Current Initiatives


Together these projects foster a collaborative effort of acute and community providers to develop an accessible and coordinated system of behavioral healthcare throughout Missouri’s Eastern Region.

Emergency Room Enhancement

The Emergency Room Enhancement (ERE) project was
created on behalf of the region’s Community Mental Health
Centers and over 30 behavioral health service providing
partners—hospitals, substance use providers, advocates,
law enforcement, and more. The ERE project facilitates
an integrated 24/7 region-wide approach that targets
high utilizers of emergency room and inpatient
settings, with the primary goal of reducing
preventable hospital readmissions.

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Inpatient Project

The Hospital Community Linkages (HCL) Inpatient project was
created as part of a regional response to the April 2010 closure
of Metropolitan St. Louis Psychiatric Center, which provided
acute and emergency behavioral health services.
Through the use of a designated liaison per
provider, the Inpatient Project identifies and
refers potential consumers, facilitates the
referral and ensures discharge documentation
is transferred for continuity of care.

Both projects are funded by the Department of Mental Health (DMH) with the primary goal of reducing preventable hospital readmissions, increasing access to community services, and improving quality of life for consumers served within the safety net system. BHN serves as the backbone to these projects, coordinating regional meetings, providing training and capturing the data and outcomes to share with funders and stakeholders.


Bridges to Care and Recovery is a collaborative, community initiative designed to extend the system of care for people challenged with behavioral health disorders, specifically in North St. Louis City and County. BHN works with key partners to include hospital and community behavioral health leadership, advocacy groups, and faith leaders to provide a multi-pronged approach to expand the role of faith-based organizations in the identification of mental health and substance use disorders, and the reduction of stigma to support referral
and access to behavioral health care.


Technology Assisted Care Coordination (TACC)

The TACC project is an upcoming effort by BHN in collaboration
with Preferred Family Healthcare, a regional Substance Use (SU)
treatment provider funded by the Substance Abuse and Mental
Health Services Administration (SAMHSA). The program will
utilize an interactive text messaging intervention and
telecoaching program (Epharmix) developed by researchers at
Washington University’s School of Medicine, to expand and
enhance support, treatment, and referral services provided to
high-utilizing Medicaid clients who have impactable chronic
medical conditions. Through this effort we plan to expand and
enhance services by (1) Increasing engagement of persons in
treatment in their healthcare; (2) Increasing monitoring and
tracking of the mental and physical health status of individuals
for enriched case management and care coordination; (3)
Improving recovery and resiliency rates; and (4) Disseminating
effective treatment models and results among providers.


Since October 2015, St Louis County Police Department has
partnered with BHN to address challenges Crisis Intervention
Team (CIT) officers—specially trained law enforcement who
address calls of individuals in which behavioral health needs are
present—face due to limited access to behavioral health
reporting. Without a central database and uniform data
collection, officers do not have information available that could
benefit individuals, officers, and public safety and improve
outcomes for those engaging with law enforcement. BHN guides
planning and coordination of: (1) the development and
implementation of a web based computer information system,
(2) determining the effectiveness of the CIT program and
utilization of information to make informed decisions, and
(3) facilitating a cooperative relationship and coordinated
service delivery approach between the regional CIT programs
and safety-net providers.


The Housing Collaborative's vision is for people with behavioral
health needs to have access to an array of safe, decent and
affordable permanent housing options through the region.
Expansion of safe affordable housing and supportive service
options for persons with behavioral health issues is a regional
strategic priority. BHN is helping to respond to the overwhelming
and pressing need for permanent, affordable, supported housing
for individuals with a wide range of disabilities and life situations
who are unable to secure and maintain housing through the
Regional Housing Collaborative.


Through a collaboration of regional children and youth acute
metal health service providers, BHN is working to develop and
pilot a technology solution to expedite placement of youth from
Emergency Departments (ED) to regional acute psychiatric
inpatient settings. The team utilizes the phone application
“GroupMe” as way to facilitate interactive communications about
needs and acute capacity—and enable data capture regarding
the service match. This program has shown promising results
with decreased referral times, greater resource access, and
more efficient provider services.


BHN is committed to comprehensive data collection and
reporting to support publically available data systems for
tracking behavioral health. This enables health providers to
assess the system indicators and change in health status
attributable to behavioral health. BHN has continued to build its
capacity to track and analyze relevant data and work with both
local and state leadership to improve data availability. BHN has
also made significant investments in leveraging innovative
software to facilitate cross-agency data collection and
information sharing. This shared repository aides in evaluation
as well as regional care coordination of high need consumers.

Data Resources

BHN is dedicated to the research,
collection, and sharing of quality data.

To view more of our available
data, reports, and other resources