\n<td width=\"39%\">Attending Psychiatrist | Psychiatry and Behavioral Medicine<\/td>\n<td width=\"31%\">Seattle Children\u2019s Hospital<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Tawnya Christiansen, MD<\/td>\n<td width=\"39%\">Behavioral Health Medical Director<\/td>\n<td width=\"31%\">Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Oladunni Oluwoye, PhD<\/td>\n<td width=\"39%\">Associate Professor<\/td>\n<td width=\"31%\">Washington State University<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Maria Monroe-DaVita, PhD<\/td>\n<td width=\"39%\">Director | Associate Professor<\/td>\n<td width=\"31%\">Washington State Center of Excellence in Early Psychosis | University of Washington School of Medicine<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Cammie Perretta, MSW, LICSW<\/td>\n<td width=\"39%\">New Journey\u2019s Program Director Trainer<br \/>\nAssistant Professor<\/td>\n<td width=\"31%\">Washington State Center of Excellence in Early Psychosis<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Delika Steele<\/td>\n<td width=\"39%\">Health Policy Analyst<\/td>\n<td width=\"31%\">Washington Office of the Insurance Commissioner<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Chris DeCou, PhD<\/td>\n<td width=\"39%\">Director of Global Behavioral Health<\/td>\n<td width=\"31%\">Amazon<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Chivonne Mraz, LCSW<\/td>\n<td width=\"39%\">Manager of Behavioral Health<\/td>\n<td width=\"31%\">Regence Blue Shield<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Lucinda Sanchez, LICSW<\/td>\n<td width=\"39%\">New Journeys Program Manager<\/td>\n<td width=\"31%\">Comprehensive Healthcare<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Sarah Kopelovich, PhD<\/td>\n<td width=\"39%\">Associate Professor<\/td>\n<td width=\"31%\">Washington State Center of Excellence in Early Psychosis | University of Washington School of Medicine<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Greg Jones, DNP, PMHNP, CPC<\/td>\n<td width=\"39%\">Administrator and Clinical Supervisor of Peer Services<\/td>\n<td width=\"31%\">Lucid Living<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Sunny Lovin, MSW, LICSW<\/td>\n<td width=\"39%\">Director of Outpatient Behavioral Health<\/td>\n<td width=\"31%\">Harborview Medical Center<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1765909167369-ba9c6ae8-bca0&#8243;][vc_column_text css=&#8221;&#8221;][\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Previous Meeting Materials&#8221; tab_id=&#8221;1765927138434-e93b4918-9641&#8243;][vc_column_text css=&#8221;&#8221;]Workgroup Meeting Materials<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 8th, 2025<\/td>\n<td><p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/FEP-Agenda-25-01.pdf\">January Agenda<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/CHARTER-Roster-Psychosis-Draft-0107.pdf\">Draft Charter and Roster<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 5th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/FEP-Agenda-25-02.1.pdf\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Minutes-FEP-25-0108.pdf\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/EVIDENCE-TABLE-FEP-0205.xlsx\">Evidence Table<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/WORKPLAN-FEP-02.docx\">Workplan<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 5th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/FEP-Agenda-25-03.pdf\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/Minutes-FEP-25-02.1-1.pdf\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/EVIDENCE-TABLE-FEP-0305.xlsx\">Evidence Table<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/03\/FEP-Detection-Access-Draft-Guidelines.2.pdf\">Draft Guidelines<\/a>\/<a href=\"https:\/\/www.dshs.wa.gov\/sites\/default\/files\/rda\/reports\/research-3-62.pdf\">FEP DSHS Repor<\/a>t<\/td>\n<\/tr>\n<tr>\n<td>April 2nd<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/FEP-Agenda-25-04.1.pdf\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Minutes-FEP-25-03-1.pdf\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/EVIDENCE-TABLE-FEP-0402.1.xlsx\">Evidence Table<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Schools-and-FEP-guidelines.pdf\">School-based Draft Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Draft-Guidelines-PopulationsTreatment-Comparisons-and-Early-Detection-Rapid-Access.pdf\">Draft Guidelines Populations + Early Detection<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 7th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/FEP-Agenda-25-05.pdf\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Minutes-FEP-25-04.pdf\">April Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Draft-Guidelines-PopulationsTreatment-Comparisons-and-Early-Detection-Rapid-Access.4.30.25.pdf\">Draft Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/04\/Evidence-Table-Word-Doc-FEP.pdf\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 4th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/FEP-Agenda-25-0604.pdf\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Minutes-FEP-25-05.pdf\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/June-FEP-Resources.docx\">Resources<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/05\/Bree-First-Episode-Psychosis-Report-Draft-06.docx\">Draft Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 12th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/FEP-Agenda-25-0709.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-FEP-25-06.1.pdf\">June Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/CoordinatedSpecialtyCare-PaymentStrategies.pdf\">Materials<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/FEP-Evidence-Table-0709.pdf\">Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 6th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/FEP-Agenda-25-08.pdf\">August Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-FEP-25-06.1.pdf\">July Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Building-a-two-state-learning-healthcare-system-for-persons-with-first.pdf\">Building Two State LHS<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/FEP-Transitions-of-Care-Literature.pdf\">Transitions Lit Review Table &amp; Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/24-trying-to-outrun-schizophrenia.pdf\">NYT Article<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 3rd<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/FEP-Agenda-25-09.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Minutes-FEP-25-06.1.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/Copy-of-LOCUS-20-AACP-.pdf\">LOCUS<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/08\/CALOCUS-CASII.pdf\">CALOCUS<\/a>\/<a href=\"https:\/\/qualityhealth.sharepoint.com\/:w:\/g\/EQMAK1HHuwpBvZ6Bj9G7i7YBeh6qcbwNl1_nad0R8SokJA?e=EUvz9U\">Draft Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>October 1st<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/FEP-Agenda-25-10.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/Minutes-FEP-25-09-passed.pdf\">September Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/FEP-Primary-Care-Checklist-Draft-2025-09.pdf\">Primary Care Checklist<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/FEP-BH-Agencies-Checklist-Draft-2025-09.pdf\">BH Agency Checklist<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/FEP-Health-Plan-Checklist-Draft-2025-09.pdf\">Health Plan Checklist<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/09\/Theory-of-Change_2_FEP_DRAFT.pdf\">Theory of Change<\/a><\/td>\n<\/tr>\n<tr>\n<td>November 5th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/10\/FEP-Agenda-25-11.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/12\/Minutes-FEP-25-10.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Bree-FEP-Report-Draft-10-25-Current.docx\">Final Draft Report &amp; Guidelines<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/Bree-First-Episode-Psychosis-Public-Comment-Feedback-FINAL.xlsx\">Public Comments and Responses<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/11\/FEP-Insight-Lit-Review.xlsx\">Insight-Lit-Review<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;perinatal-behavioral-health-tour&#8221; title=&#8221;Perinatal Behavioral Health&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1703185383014-121145d4-17b7&#8243;][vc_column_text]<\/p>\n<h4>Guideline title: Perinatal Behavioral Health Report and Guidelines<\/h4>\n<p><strong>Publication Status: <\/strong>Active<\/p>\n<p><strong>Date of publication<\/strong>: January 2024<\/p>\n<p><strong>Date of last evidence search: <\/strong>2023<\/p>\n<p><strong>Scope:<\/strong> education and communication; integrated behavioral health; care coordination; community linkage to social programs; expanded team roles.<\/p>\n<p><strong>Methods: <\/strong>Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong> The Perinatal Behavioral Health topic was selected by Bree Collaborative members in September 2022 and a workgroup of clinical and community experts met from January 2022 to January 2023. The Bree guidelines focus areas are organized around identifying a person with or at risk for perinatal behavioral health needs and ensuring they receive appropriate treatment and follow-up care.<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1682016255663-ff5cac82-855e&#8221;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Bree-Perinatal-Behavioral-Health-FINAL-012424.pdf\">Perinatal Behavioral Health Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1682016256872-1cc87f73-14b5&#8243;][vc_column_text]The checklist tool translates the Bree guidelines into action steps for that sector. The action items have been arranged into levels 1, 2, and 3 to correspond to the difficulty level of implementing the action into the sectors\u2019 setting. Bree staff co-created the checklists with report workgroup members and topic experts.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health System Checklists (Birthing Hospitals)&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-BHosp-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-BHosp-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-BHosp-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Delivery Site and Health System Checklists (Outpatient Care Clinics)&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-OPC-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-OPC-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Perinatal-Behavioral-Health-OPC-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professional Checklists&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Perinatal-Behavioral-Health-Clinician-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Perinatal-Behavioral-Health-Clinician-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Perinatal-Behavioral-Health-Clinician-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1682016265007-b61cba93-3601&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-A-Culturally-Humble-Care.pdf\">Appendix A Culturally Humble Care<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-B-Behavioral-Health-Support-Services.pdf\">Appendix B Behavioral Health Support Services<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-C-Additional-Support-Services.pdf\">Appendix C Additional Support Services<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-D-Provider-and-Allied-Professionals-Trainings.pdf\">Appendix D Provider and Allied Professionals Trainings<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-E-Patient-and-Support-System-Educational-Resources.pdf\">Appendix E Patient and Support System Educational Resources<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-F-Pregnancy-and-Post-partum-Care-Providers.pdf\">Appendix F Pregnancy and Post-partum Care Providers<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Appendix-G-Example-Suicide-Safety-Plan.pdf\">Appendix G Example Suicide Safety Plan<\/a><\/p>\n<p><a href=\"https:\/\/www.mmhla.org\/database?sort=alphabetical_asc\">Perinatal Mental Health Training Database (MMHLA)<\/a><\/p>\n<p><a href=\"https:\/\/perinatalsupport.org\/\">Perinatal Support Washington<\/a><\/p>\n<p><a href=\"https:\/\/perc.psychiatry.uw.edu\/perinatal-pcl\/\">Perinatal Psychiatry Consultation Line for Providers (Perinatal PCL)<\/a><\/p>\n<p><a href=\"https:\/\/perc.psychiatry.uw.edu\/map-echo-perinatal-psychiatry-case-conference-series\/\">MAP ECHO: Perinatal Psychiatry Case Conference Series<\/a><\/p>\n<p><a href=\"https:\/\/waportal.org\/partners\/maternalmental-health-access-mamha\/resources\">Maternal* Mental Health Access (MaMHA)<\/a><\/p>\n<p><a href=\"https:\/\/www.miscarriagemanagement.org\/get-trained-folder\">Training Interprofessional Teams to Manage Miscarriage<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/you-and-yourfamily\/womens-health\/washington-state-perinatal-collaborative-wspc#ParentID-9337\">Washington State Perinatal Collaborative (WSPC)<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/injury-andviolence-prevention\/suicide-prevention\/988-suicide-crisis-lifeline\">988 Suicide &amp; Crisis Lifeline<\/a><\/p>\n<p><a href=\"https:\/\/saferbirth.org\/wp-content\/uploads\/U3-FINAL_AIM_Bundle_PPDT.pdf\">AIM Postpartum Discharge Bundle<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/gwgHR3kurxE&#8221; title=&#8221;Bree Report Spotlight on Perinatal Behavioral Health Webinar&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1682016278242-7b2eca06-a424&#8243;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p>\n<p>&nbsp;<\/p>\n<p>Completed score cards can be submitted to <a href=\"mailto:knicholas@qualityhealth.org\">knicholas@qualityhealth.org<\/a>[\/vc_column_text][vc_toggle title=&#8221;Perinatal Care Providers&#8221;]Perinatal Care Provider Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Perinatal-Providers_Final.xlsx\">Perinatal Providers_Final<\/a><\/p>\n<p>Metric 1 &#8211; HEDIS Perinatal\/postnatal Depression Screening and Follow-up, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 2 &#8211; SUD rate among pregnant patients, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 3 &#8211; SUD Treatment rate among pregnant patients, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 4 &#8211; PROM\/PREMs on perceived discrimination and mistreatment during pregnancy<\/p>\n<p>Metric 5 &#8211; Screening for Social Drivers of Health screening rate among pregnant patients, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 6 &#8211; Prenatal Care: Timeliness of Prenatal Care: The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization<\/p>\n<p>Metric 7 &#8211; Postpartum Care: Timeliness of Prenatal Care: The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization<\/p>\n<p>Metric 8 &#8211; Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050[\/vc_toggle][vc_toggle title=&#8221;Pediatricians&#8221;]Pediatrician Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Pediatrician_final.xlsx\">Pediatrician_final<\/a><\/p>\n<p>This metric is meant to be a repeat measure on the same patients however, for quality improvement purposes, organizations may want to track individuals that do not meet each sub-item in order to identify the biggest gaps in screening.<\/p>\n<p>(AAP) Percent of postpartum people who are screened for mental health concerns at 1-, 2-, 4-, and 6-month well-child visit; continue screening through 1-year well-child visits<\/p>\n<p>Metric 1a &#8211; Percent of postpartum people who are screened for mental health concerns at 1 month visit<\/p>\n<p>Metric 1b &#8211; Percent of postpartum people who are screened for mental health concerns at 1 and 2 month visits<\/p>\n<p>Metric 1c &#8211; Percent of postpartum people who are screened for mental health concerns at 1, 2 and 4 month visit<\/p>\n<p>Metric 1d &#8211; Percent of postpartum people who are screened for mental health concerns at 1,2, 4 and 6 month visit<\/p>\n<p>Metric 1e &#8211; Percent of postpartum people who are screened for mental health concerns at 1, 2, 4 6 months visist and at 1 year visit[\/vc_toggle][vc_toggle title=&#8221;Outpatient Perinatal Clinics&#8221; css=&#8221;&#8221;]Outpatient Perinatal Clinics Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Outpatient_Final.xlsx\">Outpatient_Final<\/a>[\/vc_toggle][vc_toggle title=&#8221;Hospitals&#8221;]Hospital Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Hospitals_Final.xlsx\">Hospitals_Final<\/a><\/p>\n<p>The following metrics are aligned with SBIRT measures in outpatient settings. Metrics for referrals are still under consideration,<\/p>\n<p>Metric 1 &#8211; SUB-2 Alcohol Use Brief Intervention Provided or Offered, SUB-2a Alcohol Use Brief Intervention, by pregnancy status<\/p>\n<p>Metric 2 &#8211; SUB-3 Alcohol and Drug Use Disorder Treatment Provided or Offered at Discharge, SUB-3a Alcohol and Drug Use Disorder Treatment at Discharge, by pregnancy status<\/p>\n<p>Metric 3 &#8211; TOB-2 Tobacco Use Treatment Provided or Offered, TOB-2a Tobacco Use Treatment, by pregnancy status<\/p>\n<p>Metric 4 &#8211; TOB-3 Tobacco Treatment Provided or Offered at Discharge, TOB-3a Tobacco Treatment at Discharge, by pregnancy status[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Health-plans_Final.xlsx\">Health plans_Final<\/a><\/p>\n<p>Metric 1 &#8211; Social Needs Screening and Intervention (SNS-E), stratified by pregnancy status<\/p>\n<p>Metric 2 &#8211; PROM\/PREMs on perceived discrimination and mistreatment during pregnancy<\/p>\n<p>Metric 3 &#8211; HEDIS Perinatal\/postnatal Depression Screening and Follow-up, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 4 &#8211; Percent of postpartum members who are screened for mental health concerns at 1-, 2-, 4-, and 6-month well-child visit; continue screening through 1-year<\/p>\n<p>Metric 5 &#8211; Prenatal Care: Timeliness of Prenatal Care: The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization, by race and ethnicity<\/p>\n<p>Metric 6 &#8211; Postpartum Care: Timeliness of Prenatal Care: The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization, by race and ethnicity<\/p>\n<p>Metric 7 &#8211; Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050[\/vc_toggle][vc_toggle title=&#8221;Washington State Health Care Authority&#8221; css=&#8221;&#8221;]Washington State Health Care Authority <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/HCA_Score-Card_Final.xlsx\">Evaluation Score Card<\/a><\/p>\n<p>Metric 1 &#8211; Percent of pregnant patients or those who delivered within 12 months with a diagnosis of, 1) depression, 2) OUD, 3) anxiety, 4) SUD, 5) suicidality, 6) other mental health concerns<\/p>\n<p>Metric 2 &#8211; HEDIS Perinatal\/postnatal Depression Screening and Follow-up, by race, ethnicity\/language, SOGI, disability, age<\/p>\n<p>Metric 3 &#8211; Prenatal and Postpartum Care (PPC): Timeliness of Prenatal Care: The percentage of deliveries in which women had a prenatal care visit in the first trimester, on or before the enrollment start date or within 42 days of enrollment in the organization.<\/p>\n<p>Metric 4 &#8211; Prenatal and Postpartum Care (PPC): Postpartum Care: The percentage of deliveries in which women had a postpartum visit on or between 7 and 84 days after delivery<\/p>\n<p>Metric 5 &#8211; Social Needs Screening and Intervention (SNS-E) (Uses Electronic Data System (ECDS) reporting)<\/p>\n<p>Metric 6 &#8211; Screening, Brief Intervention, and Referral to Treatment (SBIRT) CPT-4: 99408, 99409, HCPCS: G0396, G0397, G0443, H0050[\/vc_toggle][vc_toggle title=&#8221;Washington State Department of Health&#8221;]Washington State Department of Health Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/DOH_score-card_final.xlsx\">DOH_score card_final<\/a><\/p>\n<p>Metric 1 &#8211; Perinatal Mental Health Provider-to-Patient Ratio<\/p>\n<p>Metric 2 &#8211; Maternal Mental Health Prescriber-to-Patient Ration[\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][vc_btn title=&#8221;Jump to Perintal Behavioral Health Dashboard&#8221; color=&#8221;blue&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fdashboards_reports%2Fbh-topics-dashboard%2F&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation&#8221; tab_id=&#8221;1682016320599-cf845c07-ce5e&#8221;][vc_column_text css=&#8221;&#8221;]<strong>VMFH St. Francis Hospital<\/strong><\/p>\n<p>In 2025 VMFH St. Francis Hospital participated in the Puget Sound High Value Network&#8217;s quality improvement initiative on Perinatal Behavioral Health, winning a Trailblazer award for concordance of care with best practices.<\/p>\n<ul>\n<li><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Mountain-Climber-Award-Winners_summary_V2.pdf\">Mountain Climber Awards Summary<\/a><\/li>\n<li>Suicide Template Safety Plan<\/li>\n<li>EPIC Maternal Mental Health Tip Sheet<\/li>\n<li>Perinatal Mood and Anxiety Patient Education<\/li>\n<li>PMADs EPDS Algorithm<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<strong>Kaiser Permanente Washington<\/strong><\/p>\n<p>In 2024 Kaiser Permanente Washington (KP Washington) was awarded the Bree Collaborative Trailblazer award for concordance with best practices for Perinatal Behavioral Health. In 2025 KP Washington was awarded the Mountain Climber award for embedding processes into their Perinatal Behavioral Health work with the aim to reduce disparities in care access and outcomes.<\/p>\n<p>You can read about KP Washington&#8217;s work in the <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/07\/Mountain-Climber-Award-Winners_summary_V2.pdf\">Mountain Climber Award Summary<\/a>.[\/vc_column_text][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Puget Sound High Value Network &#8211; improving Perinatal Behavioral Health<\/h3>\n<p>In 2024, the Puget Sound High Value Network used Bree Collaborative score cards to identify gaps in care. You can view their presentation on their project below.<\/p>\n<p>For more information on how they developed their implementation project and planned their evaluation, please contact Karie Nicholas at knicholas@qualityhealth.org.[\/vc_column_text][vc_video link=&#8221;https:\/\/youtu.be\/ByZjRSAVxNA?si=SbLknFJzSGak5sN7&#8243; css=&#8221;&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468039986-759cc519-1c7e&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table>\n<tbody>\n<tr>\n<th width=\"35%\"><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td>Colleen Daly, PhD (Chair)<\/td>\n<td>Director, Global Occupational Health, Safety and Research<\/td>\n<td>Microsoft<\/td>\n<\/tr>\n<tr>\n<td>Trish Anderson, MBA, BSN<\/td>\n<td>Senior Director, Safety and Quality<\/td>\n<td>Washington State Hospital Association<\/td>\n<\/tr>\n<tr>\n<td>Aphrodyi Antoine, MPH, MBA<\/td>\n<td>Deputy Regional Administrator<\/td>\n<td>Health Resources and Services Administration<\/td>\n<\/tr>\n<tr>\n<td>Christine Cole, LICSW<\/td>\n<td>Infant and Early Childhood Mental Health Program Manager<\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Melissa Covarrubias<\/td>\n<td><\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Billie Dickson<\/td>\n<td>Associate Director, Policy<\/td>\n<td>Washington State Medical Association<\/td>\n<\/tr>\n<tr>\n<td>Andrea Estes, MBA<\/td>\n<td>Sexual and Reproductive Health Programs Innovation Manager<\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Cindy Gamble, MPH<\/td>\n<td>\u00a0Tribal Public Health Consultant<\/td>\n<td>American Indian Health Commission<\/td>\n<\/tr>\n<tr>\n<td>Kristin Hayes, MSW<\/td>\n<td>Perinatal Mental Health Counselor<\/td>\n<td>Evergreen Health<\/td>\n<\/tr>\n<tr>\n<td>Libby Hein, LMHC<\/td>\n<td>Director of Behavioral Health<\/td>\n<td>Molina Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Mandy Lee, MSN, RN, CCM<\/td>\n<td>Healthy First Steps Program Manager<\/td>\n<td>United Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Kay Jackson, CNM, ARNP<\/td>\n<td>Midwife<\/td>\n<td>Off the Grid Midwifery and Health<\/td>\n<\/tr>\n<tr>\n<td>Ellen Kauffman, MD, FACOG<\/td>\n<td>Obstetrician<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Jillian King, DNPC<\/td>\n<td>Doctorate of Nursing Practice Candidate<\/td>\n<td>University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Gina Legaz, MPH<\/td>\n<td>National Director, Prematurity Collaborative<\/td>\n<td>March of Dimes<\/td>\n<\/tr>\n<tr>\n<td>Jennifer Linstad, MSM, LM, CPM<\/td>\n<td>Licensed Midwife, Co-owner Out Place Birth Center<\/td>\n<td>Our Place Birth Center, LLC<\/td>\n<\/tr>\n<tr>\n<td>Maryellen Maccio, MD<\/td>\n<td>Family Medicine<\/td>\n<td>Valley Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Patricia Morgan, ARNP<\/td>\n<td>Psychiatric Nurse Practitioner<\/td>\n<td>Evergreen Health<\/td>\n<\/tr>\n<tr>\n<td>Sheryl Pickering<\/td>\n<td>Health Services Consultant\/WIC Tribal Liaison<\/td>\n<td>Washington Department of Health, WIC<\/td>\n<\/tr>\n<tr>\n<td>Ashley Pina<\/td>\n<td>Pregnant and Parenting Family Substance Use Disorder Policy Administrator<\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Sarah Pine<\/td>\n<td>Behavioral Health Program Manager<\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Katie Price, LICSW<\/td>\n<td>Clinical Social Worker<\/td>\n<td>Katie Price Therapy<\/td>\n<\/tr>\n<tr>\n<td>Brianne Probasco<\/td>\n<td>Reproductive Health Coordinator<\/td>\n<td>Washington Association for Community Health<\/td>\n<\/tr>\n<tr>\n<td>Monica Salgaonkar, MHA<\/td>\n<td>Program Manager, Continuing Medical Education<\/td>\n<td>Washington State Medical Association<\/td>\n<\/tr>\n<tr>\n<td>Nicole Saint Clair, MD<\/td>\n<td>Executive Medical Director<\/td>\n<td>Regence<\/td>\n<\/tr>\n<tr>\n<td>Caroline Sedano, MPH<\/td>\n<td>Perinatal Unit Supervisor<\/td>\n<td>Washington Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Beth Tinker, PhD, MPH, MN, RN<\/td>\n<td>Nursing Consultation Advisor, Clinical Quality Care Transformation<\/td>\n<td>Washington Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td>Janmarie Ward, MPA<\/td>\n<td>Private Consultant<\/td>\n<td>American Indian Health