• Research & Policy

Advancing behavioral health systems through policy analysis, applied research, and implementation guidance.

The Behavioral Health Training & Policy Institute provides research-informed insights, policy interpretation, and practical tools that help organizations respond to California’s evolving behavioral health landscape.

Turning Policy Into Practice

Behavioral health policy shapes how services are funded, delivered, regulated, and evaluated across California. Yet many agencies, providers, and organizations need more than policy summaries—they need clear interpretation, strategic guidance, and practical implementation support.

Our Research & Policy work is designed to help counties, community-based organizations, behavioral health providers, and system leaders understand critical policy developments and translate them into effective action.

What We Do

Our Research & Policy division focuses on the following areas:

Policy Analysis

We review and interpret behavioral health legislation, regulatory changes, funding developments, and systems-level reforms impacting California communities and providers.

Applied Research

We produce accessible, practice-informed research that highlights emerging needs, system challenges, implementation opportunities, and workforce realities across behavioral health settings.

Issue Briefs & Publications

We create policy briefs, research summaries, white papers, and strategic reports that support informed decision-making and organizational readiness.

Implementation Guidance

We help organizations move beyond awareness by offering practical guidance, training, and consultation to support implementation of policy and system changes.

Why This Work Matters

California’s behavioral health environment is rapidly evolving. Organizations are expected to respond to changing regulations, shifting funding structures, growing workforce demands, and increasing community need—all while maintaining quality care and operational stability.

Research and policy support are essential for helping leaders understand what is changing, what it means, and how to respond effectively. BHTPI exists to bridge that gap through clear analysis, practical resources, and implementation-centered support.

Focus Areas

Our research and policy work centers on high-impact issues affecting behavioral health systems, organizations, and workforce development.

  • The Behavioral Health Training and Policy Institute (BHTPI) strengthens the behavioral health workforce through targeted training, leadership development, and system-informed capacity building. We support organizations in recruiting, training, and retaining a highly competent workforce equipped to meet the evolving demands of California’s behavioral health landscape.

    Our approach emphasizes practical skill development, regulatory alignment, and workforce wellness to ensure sustainable, high-quality service delivery.

    Core Focus Areas:

    • Staff onboarding and competency-based training systems

    • Clinical supervision models and leadership development

    • Workforce retention, burnout prevention, and wellness strategies

    • Training compliance (STRTP, Medi-Cal, Title 22, DHCS requirements)

    • Trauma-informed and culturally responsive workforce practices

    • Skill-building for direct care, case management, and clinical staff

    • Developing internal training infrastructure and training-of-trainers (TOT)

    Training & Consulting Services Include:

    • Design of comprehensive training plans (new hire + ongoing education)

    • Supervisor and leadership development programs

    • STRTP and Medi-Cal training compliance audits and implementation

    • Staff performance evaluation and competency tracking systems

    • Custom training academies for organizations and counties

  • BHTPI provides expert guidance in navigating California’s Medi-Cal behavioral health system, supporting organizations in achieving compliance, maximizing reimbursement, and delivering high-quality, billable services. We specialize in aligning clinical practice with regulatory and documentation requirements under DHCS and CalAIM.

    Our consulting bridges the gap between policy and practice—ensuring providers can operate efficiently while maintaining compliance and sustainability.

    Core Focus Areas:

    • Medi-Cal documentation standards and medical necessity

    • PAVE enrollment and provider type strategy (CBO vs. group provider)

    • CalAIM implementation (ECM, Community Supports)

    • Billing readiness and audit preparation

    • Treatment planning and progress note compliance

    • Coordination between managed care plans and providers

    • Quality assurance and utilization review systems

    Training & Consulting Services Include:

    • End-to-end Medi-Cal readiness assessments and implementation plans

    • Documentation and billing compliance training for staff

    • PAVE application consulting and system setup

    • Mock audits and corrective action planning

    • Policy interpretation and operational alignment with DHCS requirements

  • BHTPI supports organizations serving children, youth, and families by strengthening clinical practices, system coordination, and program design across child welfare, behavioral health, and community-based systems. We bring specialized expertise in working with high-acuity youth, including those in foster care, STRTP settings, and community placements.

    Our work emphasizes trauma-informed, developmentally appropriate, and family-centered approaches that promote long-term stability and positive outcomes.

