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    Research & Policy


The Research & Policy Division serves as BHTPI's applied research, evaluation, and systems improvement arm, helping organizations use data, research, and policy analysis to strengthen behavioral health services, improve outcomes, and inform decision-making.

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Turning Data into Action

The BHTPI Research & Policy Division supports organizations seeking to better understand their impact, evaluate programs, strengthen services, inform policy decisions, and improve organizational performance.

Our team combines expertise in behavioral health, program evaluation, organizational leadership, workforce development, and applied research to help organizations move from information to implementation.

Areas of Focus

✓ Program Evaluation

✓ Applied Research

✓ Policy Analysis

✓ Strategic Planning

✓ Workforce Assessment

✓ Community Needs Assessments

✓ Outcome Measurement

✓ Quality Improvement

✓ Data Analytics

✓ Grant Evaluation Support

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.

Core Services

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BHTPI Research & Policy Signature Services

Behavioral Health Workforce Assessment

Comprehensive workforce analysis examining recruitment, retention, supervision, burnout, engagement, and workforce development opportunities.

Organizational Health Assessment

Assessment of organizational culture, leadership, communication, employee engagement, and readiness for growth.

California Behavioral Health Policy Impact Analysis

Review of state and federal policy changes and their implications for providers and organizations.

Behavioral Health Program Evaluation Package

End-to-end evaluation services for behavioral health and community-based programs.

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.

Let’s Work Together

Featured Publications

California Housing & Homelessness Systems: A Behavioral Health Perspective
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Comprehensive White Paper & Implementation Guide

California's housing and homelessness crisis continues to place unprecedented demands on behavioral health systems, community-based organizations, healthcare providers, and public agencies. As state and local leaders work to address homelessness through Housing First initiatives, supportive housing models, CalAIM, Behavioral Health Services Act (BHSA) investments, and cross-system collaboration, organizations must understand how housing and behavioral health intersect to create lasting outcomes.

This comprehensive white paper provides an in-depth examination of California's housing and homelessness landscape through a behavioral health lens. Designed for behavioral health professionals, healthcare leaders, policymakers, county agencies, nonprofit organizations, housing providers, and students, this resource explores the policies, programs, evidence-based practices, and system strategies shaping California's response to homelessness.

Topics Include:

  • California's Housing and Homelessness Landscape

  • Housing First Principles and Implementation

  • Behavioral Health and Homelessness Intersections

  • Permanent Supportive Housing Models

  • CalAIM, Enhanced Care Management (ECM), and Community Supports

  • Substance Use Disorders and Homelessness

  • Trauma-Informed Approaches to Service Delivery

  • Outreach and Engagement Strategies

  • Cross-System Collaboration and Care Coordination

  • Behavioral Health Services Act (BHSA) Housing Investments

  • Workforce Considerations and Organizational Capacity Building

  • Emerging Trends and Policy Considerations

Who Should Download This Resource?

  • Behavioral Health Providers

  • County Behavioral Health Departments

  • Community-Based Organizations

  • Housing and Homeless Services Providers

  • Healthcare Organizations

  • Social Service Agencies

  • Program Administrators and Supervisors

  • Behavioral Health Students and Emerging Leaders

  • Policymakers and Researchers

What You'll Gain

  • A deeper understanding of California's housing and homelessness systems

  • Practical strategies for program development and service integration

  • Insight into current state policy initiatives and funding opportunities

  • Tools for improving organizational readiness and cross-sector collaboration

  • Evidence-informed approaches to supporting individuals experiencing homelessness

Whether you are developing new programs, expanding services, training staff, or seeking to better understand California's evolving housing and behavioral health systems, this white paper serves as an essential resource for informed decision-making and effective practice.

Digital Download | PDF Format
Published by the Behavioral Health Training & Policy Institute (BHTPI)

California's 988 Crisis System: Progress, Challenges, and Policy Opportunities
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Research White Paper | Digital Download

California has made significant investments in transforming its behavioral health crisis response system through the implementation of 988. Yet despite promising outcomes and growing national momentum, substantial challenges remain in workforce capacity, public awareness, system interoperability, and equitable access to care.

This comprehensive research white paper examines the current state of California's 988 Crisis System and explores the opportunities and barriers shaping its future. Drawing upon peer-reviewed research, government reports, and statewide data published through 2026, the report provides behavioral health leaders, policymakers, community-based organizations, and healthcare professionals with a practical analysis of where California stands—and what must happen next.

Readers will gain insight into the national evolution of crisis response, California's implementation of AB 988 (The Miles Hall Lifeline and Suicide Prevention Act), emerging workforce challenges, disparities in awareness and access, and evidence-informed policy solutions designed to strengthen the state's behavioral health infrastructure.

Inside This Report

Executive Summary
A concise overview of key findings, major challenges, and actionable recommendations supported by current data.

Background & National Context
Examines the transition from 1-800-273-TALK to 988, federal investments in crisis response infrastructure, and emerging national outcomes—including research demonstrating reductions in youth suicide mortality following implementation.

California's 988 Landscape
Analyzes AB 988 implementation, statewide progress, governance structures, funding mechanisms, and persistent challenges related to interoperability and service delivery.

The Workforce Crisis
Explores the behavioral health workforce shortages affecting crisis response systems nationwide, including recruitment, retention, supervision, and sustainable funding concerns.