Commission<\/td>\n<\/tr>\n<tr>\n<td>Josephine Young, MD, MPH, MBA<\/td>\n<td>Medical Director Commerical Markets<\/td>\n<td>Premera<\/td>\n<\/tr>\n<tr>\n<td>Gloria Andia, MSC<\/td>\n<td>Public Health Analyst<\/td>\n<td>Health Resources and Services Administration<\/td>\n<\/tr>\n<tr>\n<td>Cheryl Altice, MPH<\/td>\n<td>Public Health Analyst<\/td>\n<td>Health Resources and Services Administration<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740099497694-7a1e2f45-a3c9&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Past Meeting Materials<\/h4>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 2023<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Maternal-Mental-Health-Agenda-23_0130.pdf\" target=\"_blank\" rel=\"noopener\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Charter-Roster-Maternal-Mental-Health-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Draft Charter and Roster<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/USPSTF_Maternal-Mental-Health.pdf\" target=\"_blank\" rel=\"noopener\">USPSTF Maternal Mental Health<\/a><\/td>\n<\/tr>\n<tr>\n<td>February<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Maternal-Mental-Health-Agenda-23_0227.pdf\" target=\"_blank\" rel=\"noopener\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Minutes-Maternal-Mental-Health-23-0130.pdf\" target=\"_blank\" rel=\"noopener\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Charter-Roster-Maternal-Mental-Health-Draft-1.pdf\" target=\"_blank\" rel=\"noopener\">Draft Charter and Roster<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Bree-Maternal-Mental-Health-Discussion-Slides.pdf\" target=\"_blank\" rel=\"noopener\">Discussion Slides<\/a><\/td>\n<\/tr>\n<tr>\n<td>March<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Maternal-Mental-Health-Agenda-23_0320.pdf\" target=\"_blank\" rel=\"noopener\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Minutes-Maternal-Mental-Health-23-0227.pdf\" target=\"_blank\" rel=\"noopener\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/03\/Bree-Maternal-Mental-Health-Frameworks.pdf\" target=\"_blank\" rel=\"noopener\">Maternal Mental Health Frameworks for Discussion<\/a><\/td>\n<\/tr>\n<tr>\n<td>April<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Agenda-23_0424.pdf\" target=\"_blank\" rel=\"noopener\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Maternal-Mental-Health-23-0320.pdf\" target=\"_blank\" rel=\"noopener\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Behavioral-Health-and-Reproductive-Health-Background.pdf\" target=\"_blank\" rel=\"noopener\">Behavioral Health Background and Logic Models<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Maternal-Mental-Health-Workgroup-Topic-Prioritization.pdf\" target=\"_blank\" rel=\"noopener\">Evidence Review Brainstorm<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Evidence-Review-Draft-0424.pdf\" target=\"_blank\" rel=\"noopener\">Initial Evidence and Guidelines<\/a><\/td>\n<\/tr>\n<tr>\n<td>May<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Agenda-23_0515.pdf\" target=\"_blank\" rel=\"noopener\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Maternal-Mental-Health-23-0424.pdf\" target=\"_blank\" rel=\"noopener\">April Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Maternal-Mental-Health-Focus-Areas.pdf\" target=\"_blank\" rel=\"noopener\">Draft Focus Areas<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Evidence-Review-Initial-Draft.pdf\" target=\"_blank\" rel=\"noopener\">Draft Evidence Table \u2013 0518<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Maternal-Mental-Health-Evidence-Review-Discussion.pdf\" target=\"_blank\" rel=\"noopener\">Evidence Discussion Slides \u2013 0518<\/a><\/td>\n<\/tr>\n<tr>\n<td>June<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Agenda-23_0612.pdf\" target=\"_blank\" rel=\"noopener\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Minutes-Maternal-Mental-Health-23-0515.pdf\" target=\"_blank\" rel=\"noopener\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Maternal-Mental-Health-Evidence-Review-23-0612.pdf\" target=\"_blank\" rel=\"noopener\">Draft Evidence Table \u2013 0612<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Maternal-Mental-Health-Evidence-Discussion-23-0612.pdf\" target=\"_blank\" rel=\"noopener\">Evidence Discussion Slides \u2013 0612<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/06\/Bree-Maternal-Mental-Health-Draft-Recommendations_23_0612.pdf\" target=\"_blank\" rel=\"noopener\">Draft Recommendations \u2013 0612<\/a><\/td>\n<\/tr>\n<tr>\n<td>July<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/07\/Maternal-Mental-Health-Agenda-23_0717.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/07\/Minutes-Maternal-Mental-Health-23-0612.pdf\">June Meeting Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/07\/Maternal-Mental-Health-Evidence-Review-23-0717.pdf\">Draft evidence table 0717<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/07\/Bree-Maternal-Mental-Health-Evidence-Discussion-23-0717.pdf\">Evidence Discussion Slide-0717<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/07\/Bree-Maternal-Mental-Health-Draft-Recommendations_23_0717-A.pdf\">Draft Recommendations 0717<\/a><\/td>\n<\/tr>\n<tr>\n<td>August<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/Maternal-Mental-Health-Agenda-23_0821.pdf\">August Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/Minutes-Maternal-Mental-Health-23-0717.pdf\">July Meeting Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/08\/Bree-Maternal-Mental-Health-Draft-Recommendations_23-0814-1.pdf\">Draft Recommendations 0821<\/a><\/td>\n<\/tr>\n<tr>\n<td>September<\/td>\n<td><p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Perinatal-Behavioral-Health-Agenda-23_0918.pdf\">September Agenda<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Minutes-Maternal-Mental-Health-23-0821.pdf\">August Meeting Minutes<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/09\/Upload-Bree-Perinatal-Behavioral-Health-Draft-Recommendations_23-0918-clean.docx\">Draft Recommendations 0918<\/a><\/td>\n<\/tr>\n<tr>\n<td>October<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Perinatal-Behavioral-Health-Agenda-23_1016.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Minutes-Peirnatal-Behavioral-Health-23-0918.pdf\">September Meeting Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/10\/Draft-Recommendations-Perinatal-Behavioral-Health-October.docx\">Draft Recommendations 1016<\/a><\/td>\n<\/tr>\n<tr>\n<td>November<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Agenda-Perinatal-Behavioral-Health-23_1109.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Minutes-Perinatal-Behavioral-Health-23-1016.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/11\/Perinatal-Behavioral-Health-Report-Draft-111523.pdf\">Draft Recommendations\u00a0<\/a><\/td>\n<\/tr>\n<tr>\n<td>December<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/12\/Agenda-Perinatal-Behavioral-Health-23_1211.pdf\">December Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Minutes-Perinatal-Behavioral-Health-23-1113.pdf\">November Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2023\/12\/Metrics-Data-Source-Decisions.pptx\">Data Sources Powerpoint<\/a><br \/>\n<a href=\"https:\/\/qualityhealth.sharepoint.com\/:x:\/g\/EThcqEEk3opOivCDa5xQ3UwB2RyBIGksaFS5E0clNiFweQ?e=wdlDMa\">Scorecard<\/a><\/td>\n<\/tr>\n<tr>\n<td>January 2024<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Agenda-Perinatal-Behavioral-Health-23_0108.pdf\">January Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Minutes-Perinatal-Behavioral-Health-23-1211.pdf\">December Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Bree-Perinatal-Behavioral-Health-Draft-Recommendations_23-FINAL-1.pdf\">Final Draft (not yet approved)<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468040900-10a6605f-2a63&#8243;][vc_column_text css=&#8221;&#8221;]<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-75645 alignleft\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button-1024x1024.png\" alt=\"\" width=\"270\" height=\"270\" srcset=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button-1024x1024.png 1024w, https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button-300x300.png 300w, https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button-150x150.png 150w, https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button-768x768.png 768w, https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Pathfinder-Award-button.png 1080w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/>Congratulations to our <strong>Pathfinder Award<\/strong> Winners<\/p>\n<ul>\n<li><a href=\"https:\/\/www.chpw.org\/\"><strong>Community Health Plan of Washington (2024)<\/strong><\/a><\/li>\n<li><strong><a href=\"https:\/\/www.boeing.com\/company\/about-bca\/washington\">Boeing <\/a><a href=\"https:\/\/www.chpw.org\/\">(2024)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.chcw.org\/\">Community Health of Central Washington <\/a><a href=\"https:\/\/www.chpw.org\/\">(2025)<\/a><\/strong><\/li>\n<li><strong>Franciscan Medical Group (2025)<\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.overlakehospital.org\/\">Overlake Hospital <\/a><a href=\"https:\/\/www.chpw.org\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.eastsidehealthnetwork.com\/\">Eastside Health Network<\/a> &#8211; Overlake <a href=\"https:\/\/www.chpw.org\/\">(2025)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_separator border_width=&#8221;5&#8243; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]Congratulations to our <strong>Trailblazer Award<\/strong> Winner<a href=\"https:\/\/www.microsoft.com\/en-us\/about\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-75647 alignleft\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/02\/Trailblazer-award-web-PBH-2025.gif\" alt=\"\" width=\"433\" height=\"433\" \/><\/a><\/p>\n<ul>\n<li style=\"text-align: left\"><strong><a href=\"https:\/\/www.microsoft.com\/en-us\/about\">Microsoft (2024)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/doh.wa.gov\/\">Washington State Department of Health (2024)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.everettclinic.com\/\">Everett Clinic\/Optum Health (2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.polyclinic.com\/\">PolyClinc\/Optum Health <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.vmfh.org\/our-hospitals\/st-joseph-medical-center\">VMFH St. Joseph&#8217;s Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.vmfh.org\/find-a-location\/st-michael-medical-center-psc-belfair-291421\">VMFH St. Michaels Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.vmfh.org\/our-hospitals\/st-elizabeth-hospital\">VMFH St. Elizabeth&#8217;s Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.vmfh.org\/our-hospitals\/st-anne-hospital\">VMFH St. Anne&#8217;s Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.vmfh.org\/our-hospitals\/st-francis-hospital\">VMFH St. Francis&#8217; Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.multicare.org\/location\/yakima-memorial-hospital\/\">Yakima Memorial Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.eastsidehealthnetwork.com\/\">Eastside Health Network<\/a> &#8211; Evergreen <a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.evergreenhealth.com\/\">Evergreen Hospital <\/a><a href=\"https:\/\/www.everettclinic.com\/\">(2025)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_btn title=&#8221;Message Board&#8221; color=&#8221;blue&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Ffhqc.qualityhealth.org%2Fmembers%2Fforum%2Ftopic_list.php%3Fbid%3D4450203&#8243;][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Prescribing Antipsychotics to Children and Adolescents&#8221; el_id=&#8221;pediatric-prescribing-tour&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1705961292873-bf5003f2-7e39&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Prescribing Antipsychotics to Children and Adolescents Report and Guidelines<\/h4>\n<p><strong>Publication status:<\/strong> Needs minor revisions &#8211; to be scheduled<\/p>\n<p><strong>Date of publication<\/strong>: 2016<\/p>\n<p><strong>Date of last evidence search:<\/strong> 2016<\/p>\n<p><strong>Scope: <\/strong>Medication evaluation, prescribing, medication management, psychosocial interventions, provider communication<\/p>\n<p><strong>Methods<\/strong>: Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description: <\/strong>Evidence shows that atypical anti-psychotic use is associated with patient harms including obesity, cardiovascular effects including hypertension, the possibility of tics, and other effects on the developing brain. Additionally, long-term research on the effects of atypical anti-psychotic use in youth is lacking. Evidence-based first line treatments for aggressive, impulsive, and disruptive behaviors in the absence of psychosis include psychosocial therapies. However, there is a lack of accessible and cost-effective behavioral therapy options, especially outside of urban areas and few effective alternative pharmacotherapy options available. Many patients do not receive an appropriate mental health assessment and if anti-psychotics are prescribed, receive monitoring of side effects.