    Core Focus Areas:

    • STRTP program development and compliance (Title 22, CDSS regulations)

    • Trauma-informed care for children and youth

    • Family engagement and reunification practices

    • Coordination with child welfare, probation, and education systems

    • Behavioral interventions and crisis stabilization for youth

    • Permanency planning and placement stability

    • Documentation and treatment planning for youth services

    Training & Consulting Services Include:

    • STRTP Program Statement and Plan of Operation development

    • Staff training on youth engagement, behavior management, and crisis response

    • Clinical documentation and compliance for youth-serving programs

    • Family-centered treatment models and interventions

    • Cross-system collaboration frameworks for counties and providers

  • BHTPI equips organizations with the infrastructure, policies, and operational systems needed to successfully launch and sustain behavioral health programs. We specialize in preparing organizations for licensure, certification, and funding readiness—ensuring full compliance with state and county requirements.

    Our approach is both strategic and hands-on, guiding organizations from concept to implementation with clarity and precision.

    Core Focus Areas:

    • Program development and operational infrastructure

    • Policy and procedure development (clinical + administrative)

    • Licensing and certification readiness (STRTP, CBO, Medi-Cal)

    • Quality assurance and continuous quality improvement (CQI) systems

    • Risk management and compliance monitoring

    • Documentation systems and recordkeeping standards

    • Organizational structure and staffing models

    Training & Consulting Services Include:

    • Full program build-out (policies, workflows, documentation systems)

    • Licensing and audit preparation support

    • CQI system design and implementation

    • Compliance reviews and corrective action planning

    • Organizational assessments and strategic planning

  • BHTPI is committed to advancing equity in behavioral health by supporting organizations in delivering inclusive, accessible, and culturally responsive services. We work with providers and communities to address disparities in care and ensure services are designed to meet the needs of diverse populations.

    Our work centers on community engagement, system accountability, and sustainable impact.

    Core Focus Areas:

    • Reducing disparities in behavioral health access and outcomes

    • Culturally responsive and linguistically appropriate services (CLAS standards)

    • Community engagement and outreach strategies

    • Serving underserved and marginalized populations

    • Health equity policy and program development

    • Data-driven approaches to equity and impact measurement

    • Inclusive workforce development

    Training & Consulting Services Include:

    • Equity-focused program design and evaluation

    • Staff training on cultural humility and responsiveness

    • Community needs assessments and engagement planning

    • Development of outreach and access strategies

    • Policy and systems alignment to advance equity goals

  • The Behavioral Health Training and Policy Institute (BHTPI) provides specialized training and consulting to organizations working at the intersection of behavioral health and housing instability. We support providers, counties, and community-based organizations in developing clinically sound, compliant, and outcomes-driven housing programs that address the complex needs of individuals experiencing homelessness.

    Our approach integrates trauma-informed care, harm reduction, and whole-person service delivery aligned with California initiatives such as CalAIM and Enhanced Care Management (ECM).

    Core Focus Areas:

    • Behavioral health integration within housing programs (PSH, interim housing, shelters)

    • Street outreach and engagement strategies for high-acuity populations

    • Documentation and compliance for Medi-Cal billable services

    • Enhanced Care Management (ECM) and Community Supports implementation

    • Care coordination models across counties, providers, and CBOs

    • Crisis response and stabilization within housing environments

    • Workforce development for housing-based behavioral health staff

    Training & Consulting Services Include:

    • Developing housing program clinical frameworks and workflows

    • Medi-Cal readiness for housing providers (PAVE enrollment, documentation standards)

    • Staff training on co-occurring disorders, trauma, and engagement strategies

    • Policy guidance aligned with HUD, DHCS, and local Continuum of Care systems

    • Outcome measurement and quality improvement systems

  • BHTPI is committed to strengthening behavioral health services for aging populations through specialized training, workforce development, and program design. As California’s older adult population continues to grow, there is an increasing demand for providers equipped to address the unique mental health, cognitive, and medical complexities of this population.

    We equip organizations with the tools to deliver compassionate, culturally responsive, and clinically appropriate care for older adults across community, residential, and healthcare settings.

    Core Focus Areas:

    • Geriatric mental health and substance use treatment

    • Cognitive decline, dementia-informed care, and neurocognitive disorders

    • Depression, isolation, grief, and late-life transitions

    • Integrated care models (behavioral health + primary care + social services)

    • Caregiver support systems and family engagement

    • Risk assessment (suicide, neglect, self-neglect, elder abuse)

    • Medi-Cal and Medicare-aligned service delivery for older adults

    Training & Consulting Services Include:

    • Developing older adult behavioral health programs and service lines

    • Staff training on geriatric assessment, engagement, and intervention strategies

    • Policy and compliance guidance for aging services and behavioral health integration

    • Program design for home-based, community-based, and residential care settings

    • Cross-system collaboration (healthcare providers, APS, IHSS, managed care plans)

Featured Publications