Equity, Access, and the Awareness Gap
Reviews disparities in public awareness, language accessibility, rural service coverage, and youth engagement while highlighting opportunities to improve equitable access to crisis services.

Six Policy Recommendations
Provides a practical roadmap for state leaders, counties, healthcare organizations, and community-based providers focused on governance, funding, workforce development, interoperability, awareness, and health equity.

The Role of Community-Based Organizations
Highlights how community-based organizations serve as critical partners in crisis response, prevention, outreach, and system transformation efforts throughout California.

Ideal For

  • County Behavioral Health Departments

  • Community-Based Organizations

  • Crisis Service Providers

  • Healthcare Systems

  • Behavioral Health Leaders

  • Policymakers and Advocates

  • Researchers and Students

  • Workforce Development Professionals

  • Training and Technical Assistance Providers

What You'll Gain

✔ Current California 988 implementation insights
✔ National and state research findings through 2026
✔ Analysis of behavioral health workforce challenges
✔ Policy recommendations for system improvement
✔ Strategies to advance equity and community engagement
✔ Actionable information for organizational planning and advocacy

Format: Digital PDF Download
Publisher: Behavioral Health Training & Policy Institute (BHTPI) Research & Policy Division

A timely resource for organizations and leaders committed to strengthening California's behavioral health crisis response system and improving access to lifesaving care.

Proposition 1 & the Behavioral Health Services Act
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An Implementation Guide for Counties, Providers, and Community Partners

BHTPI Research & Policy Division | June 2026

California's behavioral health system is undergoing its most significant transformation in decades.

With the passage of Proposition 1 and the implementation of the Behavioral Health Services Act (BHSA), counties, providers, community-based organizations, and housing partners must navigate a new funding structure, expanded service priorities, increased accountability requirements, and unprecedented opportunities for system redesign.

Proposition 1 & the Behavioral Health Services Act: An Implementation Guide for Counties, Providers, and Community Partners provides a practical, policy-focused roadmap for understanding and implementing California's new behavioral health framework. Designed for behavioral health leaders, county administrators, policymakers, housing partners, and community organizations, this comprehensive white paper translates complex legislation into actionable guidance for planning, compliance, and strategic decision-making.

Drawing from state guidance, legislative analyses, budget documents, and implementation resources available through June 2026, this report examines the operational, financial, and strategic implications of BHSA while identifying opportunities for organizations to strengthen services and prepare for long-term success.

Inside This Report

From MHSA to BHSA

Explore the policy transformation behind Proposition 1 and the four major structural changes reshaping California's behavioral health system, including expanded substance use disorder funding, revised spending requirements, elimination of Prevention and Early Intervention as a standalone funding category, and enhanced accountability measures.

The New Funding Architecture

Gain a detailed understanding of the county allocation model effective July 1, 2026, including required investments in housing interventions, Full Service Partnerships, outreach and engagement services, workforce development, and administrative functions. Includes implementation guidance and analysis of the BHSA flexibility provisions.

The $6.38 Billion Bond Investment

Examine California's historic behavioral health infrastructure investment, including Behavioral Health Continuum Infrastructure Program (BHCIP) funding rounds, Homekey+ housing initiatives, tribal set-asides, matching fund requirements, and implementation challenges identified by statewide policy analysts.

The County Integrated Plan

Learn what counties are required to submit under BHSA, including funding alignment strategies, Community Program Planning (CPP) requirements, Managed Care Plan collaboration expectations, performance measures, and implementation timelines.

Implementation Challenges

Analyze the most pressing barriers affecting counties and providers, including housing development capacity, workforce shortages, operating sustainability concerns, prevention funding transitions, contract uncertainty, and emerging federal fiscal risks.

Strategic Opportunities

Discover practical recommendations tailored to:

  • County Behavioral Health Departments

  • Community-Based Organizations

  • Behavioral Health Providers

  • Housing Developers

  • Homeless Services Organizations

  • Healthcare and Managed Care Partners

How BHTPI Can Help

Explore how the Behavioral Health Training & Policy Institute supports organizations through policy analysis, strategic planning, Integrated Plan development, community needs assessments, workforce training, program evaluation, and implementation support.

Ideal For

  • County Behavioral Health Directors and Leadership Teams

  • Behavioral Health Administrators

  • Community-Based Organizations

  • Housing and Homelessness Service Providers

  • Healthcare Organizations and Managed Care Plans

  • Behavioral Health Consultants

  • Policymakers and Advocates

  • Researchers and Graduate Students

What You'll Gain

✔ Clear explanation of Proposition 1 and BHSA requirements
✔ Analysis of California's new behavioral health funding structure
✔ Guidance on county Integrated Plan development and implementation
✔ Insights into housing, workforce, and infrastructure investments
✔ Identification of emerging implementation risks and challenges
✔ Strategic recommendations for organizations navigating system change
✔ Actionable tools for planning, partnership development, and organizational readiness

Format: Digital PDF Download
Publisher: Behavioral Health Training & Policy Institute (BHTPI) Research & Policy Division

As California enters a new era of behavioral health policy, organizations that understand the opportunities, requirements, and implementation realities of Proposition 1 and the Behavioral Health Services Act will be best positioned to lead, adapt, and serve their communities effectively.