<\/p>\n<h4>Supporting Materials<\/h4>\n<p><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2017\/01\/hca-letter-accepting-antipsychotic-2017.pdf\" target=\"_blank\" rel=\"noopener\">Letter from Health Care Authority Accepting Pediatric Psychotropic Use Report and Recommendations<\/a><\/span><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/01\/Psychotropics-Charter-2016.pdf\" target=\"_blank\" rel=\"noopener\"><br \/>\n<span class=\"doc\">Pediatric<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/01\/Psychotropics-Charter-2016.pdf\" target=\"_blank\" rel=\"noopener\">Psychotropic Use Charter<\/a>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1705961293354-c6f776a7-b857&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2016\/11\/Antipsychotic-Recommendations-Final-2016.pdf\">Prescribing Antipsychotics to Children and Adolescents Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1705961308187-b8508b15-27c8&#8243;][vc_toggle title=&#8221;Resources and Tools &#8211; IN DEVELOPMENT&#8221;]<a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/pal\/wa-pal\/\">Washington Partnership Access Line (PAL)<\/a><\/p>\n<p><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/pal\/safes\/\">Supporting Adolescents and Families Experiencing Suicidality (SAFES)<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1705961333020-3438c35a-08f9&#8243;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.[\/vc_column_text][vc_toggle title=&#8221;Health Care Professionals&#8221;]Primary Care Providers Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/PCP-Score-Card-_-Psychotropics.xlsx\">PCP Score Card _ Psychotropics<\/a><\/p>\n<p>Behavioral Health Provider Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/BH-Provider-Score-Card-_-Psychotropics.xlsx\">BH Provider Score Card _ Psychotropics<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-Psychotropics.xlsx\">Health Plan Score Card _ Psychotropics<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Agencies&#8221;]Washington State Health Care Authority Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/WA-HCA-Score-Card-_-Psychotropics.xlsx\">WA HCA Score Card _ Psychotropics<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;][\/vc_toggle][vc_column_text]For more generic tools for planing, data collection and data management, please visit our Tool Depot[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1705961386429-166a256a-e8d5&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468065763-048a33e6-db4c&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"29%\"><strong>Name<\/strong><\/td>\n<td width=\"34%\"><strong>Title<\/strong><\/td>\n<td width=\"35%\"><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Shelley Dooley<\/td>\n<td width=\"34%\">Parent Advocate<\/td>\n<td width=\"35%\"><\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Nalini Gupta, MD<\/td>\n<td width=\"34%\">Pediatrician<\/td>\n<td width=\"35%\">Developmental and Behavioral Pediatrics Providence Health and Services<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Robert Hilt, MD<\/td>\n<td width=\"34%\">Director, Community Leadership; Director of Partnership Access Line<\/td>\n<td width=\"35%\">Seattle\u2019s Children\u2019s<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Paula Lozano, MD MPH (Chair)<\/td>\n<td width=\"34%\">Medical Director, Research and Translation<\/td>\n<td width=\"35%\">Group Health Cooperative<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Liz Pechous. PhD<\/td>\n<td width=\"34%\">Clinical Director<\/td>\n<td width=\"35%\">ICARD, PLLC<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Robert Penfold, PhD<\/td>\n<td width=\"34%\">Co-investigator, Medical Health Research Network<\/td>\n<td width=\"35%\">Group Health Research Institute<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">James Polo, MD, MBA<\/td>\n<td width=\"34%\">Chief Medical Officer<\/td>\n<td width=\"35%\">Western State Hospital<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">David Testerman, PharmD<\/td>\n<td width=\"34%\">Pharmacy Director<\/td>\n<td width=\"35%\">Amerigroup<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Mark Stein, PhD, ABPP<\/td>\n<td width=\"34%\">Director of ADHD and Related Disorders<\/td>\n<td width=\"35%\">Seattle Children\u2019s<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Donna Sullivan, PharmD, MS<\/td>\n<td width=\"34%\">Chief Pharmacy Officer<\/td>\n<td width=\"35%\">Washington Health Care Authority<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468066591-85e71dfa-60a8&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Pediatric Psychotropics:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington (2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.uwmedicine.org\/\"><strong>UW Medicine &amp; UW Physicians<\/strong><\/a><strong><a href=\"https:\/\/www.chpw.org\/\"> (2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente<\/strong><\/a><strong><a href=\"https:\/\/www.chpw.org\/\"> (2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.multicare.org\/\"><strong>MultiCare <\/strong><\/a><a href=\"https:\/\/www.healthpointchc.org\/\"><strong>(2024)<\/strong><\/a><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare<\/a><a href=\"https:\/\/www.chpw.org\/\"> (2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Risk of Violence to Others&#8221; el_id=&#8221;Risk-of-Violence-to-others&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1715367020911-93de0256-2b03&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Risk of Violence to Others Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: 2019<\/p>\n<p><strong>Date of last evidence search: <\/strong>2019<\/p>\n<p><strong>Scope: <\/strong>Identification of increased risk for violence, assessment of violence risk, violence risk management, protection of third parties<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong> In 2018, the Washington State Legislature included a budget proviso for the Bree Collaborative to address the clinical uncertainty resulting from the Volk decision, directing the Collaborative \u201cto identify best practices for mental health services regarding patient mental health treatment and patient management. The work group shall identify best practices on patient confidentiality, discharging patients, treating patients with homicide ideation and suicide ideation, record keeping to decrease variation in practice patterns in these areas, and other areas as defined by the work group.\u201d12 This work builds upon the 2017 Collaborative guidelines on <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Behavioral-Health-Integration-Final-Recommendations-2017-03.pdf\">behavioral health integration<\/a> into primary care and the 2018 guidelines on <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/10\/Suicide-Care-Report-and-Recommendations-Final.pdf\">suicide care.<\/a>\u00a0<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1715367020913-f5591025-8f1d&#8221;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Recommendations-Risk-Violence-Others-FINAL-2020.pdf\">Risk of\u00a0 Violence to Others Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1715367020915-01495138-acfd&#8221;][vc_toggle title=&#8221;Resources and Tools&#8221;]<a href=\"https:\/\/www.osha.gov\/healthcare\/workplace-violence\/\">OSHA Workplace Violence<\/a><\/p>\n<p><a href=\"https:\/\/www.jointcommission.org\/standards\/r3-report\/r3-report-issue-30-workplace-violence-prevention-standards\/#:~:text=The%20new%20and%20revised%20Joint,training%2C%20and%20education%20to%20decrease\">The Joint Commission R3 Report Issue 30: Workplace Violence Prevention Standards<\/a><\/p>\n<p><a href=\"https:\/\/psnet.ahrq.gov\/perspective\/addressing-workplace-violence-and-creating-safer-workplace\">Addressing Workplace Violence and Creating a Safer Workplace AHRQ<\/a><\/p>\n<p><a href=\"https:\/\/www.aha.org\/workplace-violence\">AHA Workforce and Workplace Violence Prevention<\/a><\/p>\n<p><a href=\"https:\/\/oregonhospitals.org\/safety\/\">Workplace Violence Prevention Toolkit by Hospital Association of Oregon\u00a0<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1715367020917-e70666e0-f238&#8243;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.[\/vc_column_text][vc_toggle title=&#8221;Behavioral Health Care&#8221;]Behavioral Health\u00a0 Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/BH-care-Score-Card-_-ROV.xlsx\">BH care Score Card _ ROV<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-ROV.xlsx\">Health Plan Score Card _ ROV<\/a>[\/vc_toggle][vc_toggle title=&#8221;ER Departments&#8221;]Emergency Departments Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/ER-department-Score-Card-_-ROV.xlsx\">ER department Score Card _ ROV<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Health Care Authority&#8221;]WA HCA Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/WA-HCA-Score-Card-_-ROV.xlsx\">WA HCA Score Card _ ROV<\/a>[\/vc_toggle][vc_toggle title=&#8221;Private and Public Purchasers and Employers&#8221;]Employer\/Purchaser Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Employer_purchaser-Score-Card-_-ROV.xlsx\">Employer_purchaser Score Card _ ROV<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221; css=&#8221;&#8221;][\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1715367020921-23da3234-57df&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468088953-f68bf258-cce2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<th><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td>\u00a0Kim Moore, MD (chair)<\/td>\n<td>\u00a0Associate Chief Medical Director<\/td>\n<td>CHI Franciscan<\/td>\n<\/tr>\n<tr>\n<td>G. Andrew Benjamin, JD, PhD, ABPP<\/td>\n<td>Clinical Psychologist, Affiliate Professor of Law<\/td>\n<td>University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Kate Comtois, PhD, MPH<\/td>\n<td>Professor<\/td>\n<td>Department of Psychiatry and Behavioral Sciences Harborview Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Jaclyn Greenberg, JD, LLM<\/td>\n<td>Policy Director, Legal Affairs<\/td>\n<td>Washington State Hospital Association<\/td>\n<\/tr>\n<tr>\n<td>Laura Groshong, LICSW<\/td>\n<td>Private Practitioner<\/td>\n<td>Washington State Society for Clinical Social Work<\/td>\n<\/tr>\n<tr>\n<td>Ian Harrel, MSW<\/td>\n<td>\u00a0Chief Operating Officer<\/td>\n<td>\u00a0Behavioral Health Resources<\/td>\n<\/tr>\n<tr>\n<td>Marianne Marlow, MA, LMHC<\/td>\n<td>Member<\/td>\n<td>Washington Mental Health Counseling Association<\/td>\n<\/tr>\n<tr>\n<td>Neetha Mony<\/td>\n<td>State Suicide Prevention Plan Program Manager,\u00a0Injury &amp; Violence Prevention, Prevention and Community Health<\/td>\n<td>Washington State Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Kelli Nomura, MBA<\/td>\n<td>Behavioral Health Administrator<\/td>\n<td>King County<\/td>\n<\/tr>\n<tr>\n<td>Mary Ellen O\u2019Keefe, ARNP, MN, MBA<\/td>\n<td>Clinical Nurse Specialist \u2013 Adult Psychiatric\/Mental Health Nursing; President Elect<\/td>\n<td>Association of Advanced Psychiatric Nurse Practitioners<\/td>\n<\/tr>\n<tr>\n<td>Jennifer Piel, MD, JD<\/td>\n<td>Psychiatrist<\/td>\n<td>Department of Psychiatry, University of Washington<\/td>\n<\/tr>\n<tr>\n<td>Jeffrey Sung, MD<\/td>\n<td>Member<\/td>\n<td>Washington State Psychiatric Association<\/td>\n<\/tr>\n<tr>\n<td>Samantha Slaughter, PsyD<\/td>\n<td>Member<\/td>\n<td>WA State Psychological Association<\/td>\n<\/tr>\n<tr>\n<td>\u00a0Adrian Tillery<\/td>\n<td><\/td>\n<td>Harborview Mental Health and Addiction Services<\/td>\n<\/tr>\n<tr>\n<td>Amanda Ibaraki Stine, LMFTA<\/td>\n<td>Member<\/td>\n<td>Washington Association for Marriage and Family Therapists<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740099434200-3faa44a8-f352&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4 class=\"wp-block-heading\">Previous Meeting Materials<\/h4>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 6<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Agenda-RVO-20-0106.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Agenda\u00a0January 6 2020<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Minutes-Risk-of-Violence-19-01010.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Minutes\u00a0October 10<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/02\/Minutes-Risk-of-Violence-20-0106.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Minutes\u00a0January 6 2020<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Recommendations-Risk-Violence-Others-19-1101.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Recommendations Risk of Violence to Others<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td>October 10<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Agenda-RVO-19-1010.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Agenda\u00a0October 10<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Minutes-Risk-of-Violence-19-0912.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Minutes\u00a0September 12<\/span><\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2020\/01\/Recommendations-Risk-Violence-Others-19-1011.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Draft Recommendations Risk of Violence<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td>September 12<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Agenda-RVO-19-0912-1.pdf\" target=\"_blank\" rel=\"noopener\">Agenda September 12<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Minutes-Risk-of-Violence-19-0711-2.pdf\" target=\"_blank\" rel=\"noopener\">Minutes July 11<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/09\/Minutes-Risk-of-Violence-19-0801-1.pdf\" target=\"_blank\" rel=\"noopener\">Minutes August 1<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>August 1<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Agenda-RVO-19-0801.pdf\" target=\"_blank\" rel=\"noopener\">Agenda August 1<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Minutes-Risk-of-Violence-19-0711.pdf\" target=\"_blank\" rel=\"noopener\">Minutes July 11<br \/>\n<\/a><\/span><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Recommendations-Risk-Violence-Others-19-0801.pdf\" target=\"_blank\" rel=\"noopener\">Draft Recommendations Risk of Violence to Others<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>July 11<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Agenda-RVO-19-0711.pdf\" target=\"_blank\" rel=\"noopener\">Agenda July 11<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Minutes-Risk-of-Violence-19-0613.pdf\" target=\"_blank\" rel=\"noopener\">Minutes June 13<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/07\/Recommendations-Risk-Violence-Others-19-0709.pdf\" target=\"_blank\" rel=\"noopener\">Draft Recommendations<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>June 13<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/06\/Agenda-RVO-19-0613.pdf\" target=\"_blank\" rel=\"noopener\">Agenda June 13<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/06\/Minutes-Risk-of-Violence-19-0523.pdf\" target=\"_blank\" rel=\"noopener\">Minutes May 23<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/06\/Recommendations-Risk-Violence-Others-19-0605.pdf\" target=\"_blank\" rel=\"noopener\">Draft Recommendations Risk of Violence<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>May 23<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/05\/Agenda-RVO-19-0523.pdf\" target=\"_blank\" rel=\"noopener\">Agenda May 23<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/05\/Minutes-Risk-of-Violence-19-0425.pdf\" target=\"_blank\" rel=\"noopener\">Minutes April 25<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/05\/Recommendations-Risk-Violence-Others-19-0514-DRAFT.pdf\" rel=\"\">Draft Recommendations Risk of Violence to Others<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>April 25<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/03\/Agenda-RVO-19-0425.pdf\" target=\"_blank\" rel=\"noopener\">Agenda April 25<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/04\/Minutes-Risk-of-Violence-19-0314.pdf\" target=\"_blank\" rel=\"noopener\">Minutes March 14<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/05\/Risk-of-violence-lit-review-2019.pdf\" target=\"_blank\" rel=\"noopener\">Risk of Violence Literature Review 2019<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/04\/ITA-Investigations-2011-01.pdf\" target=\"_blank\" rel=\"noopener\">Involuntary Treatment Act Investigations<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/04\/summary-recommendations-suicide-care-2018-1-2.pdf\" target=\"_blank\" rel=\"noopener\">Suicide Care Recommendations Summary<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>March 14<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/03\/Agenda-RVO-19-0314.pdf\" target=\"_blank\" rel=\"noopener\">Agenda March 14<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/03\/Minutes-Risk-of-Violence-19-0221.pdf\" target=\"_blank\" rel=\"noopener\">Minutes February 21<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/03\/Ohio-Duty-to-Protect-1.pdf\" target=\"_blank\" rel=\"noopener\">Ohio Duty to Protect<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/03\/summary-recommendations-suicide-care-2018-1-1.pdf\" target=\"_blank\" rel=\"noopener\">Summary Suicide Care Recommendations<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>February 21<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/02\/Agenda-HSO-19-0221.pdf\" target=\"_blank\" rel=\"noopener\">Agenda February 21<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/02\/Minutes-Harm-to-Self-and-Others-Workgroup-19-0117.pdf\" target=\"_blank\" rel=\"noopener\">Minutes January 17<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/02\/Harm-to-Self-and-Others-Charter-Roster-2018-2.pdf\" target=\"_blank\" rel=\"noopener\">Draft Charter and Roster<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/02\/Piel_Duty-to-Protect_2-21-2019.pdf\" target=\"_blank\" rel=\"noopener\">Presentation Duty to Protect<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/02\/Ohio-Duty-to-Protect.pdf\" target=\"_blank\" rel=\"noopener\">Ohio Duty to Protect<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>January 17<\/td>\n<td><span class=\"doc\">\u00a0<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/01\/Agenda-HSO-19-0117.pdf\" target=\"_blank\" rel=\"noopener\">Agenda January 17<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/01\/Bree-Harm-to-Self-Others-Slides-19-0117.pdf\" target=\"_blank\" rel=\"noopener\">Bree Presentation Slides<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/01\/Harm-to-Self-and-Others-Charter-Roster-2018-1.pdf\" target=\"_blank\" rel=\"noopener\">Charter and Roster<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/01\/Conflict-of-Interest-Form-1.pdf\" target=\"_blank\" rel=\"noopener\">Conflict of Interest Form<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2019\/01\/OPMA-Roster.pdf\" target=\"_blank\" rel=\"noopener\">OPMA Training Roster<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468089972-20a3160b-2e00&#8243;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Risk of Violence Toward Others:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; title=&#8221;Suicide Care&#8221; el_id=&#8221;suicide-care-tour&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1703185399286-42f2356f-531f&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title: Suicide Care Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Active<\/p>\n<p><strong>Date of publication<\/strong>: 2018<\/p>\n<p><strong>Date of last evidence search: <\/strong>2018<\/p>\n<p><strong>Scope: <\/strong>screening and assessment, treatments, follow up, patient\/family communication, care pathways<\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong> The work group worked closely with and built from the Washington Suicide Prevention Plan released in January 2016 and the previous Bree Collaborative guidelines on integrating behavioral health into primary care released in March 2017. Guidelines are applicable to in- and out-patient care settings including for care transitions, behavioral health providers and clinics, and for specialty care (e.g., oncology) around the focus areas\/scope (above). The work group\u2019s goal is integration of implementable standards for suicide care, assessment, management, treatment, and supporting suicide loss survivors into clinical care pathways. These guidelines are focused on a clinical setting, but the work group recognizes need for visibility and education in a variety of community settings, and that limited access to behavioral health is an issue.<span id=\"page15R_mcid2\" class=\"markedContent\"><\/span><strong><span id=\"page15R_mcid2\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\"><br \/>\n<\/span><\/span><\/strong><\/p>\n<h4>Supporting Materials<\/h4>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/10\/HCA-Letter-accepting-suicide-care.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"doc\">Letter from the HCA accepting Suicide Care Recommendations<\/span><br \/>\n<\/a><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Suicide-Prevention-Charter-Roster-Final-2018.pdf\" target=\"_blank\" rel=\"noopener\">Suicide Care Charter and Roster<\/a><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1703185399643-aae5ce71-51d2&#8243;][vc_column_text]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/10\/Suicide-Care-Report-and-Recommendations-Final.pdf\">Suicide Care Report and Guidelines<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1703185410654-00db0e16-1055&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221;]<a href=\"https:\/\/doh.wa.gov\/sites\/default\/files\/2023-10\/82-0458-988NativeAndStrongLifeline.pdf?uid=651dfc35b7975\">Washington\u2019s Native and Strong Lifeline<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/injury-and-violence-prevention\/suicide-prevention\/988-suicide-crisis-lifeline\">988 Suicide &amp; Crisis Line<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/you-and-your-family\/injury-and-violence-prevention\/suicide-prevention\">WA DOH Suicide Prevention\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/www.seattlechildrens.org\/healthcare-professionals\/community-providers\/pal\/safes\/\">Supporting Adolescents and Families Experiencing Suicidality (SAFES)<\/a><\/p>\n<p><a href=\"https:\/\/www.samhsa.gov\/resource\/dbhis\/qpr-question-persuade-refer-suicide-prevention-training\">SAMHSA QPR (Question, Persuade, Refer) Suicide Prevention Training<\/a><\/p>\n<p><a href=\"https:\/\/perinatalsupport.org\/\">Perinatal Support Washington\u00a0<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/CznmuLN533M&#8221; title=&#8221;Suicide Care&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/JE2xGofazVU&#8221; title=&#8221;Partnering with Schools in Youth Suicide Prevention&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1703185427468-61b743af-846e&#8221;][vc_column_text css=&#8221;&#8221;]To support health system improvement the Bree Collaborative has created score cards that are designed to help measure progress on the implementation of our guidelines. These were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization or area of improvement work and download the document. There may be more than one &#8220;audience&#8221; type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaboratives&#8217; self-report data collection efforts. Organizations are not required to report, however anyone can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221;]Health System Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-System-Score-Card-_-Suicide-care.xlsx\">Health System Score Card _ Suicide care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professionals&#8221;]Primary Care and Behavioral Health Provider Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/PC_BH-Providers-Score-Card-_-Suicide-Care.xlsx\">PC_BH Providers Score Card _ Suicide Care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221;]Health Plan Evaluation Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Plan-Score-Card-_-Suicide-Care.xlsx\">Health Plan Score Card _ Suicide Care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Speciality Care (e.g oncology, etc.)&#8221;]Specialty Care Evaluation Score Card &#8211; <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Speciality-Care-Score-Card-_-Suicide-Care.xlsx\">Speciality Care Score Card _ Suicide Care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Health Care Authority&#8221;]Washington State Health Care Authority Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/WA-HCA-Score-Card-_-Suicide-Care.xlsx\">WA HCA Score Card _ Suicide Care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Private and Public Purchasers&#8221;]Purchaser\/employer Score Card <a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Employer-Score-Card-_-Suicide-Care.xlsx\">Employer Score Card _ Suicide Care<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221;]The Collaborative supports an expectation of depression remission and\/or response within five to seven months. To that end they recommended the following metrics:<\/p>\n<ul>\n<li>HEDIS 2017 includes two depression-specific measures:\n<ul>\n<li>Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults<\/li>\n<li>Depression Remission or Response for Adolescents and Adults<br \/>\nThe HEDIS measure, Depression Remission or Response for Adolescents and Adults, allows health plans to assess and report the percentage of health plan members 12 years and older with a diagnosis of depression who had evidence of response or remission within 5 to 7 months of their initial diagnosis. Remission is documented by a PHQ-9 score less than 5 points and response is indicated by a 50% decrease over the initial PHQ-9 score. This is one of only two measures for which health plans have the option of using an Electronic Clinical Data System (ECDS) such as a registry or other clinical management tracking system in addition to their EHR to capture reporting data. More information can be found here: www.ncqa.org\/hedis-quality-measurement\/hedis-measures\/hedis-2017<\/li>\n<\/ul>\n<\/li>\n<li>Healthy People 2020 includes metrics on the suicide rate for the population at large and for adolescents,on major depressive episodes, on integrated behavioral health, and on access to mental health care. 55\n<ul>\n<li>MHMD-1: Reduce the suicide rate\n<ul>\n<li>Baseline: 11.3 suicides per 100,000 population occurred in 2007 (age adjusted to theyear 2000 standard population)<\/li>\n<li>Target: 10.2 suicides per 100,000 population<\/li>\n<li style=\"text-align: left\">Target-Setting Method: 10 percent improvemet<\/li>\n<\/ul>\n<\/li>\n<li>MHMD-2: Reduce suicide attempts by adolescents<\/li>\n<li>Baseline: 1.9 suicide attempts per 100 population occurred in 2009\n<ul>\n<li>Target: 1.7 suicide attempts per 100 population<\/li>\n<li>Target-Setting Method: 10 percent improvement<\/li>\n<\/ul>\n<\/li>\n<li>MHMD-4: Reduce the proportion of persons who experience major depressive episodes(MDEs)<\/li>\n<li>MHMD-4.1: Reduce the proportion of adolescents aged 12 to 17 years who experiencemajor depressive episodes (MDEs)\n<ul>\n<li>Baseline: 8.3 percent of adolescents aged 12 to 17 years experienced a majordepressive episode in 2008<\/li>\n<li>Target: 7.5 percent<\/li>\n<li>Target-Setting Method: 10 percent improvement<\/li>\n<\/ul>\n<\/li>\n<li>MHMD-4.2: Reduce the proportion of adults aged 18 years and older who experience major depressive episodes (MDEs)\n<ul>\n<li>Baseline: 6.5 percent of adults aged 18 years and over experienced a major depressive episode in 2008<\/li>\n<li>Target: 5.8 percent<\/li>\n<li>Target-Setting Method: 10 percent improvement<\/li>\n<\/ul>\n<\/li>\n<li>MHMD-5: Increase the proportion of primary care facilities that provide mental health treatment onsite or by paid referral\n<ul>\n<li>Baseline: 79.0 percent of primary care facilities provided mental health treatment on site or by paid referral in 2006<\/li>\n<li>Target: 87.0 percent<\/li>\n<li>Target-Setting Method: 10 percent improvement<\/li>\n<\/ul>\n<\/li>\n<li>MHMD-6: Increase the proportion of children with mental health problems who receive treatment\n<ul>\n<li>Baseline: 68.9 percent of children with mental health problems received treatment in 2008<\/li>\n<li>Target: 75.8 percent<\/li>\n<li>Target-Setting Method: 10 percent improvement<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1703185455323-fe528bd6-1344&#8243;][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468110523-4429b42f-b045&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<table>\n<tbody>\n<tr>\n<th width=\"35%\"><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td>Kate Comtois, PhD, MSW<\/td>\n<td>Psychologist<\/td>\n<td>Harborview Medical Center<\/td>\n<\/tr>\n<tr>\n<td>Karen Hye, PsyD<\/td>\n<td>Clinical Psychologist<\/td>\n<td>CHI Franciscan Health<\/td>\n<\/tr>\n<tr>\n<td>Matthew Layton, MD, PhD, FACP, DFAPA<\/td>\n<td>Clinical Professor, Department of Medical Education and Clinical Sciences<\/td>\n<td>Elson S. Floyd College of Medicine, Washington State University<\/td>\n<\/tr>\n<tr>\n<td>Neetha Mony, MSW<\/td>\n<td>Statewide Suicide Prevention Plan Program Manager<\/td>\n<td>Washington State Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Julie Rickard, PhD<\/td>\n<td>Physician &amp; Healthcare Consultant<\/td>\n<td>Confluence Health<\/td>\n<\/tr>\n<tr>\n<td>Julie Richards, MPH<\/td>\n<td>Research Associate<\/td>\n<td>Kaiser Permanente Washington Health Research Institute<\/td>\n<\/tr>\n<tr>\n<td>Hugh Straley, MD (chair)<\/td>\n<td>Chair<\/td>\n<td>Bree Collaborative<\/td>\n<\/tr>\n<tr>\n<td>Jennifer Stuber, PhD<\/td>\n<td>Associate Professor<\/td>\n<td>University of Washington School of Social Work<\/td>\n<\/tr>\n<tr>\n<td>Jeffrey Sung, MD<\/td>\n<td>Member<\/td>\n<td>Washington State Psychiatric Association<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740099627414-762a5a4b-674f&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Previous Meeting Materials<\/h3>\n<table border=\"0\" width=\"536\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>February 8<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Minutes-Suicide-Prevention-Workgroup-18-0208.pdf\" rel=\"\">Minutes February 8<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/02\/Suicide-Prevention-Charter-Roster-Draft-2018.pdf\" rel=\"\">Suicide Prevention Charter Draft<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2017\/01\/Bree-Process-2016.pdf\" rel=\"\">Bree Collaborative Process<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>March 8<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Agenda-Suicide-Prevention-18-0308.pdf\" rel=\"\">Agenda March 8<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Minutes-Suicide-Prevention-Workgroup-18-0208.pdf\" rel=\"\">Minutes February 8<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Suicide-Prevention-Charter-Roster-Draft-2018-1.pdf\" rel=\"\">Draft Suicide Prevention Charter<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/03\/Recommendations-Suicide-Prevention-Draft-18-0308.pdf\" rel=\"\">Draft Suicide Prevention Recommendations<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>April 12<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/04\/Agenda-Suicide-Prevention-18-0412.pdf\" rel=\"\"><span class=\"doc\">Agenda April 12<\/span><br \/>\n<\/a><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/04\/Minutes-Suicide-Prevention-Workgroup-18-0308.pdf\" rel=\"\">Minutes March 8<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/04\/Recommendations-Suicide-Prevention-Draft-18-0402.pdf\" rel=\"\">Draft Suicide Prevention Report<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>May 10<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/05\/Agenda-Suicide-Prevention-18-0510.pdf\" rel=\"\">Agenda May 10<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/05\/Minutes-Suicide-Prevention-Workgroup-18-0412.pdf\" rel=\"\">Minutes April 12<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/05\/Action-Alliance-Recommended-Standard-Care-FINAL.pdf\" rel=\"\">National Action Alliance for Suicide Prevention Recommendations<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/05\/Recommendations-Suicide-Prevention-Draft-18-0416.pdf\" rel=\"\">Draft Suicide Prevention Recommendations<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>June 14<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/06\/Agenda-Suicide-Care-18-0614.pdf\" rel=\"\">Agenda June 14<\/a><\/span><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/06\/Minutes-Suicide-Care-Workgroup-18-0510.pdf\" rel=\"\"><span class=\"doc\">Meeting Minutes May 10<\/span><br \/>\n<\/a><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/06\/Recommendations-Suicide-Care-Draft-18-0614.pdf\" rel=\"\">Draft Recommendations Suicide Care<\/a><\/span><\/td>\n<\/tr>\n<tr>\n<td>September 13<\/td>\n<td><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/09\/Agenda-Suicide-Care-18-0913-1.pdf\" rel=\"\">Agenda September 13<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/09\/Minutes-Suicide-Care-Workgroup-18-0614-1.pdf\" rel=\"\">Meeting Minutes June 14<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"http:\/\/www.breecollaborative.org\/wp-content\/uploads\/Recommendations-Suicide-Care-Draft-2018-1.pdf\" rel=\"\">Draft Suicide Care Recommendations<\/a><\/span><br \/>\n<span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2018\/09\/Public-Comments.pdf\" rel=\"\">Public Comments<\/a><\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468111427-2be6b7b3-319f&#8221;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Suicide Care:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington (2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/wa.kaiserpermanente.org\/html\/public\/about\"><strong>Kaiser Permanente (2023)<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/www.multicare.org\/\"><strong>MultiCare (2023)<\/strong><\/a><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare (2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;opioid-use-disorder-treatment-tour&#8221; title=&#8221;Treatment for Opioid Use Disorder&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1682020373033-345f9670-4ac5&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Guideline title:\u00a0 Treatment for Opioid Use Disorder Report and Guidelines<\/h4>\n<p><strong>Publication Status:<\/strong> Revised 2024<\/p>\n<p><strong>Date of publication<\/strong>: 2024<\/p>\n<p><strong>Date of last evidence search: <\/strong>2024<\/p>\n<p><strong>Scope: <\/strong>Education, a<span id=\"page4R_mcid5\" class=\"markedContent\"><span dir=\"ltr\" role=\"presentation\">ccess, screening and diagnosis, treatment, recovery support and coordination<br \/>\n<\/span><\/span><\/p>\n<p><strong>Methods:<\/strong> Current guidelines and literature review and expert consensus<\/p>\n<p><strong>Description:<\/strong><\/p>\n<p>This guideline outlines a multisector approach to coordinate low-barrier medication for Opioid Use Disorder (MOUD) around individual patient need across a variety of care settings. Non-traditional access points for MOUD are essential for the most underserved. Recovery support services, including care coordination, peer support, and if a site is unable to offer MOUD, warm handoffs during transitions of care are vital to quality care for people who use opioids.<\/p>\n<h4>2017 Supporting Materials<\/h4>\n<p><span class=\"doc\"><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2017\/12\/HCA-letter-accepting-TKRTHR-OUD-Alz.pdf\" target=\"_blank\" rel=\"noopener\">Letter from the Health Care Authority Accepting the Total Knee and Total Hip Replacement Bundle and Warranty and the Opioid Use Disorder Treatment and Alzheimer\u2019s Disease and Other Dementias Report and Recommendations<\/a><\/span>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Read On-line&#8221; tab_id=&#8221;1682020373621-61c53fbc-5113&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Bree-OUD-Treatment-Report-24-HCA-1203.pdf\">Treatment for Opioid Use Disorder Report and Guidelines (2024 Update)<\/a><\/h3>\n<h3><\/h3>\n<h3><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2017\/11\/OUD-Treatment-Final-2017.pdf\">Opioid Use Disorder Treatment Report and Guidelines (2017)<\/a><\/h3>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Implementation Checklists by Audience&#8221; tab_id=&#8221;1682020374949-5bd0bfac-1231&#8243;][vc_column_text css=&#8221;&#8221;]The checklist tool translates the Bree guidelines into action steps for that sector. The action items have been arranged into levels 1, 2, and 3 to correspond to the difficulty level of implementing the action into the sectors\u2019 setting. Bree staff co-created the checklists with report workgroup members and topic experts.[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health System Checklists&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Facilities-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Facilities-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Facilities-Level-3.pdf\">\u00a0Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Care Professional Checklists&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Clinician-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Clinician-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Clinician-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plan Checklists&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Health-Plans-Level-1.pdf\">Level 1<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Health-Plans-Level-2.pdf\">Level 2<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/12\/Tx-for-OUD-Checklist-Health-Plans-Level-3.pdf\">Level 3<\/a>[\/vc_toggle][\/vc_tta_section][vc_tta_section title=&#8221;Resources and Tools&#8221; tab_id=&#8221;1682020384910-4a0b4edd-1815&#8243;][vc_toggle title=&#8221;Resources and Tools&#8221; css=&#8221;&#8221;]<a href=\"https:\/\/adai.uw.edu\/information\/professional-tools\/\">UW Professional Tools for Addictions, Drug and Alcohol Institute\u00a0<\/a><\/p>\n<p><a href=\"https:\/\/adai.uw.edu\/pdfs\/moudbrochure2024.pdf\">Patient Decision Aid: Medications for OUD<\/a><\/p>\n<p><a href=\"https:\/\/stopoverdose.org\/\">Stop Overdose.org<\/a><\/p>\n<p><a href=\"https:\/\/www.learnabouttreatment.org\/\">Learn about Treatment<\/a><\/p>\n<p class=\"text-xl font-bold\"><a href=\"https:\/\/search.warecoveryhelpline.org\/\">Medications for Opioid Use Disorder (MOUD) locator<\/a><\/p>\n<p><a href=\"https:\/\/adai.uw.edu\/retentiontoolkit\/\">Retention Toolkit<\/a><\/p>\n<p><a href=\"https:\/\/doh.wa.gov\/sites\/default\/files\/legacy\/Documents\/Pubs\/150-127-StatewideStandingOrderToDispenseNaloxone.pdf\">Washington State Standing Order to Dispense Naloxone HCl<\/a><\/p>\n<p><a href=\"https:\/\/www.asam.org\/quality-care\/clinical-guidelines\/national-practice-guideline\">ASAM website<\/a><\/p>\n<p><a href=\"https:\/\/www.aaap.org\/\">AAAP website<\/a><\/p>\n<p><a href=\"https:\/\/pcssnow.org\/\">PCSS website<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Clinician Support<\/p>\n<p>WSAM Peer to Peer Support Line 1833-YesWeCan \u00a01833-937-9326<\/p>\n<p><a href=\"https:\/\/pcl.psychiatry.uw.edu\/\">UW Psyhiatric Consultation Line (877-927-7294)<\/a><\/p>\n<p><a href=\"https:\/\/anesthesiology.uw.edu\/what-we-do\/pain-medicine\/telepain\/\">UW Telepain<\/a><\/p>\n<p><a href=\"https:\/\/www.uwmedicine.org\/practitioner-resources\/Project-ECHO\">Project ECHO<\/a><\/p>\n<p><a href=\"https:\/\/ictp.uw.edu\/programs\/uw-pacc\">Integrated Care Training Program<\/a><\/p>\n<p><a href=\"https:\/\/em.uw.edu\/sections\/population-health\/telebup-program\">King County Telebuprenorphine hotline<\/a><\/p>\n<p><a href=\"https:\/\/perc.psychiatry.uw.edu\/perinatal-pcl\/\">Perinatal Psychiatry Consult Line<\/a>[\/vc_toggle][vc_video link=&#8221;https:\/\/youtu.be\/dbjbr0zerzE&#8221; css=&#8221;&#8221; title=&#8221;Bree Report Spotlight on Treatment for Opioid Use Disorder (2025)&#8221;][vc_video link=&#8221;https:\/\/youtu.be\/pyuTMfAL4ug&#8221; title=&#8221;OUD Treatment (2020)&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Metrics and Evaluation Tools&#8221; tab_id=&#8221;1682020403104-a159bbfd-78d4&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Introduction to Evaluation Tools<\/h4>\n<p>The Bree has developed multiple tools specific to OUD Treatment to support the evaluation projects implemented based on our guidelines.<\/p>\n<h4>Evaluation Matrix<\/h4>\n<p>The Bree has developed an evaluation matrix to help clarify measurable objectives, goals, and metrics that are relevant to the recommendations made by the work group. The matrix can be use during planning of your implementation project to help identify long-term outcomes or impacts of your project(s). The matrix provides a broad summary of the recommendations by audience for each component or focus area the guideline addresses (for example: education, access, treatment, etc.).<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-Treat-evaluation-matrix.xlsx\">OUD TREATMENT EVALUATION MATRIX<\/a><\/p>\n<h4>Evaluation Framework<\/h4>\n<p>The Evaluation Framework provides further guidance on how organizations can conduct and align their work with other audience actors (example: all health plans in Washington state) or other audience types (example: health plans and providers). It provides specific details for measurement, provides strong and soft recommendations for the types of evaluations each organization may consider conducting, expands on alignment with other initiatives in Washington State, and makes recommendations for ethical and equity considerations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-evaluation-framework_DRAFT-V2.1.pdf\">OUD Treatment Evaluation Framework<\/a><\/p>\n<h4>Data Matrix<\/h4>\n<p>An example of how to fill out this form is available in Appendix B of the Evaluation Framework. The Data Matrix tool can be used in planning your data collection effort for your implementation and evaluation.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Data-Matrix-Template.xlsx\">Bree Collaborative Data Matrix template<\/a> &#8211; fillable form<\/p>\n<h4>Theory of Change<\/h4>\n<p>The theory of change illustrates how the work group conceptualized changes that would occur throughout the health care ecosystem as a result of their recommendations.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/Theory-of-Change.pptx\">OUD Treatment Theory of Change<\/a><\/p>\n<p><strong>Link to our Evaluation Framework COMING SOON!<\/strong><\/p>\n<h4>Score cards<\/h4>\n<p>To support health system improvement the Bree Collaborative has created evaluation score cards that are designed to help measure progress on the implementation of our guidelines.These measures were developed in collaboration with subject matter experts and are aligned across audience types (such as state agencies, health plans, providers, community organizations, employers, etc.)<\/p>\n<p>To use our score cards, find the audience type, or types, that is closest to your organization and download the excel document. There may be more than one audience type that is relevant. For example, large health systems may want to track progress at both the organizational level and the individual practitioner level.<\/p>\n<p>Score cards are also aligned with the Bree Collaborative&#8217;s self-report data collection efforts. Organizations are not required to report, however organizations can submit data to help track system wide progress, measure their progress against others, and to be eligible for implementation awards.<\/p>\n<p>Completed score cards can be submitted to <a href=\"mailto:knicholas@qualityhealth.org\">knicholas@qualityhealth.org<\/a><\/p>\n<p>Score cards can be found in the tabs below:[\/vc_column_text][vc_toggle title=&#8221;Delivery Site and Health Systems&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs or submitted to the Bree Collaborative as part of the criteria for awards eligibility.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_health-sys_score-card.xlsx\">Health system score card<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_health-sys_score-card.xlsx\">OUD Treatment Program score card<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Providers score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Provider Training and Academics&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs or submitted to the Bree Collaborative as part of the criteria for awards eligibility.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_health-sys_score-card.xlsx\">Academic Training Program score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Health Plans&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs or submitted to the Bree Collaborative as part of the criteria for awards eligibility.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_health-sys_score-card.xlsx\">Health plan score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Washington State Agencies&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs. State agencies may also use score cards for their partner organizations to align work.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Washington State Health Care Authority score card<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Washington State Department of Health score card<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Washington State Division of Behavioral and Health Resources score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Private and Public Purchasers&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs or submitted to the Bree Collaborative as part of the criteria for awards eligibility.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Employer Purchasers score card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Correctional Facilities&#8221; css=&#8221;&#8221;]The Bree Collaborative has developed score cards to help organizations assess their current state and progress on implementing best practices. Score cards can be used for internal quality improvement programs or submitted to the Bree Collaborative as part of the criteria for awards eligibility.<\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2025\/01\/OUD-treat_HCA_Score-Card.xlsx\">Correctional Facilities Score Card<\/a>[\/vc_toggle][vc_toggle title=&#8221;Guideline Metrics&#8221; css=&#8221;&#8221;]Three composite metrics were identified by the work group subcommittee to measure changes to identification and treatment for individuals with OUD.<\/p>\n<p><strong>OUD identification\/diagnosis<\/strong><br \/>\n1a. OUD diagnosis (cascade measure) Percentage of individuals who had documented OUD diagnosis (e.g., on an insurance claim).<br \/>\n1b. Assessed for SUD using a standardized screening tool (supporting measure) Percentage of individuals who were screened\/assessed for SUD<br \/>\nusing a standardized screening tool.<\/p>\n<p><strong>Initiation of OUD treatment (NFQ 3400)<\/strong><br \/>\n2a. Use of pharmacotherapy for OUD (cascade measure) Percentage of individuals with an OUD diagnosis who filled a prescription for or were administered or dispensed an MOUD, overall and by type of MOUD (methadone, buprenorphine, naltrexone).<br \/>\n2b. OUD provider availability (supporting measure) Number of providers who can prescribe buprenorphine, number of providers who do prescribe buprenorphine, number of opioid treatment programs that dispense methadone and\/or buprenorphine.<\/p>\n<p><strong>Retention in OUD treatment &#8211; NQF #3175\/HEDIS\u00ae \u2020 Initiation<\/strong><br \/>\n<strong>and Engagement of Substance Use Treatment (NQF #0004), stratified forOUD\/(NQF #3488)<\/strong><br \/>\n3a. Continuity of pharmacotherapy for OUD (cascade measure) Percentage of individuals who filled a prescription or were dispensed an MOUD who received the MOUD for at least six months, overall and by type of MOUD (methadone, buprenorphine, naltrexone).<br \/>\n3b. Initiation of OUD treatment and engagement in OUD treatment (supporting measure) Percentage of individuals who initiate SUD treatment within 14 days of an OUD diagnosis.<br \/>\nPercentage of individuals who had two or more additional SUD services within 30 days of the initiation SUD treatment encounter.<br \/>\n3c. Follow-up after an emergency department visit for substance use (supporting measure)Percentage of emergency department visits for individuals with a principal SUD or overdose diagnosis who had a follow-up visit for SUD within seven days of the visit and within 30 days of the visit[\/vc_toggle][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>For more generic tools for planing, data collection and data management, please visit our Tool Depot<\/h4>\n<p>[\/vc_column_text][vc_btn title=&#8221;Jump to Evaluation Tool Depot&#8221; color=&#8221;blue&#8221; link=&#8221;url:https%3A%2F%2Fwww.qualityhealth.org%2Fbree%2Fevaluation%2Fevaluation-tool-depot%2F|||&#8221;][\/vc_tta_section][vc_tta_section title=&#8221;Examples of Implementation &#8211; IN DEVELOPMENT&#8221; tab_id=&#8221;1682020472372-bdc5f1eb-35aa&#8221;][vc_column_text css=&#8221;&#8221;]The Bree Collaborative is actively soliciting evaluations from organizations that use our guidelines if whole or part to inform a quality improvement project. If you are interested in submitting the results of your evaluation please contact our Evaluation and Measurement Manager, Karie Nicholas at knicholas@qualityhealth.org.[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Workgroup Members&#8221; tab_id=&#8221;1739468135359-dcdb3bcd-1764&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>2024 Workgroup Members<\/h3>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Name<\/strong><\/td>\n<td><strong>Title<\/strong><\/td>\n<td><strong>Organization<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Charissa Fotinos, MD (Chair)<\/td>\n<td>Deputy Chief Medical Officer<\/td>\n<td>Washington HealthCare Authority<\/td>\n<\/tr>\n<tr>\n<td>Nikki Jones, LCISW, SUDP, CMHS, DDMHS, GMGS<\/td>\n<td>Behavioral Health Addictions Administrator<\/td>\n<td>United Health Community<\/td>\n<\/tr>\n<tr>\n<td>Michael Sayre, MD<\/td>\n<td>Medical Director<\/td>\n<td>Medic One<\/td>\n<\/tr>\n<tr>\n<td>Brad Finegood, MA, LMHC<\/td>\n<td>Strategic Advisor Opioids and Health<\/td>\n<td>King County<\/td>\n<\/tr>\n<tr>\n<td>Everett Maroon, MPH<\/td>\n<td>Executive Director<\/td>\n<td>Blue Mountain Heart 2 Heart<\/td>\n<\/tr>\n<tr>\n<td>Tina Seery, RN, MHA, CPHQ, CPPS, CLSSBB<\/td>\n<td>Senior Director, Quality and Rural Programs<\/td>\n<td>Washington State Hospital Association<\/td>\n<\/tr>\n<tr>\n<td>Tawnya Christiansen, MD<\/td>\n<td>Behavioral Health Medical Director<\/td>\n<td>Community Health Plan of Washington<\/td>\n<\/tr>\n<tr>\n<td>Sue Petersohn, EN, MBA, CARN<\/td>\n<td>Program Manager, Multicare SUD Task Force<\/td>\n<td>MultiCare<\/td>\n<\/tr>\n<tr>\n<td>Mark Murphy, MD<\/td>\n<td>Medical Director Addiction Services<\/td>\n<td>MultiCare<\/td>\n<\/tr>\n<tr>\n<td>Libby Hein, LMHC<\/td>\n<td>Director of Behavioral Health<\/td>\n<td>Molina Healthcare<\/td>\n<\/tr>\n<tr>\n<td>Ryan Caldeiro, MD<\/td>\n<td>Chief Chemical Dependency Services<br \/>\nand Consultative Psychiatry<\/td>\n<td>Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td>Herbie Duber, MD<\/td>\n<td>Regional Medical Officer \u2013 Northwest WA<\/td>\n<td>Department of Health<\/td>\n<\/tr>\n<tr>\n<td>Bob Lutz, MD, MPH<\/td>\n<td><\/td>\n<td>CHAS Health<\/td>\n<\/tr>\n<tr>\n<td>Amanda McPeak, PharmD<\/td>\n<td>Pharmacist and Director of Long-term Care<\/td>\n<td>Kelley-Ross\/Harborview<\/td>\n<\/tr>\n<tr>\n<td>Jason Fodeman, MD<\/td>\n<td>Associate Medical Director of Innovation and Outreach<\/td>\n<td>L&amp;I<\/td>\n<\/tr>\n<tr>\n<td>Maureen Oscadal, RN, CARN<\/td>\n<td>Registered Nurse<\/td>\n<td>Harborview Medical Center\/Addiction Drugs and Alcohol Institute<\/td>\n<\/tr>\n<tr>\n<td>John Olson, MD, MHA<\/td>\n<td>Addiction Medicine Physician<\/td>\n<td>Sound Health<\/td>\n<\/tr>\n<tr>\n<td>Daniel Floyd<\/td>\n<td>Care Coordination and Recovery Section Manager<\/td>\n<td>King County Behavioral Health and Recovery Division<\/td>\n<\/tr>\n<tr>\n<td>Kelly Youngberg, MHA<\/td>\n<td>Assistant Director for Health Care Implementation and Strategy<\/td>\n<td>Addictions, Drug and Alcohol Institute<\/td>\n<\/tr>\n<tr>\n<td>Cris DuVall, PharmD, SUDP, WSPA<\/td>\n<td>Clinical Pharmacist Counselor<\/td>\n<td>Compass Health, Island Drug<\/td>\n<\/tr>\n<tr>\n<td>Tom Hutch, MD, FASAM<\/td>\n<td>Medical Director<\/td>\n<td>We Care Daily Clinic<\/td>\n<\/tr>\n<tr>\n<td>Liz Wolkin, MSN, RN, NPD-BC CEN<\/td>\n<td>Emergency Department Support Program Administrator<\/td>\n<td>Washington HealthCare Authority<\/td>\n<\/tr>\n<tr>\n<td>David Sapienza, MD<\/td>\n<td>Lead Physician<\/td>\n<td>Pathways, Public Health Seattle &amp; King County \u2013 Community Health Services Division<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>2017 Workgroup Members<\/h3>\n<figure class=\"wp-block-table\">\n<table>\n<tbody>\n<tr>\n<th><strong>Member<\/strong><\/th>\n<th><strong>Title<\/strong><\/th>\n<th><strong>Organization<\/strong><\/th>\n<\/tr>\n<tr>\n<td width=\"29%\">Charissa Fotinos, MD (Co-Chair)<\/td>\n<td width=\"34%\">Deputy Medical Officer<\/td>\n<td width=\"35%\">Health Care Authority<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Andrew Saxon, MD (Co-Chair)<\/td>\n<td width=\"34%\">Director, Center of Excellence in Substance Abuse Treatment and Education (CESATE)<\/td>\n<td width=\"35%\">VA Puget Sound Health Care System<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Jane Ballantyne, MD, FRCA<\/td>\n<td width=\"34%\">Professor, Department of Anesthesiology and Pain Medicine<\/td>\n<td width=\"35%\">University of Washington School of Medicine<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Caleb Banta-Green, PhD, MPH, MSW<\/td>\n<td width=\"34%\">Senior Scientist<\/td>\n<td width=\"35%\">Alcohol and Drug Abuse Institute, University of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">David Beck, MD<\/td>\n<td width=\"34%\">Immediate Past President<\/td>\n<td width=\"35%\">Washington Society of Addiction Medicine<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Ryan Caldeiro, MD<\/td>\n<td width=\"34%\">Chief Chemical Dependency Services and Consultative Psychiatry<\/td>\n<td width=\"35%\">Kaiser Permanente<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Mary Catlin, BSN, MPH<\/td>\n<td width=\"34%\">Institutional Nurse Consultant<\/td>\n<td width=\"35%\">Department of Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Nancy Lawton, MN, ARNP, FNP<\/td>\n<td width=\"34%\">President<\/td>\n<td width=\"35%\">ARNPs United of Washington State<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Darin Neven, MD, MS<\/td>\n<td width=\"34%\">President and Founder<\/td>\n<td width=\"35%\">Consistent Care<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Richard Ries, MD<\/td>\n<td width=\"34%\">Director, Addiction Psychiatry Residency Program<\/td>\n<td width=\"35%\">University of Washington<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">John Robinson, MD, SM<\/td>\n<td width=\"34%\">Chief Medical Officer<\/td>\n<td width=\"35%\">First Choice Health<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">John Roll, PhD<\/td>\n<td width=\"34%\">Professor &amp; Vice Dean for Research, Elson S. Floyd College of Medicine<\/td>\n<td width=\"35%\">Washington State University<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Terry Rogers, MD<\/td>\n<td width=\"34%\">Medical Director<\/td>\n<td width=\"35%\">Lakeside Milam Recovery<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Vania Rudolf, MD, MPH<\/td>\n<td width=\"34%\">Addiction Recovery Services<\/td>\n<td width=\"35%\">Swedish Medical Center<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Mark Stephens<\/td>\n<td width=\"34%\">President<\/td>\n<td width=\"35%\">Change Management Consulting<\/td>\n<\/tr>\n<tr>\n<td width=\"29%\">Milena Stott, LICSW, CDP<\/td>\n<td width=\"34%\">Chief Of Inpatient Services<\/td>\n<td width=\"35%\">Valley Cities Counseling<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Archived Meeting Materials&#8221; tab_id=&#8221;1740099762025-658fea7c-a93b&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>2024 Past Meeting Materials<\/h3>\n<table class=\"wp-block-table\">\n<tbody>\n<tr>\n<td><strong>Date<\/strong><\/td>\n<td><strong>Materials<\/strong><\/td>\n<\/tr>\n<tr>\n<td>January 16th, 2024<\/td>\n<td><p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/OUD-Treatment-Agenda-23_01.pdf\">January Agenda<\/a><\/p>\n<p><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/01\/Charter-Roster-OUD-Draft-Website.pdf\">Draft Charter and Roster<\/a><\/td>\n<\/tr>\n<tr>\n<td>February 20th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/OUD-Agenda-24-02.pdf\">February Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/Minutes-OUD24-0116.pdf\">January Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/02\/OUD-Revision-Focus-Areas.pdf\">Draft Focus Areas<\/a><\/td>\n<\/tr>\n<tr>\n<td>March 19th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/OUD-Agenda-24-03_.pdf\">March Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/Minutes-OUD24-0220.pdf\">February Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/OUD-Revision-Focus-Areas.pdf\">Draft Focus Areas<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/03\/OUD-Treatment-Final-2017-Feb24-1.pdf\">2017 Report<\/a><\/td>\n<\/tr>\n<tr>\n<td>April 16th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/OUD-Agenda-24-04-1.pdf\">April Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/Minutes-OUD24-0319-2.pdf\">March Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/04\/OUD-Revision-Focus-Areas-1.docx\">Focus Areas<\/a><\/td>\n<\/tr>\n<tr>\n<td>May 21st<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/05\/OUD-Agenda-24-05.pdf\">May Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/05\/Minutes-OUD24-0416.pdf\">April Minutes<\/a><\/td>\n<\/tr>\n<tr>\n<td>June 18th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/OUD-Agenda-24-06.pdf\">June Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Risk-Stratification-EHWFS-Copy.xlsx\">May Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Diagram-OUD-2017.docx\">Care System Diagram<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/Health-Engagement-Hubs-Worksheet-1.docx\">HEHub Worksheet<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/06\/PC-HEHub-Evidence-Table-Draft-1.xlsx\">Draft Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>July 16th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/OUD-Agenda-24-07.pdf\">July Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Minutes-OUD24-0618.pdf\">June Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/OUD-Treatment-Revision-Interventions.pdf\">OUD Interventions Worksheet<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/07\/Nontraditional-Models.docx\">Nontraditional Models<\/a><\/td>\n<\/tr>\n<tr>\n<td>August 20th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/OUD-Agenda-24-08-1.pdf\">August Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/Minutes-OUD24-0716-1.pdf\">July Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/08\/OUD-August-Evidence-Table.xlsx\">OUD Aug Evidence Table<\/a><\/td>\n<\/tr>\n<tr>\n<td>September 17th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/OUD-Agenda-24-08.pdf\">September Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/Minutes-OUD24-0820-1.pdf\">August Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/09\/Revised-OUD-Treatment-Report-24-0917.pdf\">Treatment for OUD Revision Draft Report<\/a><\/td>\n<\/tr>\n<tr>\n<td>October 15th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/OUD-Agenda-24-10.pdf\">October Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Minutes-OUD24-0917.pdf\">September Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/OUD-evaluation-framework_DRAFT.pdf\">Evaluation Framework<\/a>\/<a href=\"https:\/\/qualityhealth.sharepoint.com\/:x:\/g\/EXBrAdvHfZdEjbMYX8Fv1V0BeyAqDyvWdrWg-pJt6m3TNw?e=cIsz02\">Evaluation Matrix<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Treatment-for-OUD-Checklist-Draft-Provider-2024-0925.docx\">Provider Checklist<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Treatment-for-OUD-Checklist-Draft-Health-Care-Facilities-2024-0925.docx\">Healthcare Facilities Checklist<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Treatment-for-OUD-Checklist-Draft-Health-Plans-2024-0925.docx\">Health Plan Checklist<\/a><\/td>\n<\/tr>\n<tr>\n<td>November 5th<\/td>\n<td><a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/OUD-Agenda-24-11.pdf\">November Agenda<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/11\/Minutes-OUD24-1015.pdf\">October Minutes<\/a><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Bree-Treatment-for-OUD-Revision-Public-Comment-2024.xlsx\">Public Comment<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Summary-of-OUD-Report-Changes.docx\">Summary Public Comments<\/a>\/<a href=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2024\/10\/Bree-OUD-Treatment-Report-24-1029.docx\">Draft Report<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][\/vc_tta_section][vc_tta_section title=&#8221;Award Winners&#8221; tab_id=&#8221;1739468136922-8bd3407f-b10e&#8221;][vc_column_text css=&#8221;&#8221;]Award winners for Best Practices in Opioid Use Disorder Treatment (2017 Report):<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-76835\" src=\"https:\/\/www.qualityhealth.org\/bree\/wp-content\/uploads\/sites\/8\/2026\/01\/Copy-of-Trailblazer-award-web-OPIC-2025-1.gif\" alt=\"\" width=\"350\" height=\"350\" \/><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.healthpointchc.org\/\">HealthPoint (2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.chpw.org\/\">Community Health Plan of Washington <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.uwmedicine.org\/\"><strong>UW Medicine &amp; UW Physicians <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><a href=\"https:\/\/www.multicare.org\/\"><strong>MultiCare <\/strong><\/a><strong><a href=\"https:\/\/www.healthpointchc.org\/\">(2023)<\/a><\/strong><\/li>\n<li><strong><a href=\"https:\/\/www.uhc.com\/lp\/find-affordable-health-plans?cid=ps:ifp-acquisition:5535e3aa&amp;WT.mc_id=8030435&amp;tfn=1-877-525-8849&amp;mrcid=ps:google:brand-uhc%7CUHC-Brand-GGL-UHC-BG-Generic-PM-8030435%7CUHC%7CBrandGeneric:2022:8030435&amp;leadsourcename=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;utm_term=unitedhealthcare+insurance&amp;utm_source=GOOGLE&amp;utm_medium=cpc&amp;utm_campaign=UHC-Brand-GGL-UHC-BG-Generic-PM-8030435&amp;gclid=CjwKCAiArLyuBhA7EiwA-qo80KYe8CVPuTaG48HKK3mQEbgMN5mb8Ga15OvdUreaj87mrnwsFdeJmBoCY6oQAvD_BwE&amp;gclsrc=aw.ds\">UnitedHealthcare <\/a><a href=\"https:\/\/www.healthpointchc.org\/\">(2024)<\/a><\/strong><\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_tta_section][\/vc_tta_tour][vc_btn title=&#8221;Message Board&#8221; color=&#8221;blue&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; link=&#8221;url:https%3A%2F%2Ffhqc.qualityhealth.org%2Fmembers%2Fforum%2Ftopic_list.php%3Fbid%3D4447759&#8243;][vc_separator color=&#8221;custom&#8221; border_width=&#8221;10&#8243; css=&#8221;&#8221; accent_color=&#8221;#145E61&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text][\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row overlay_dotted=&#8221;&#8221; el_id=&#8221;behavioral-health-guidelines-row&#8221;][vc_column][vc_tta_tour style=&#8221;outline&#8221; shape=&#8221;square&#8221; color=&#8221;black&#8221; spacing=&#8221;20&#8243; active_section=&#8221;1&#8243; no_fill_content_area=&#8221;true&#8221; el_id=&#8221;addiction-and-dependence-treatment-tour&#8221; title=&#8221;Addiction and Dependence Treatment&#8221;][vc_tta_section title=&#8221;Guideline Information&#8221; tab_id=&#8221;1682019982259-a35bfd1b-2f3b&#8221;][vc_column_text css=&#8221;&#8221;] Guideline title: Addiction and Dependence Treatment Report and Guidelines Publication Status: Needs&#8230;","protected":false},"author":134,"featured_media":0,"parent":0,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-75392","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75392","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/users\/134"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/comments?post=75392"}],"version-history":[{"count":89,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75392\/revisions"}],"predecessor-version":[{"id":76990,"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/pages\/75392\/revisions\/76990"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/bree\/wp-json\/wp\/v2\/media?parent=75392"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}