Washington State

Description: The Department of Social and Health Services/ Research and Data and Analysis Division (RDA) developed and maintains Washington State’s integrated client data bases (ICDB). RDA provides the Department with a central research capacity that produces rigorous, policy-driven analyses of government-funded social and health services in Washington State. RDA’s work offers state officials and taxpayers information necessary to enhance their understanding of service needs, populations and risk factors, costs, and outcomes associated with publicly funded social and health services. RDA’s integrated client data bases makes the division uniquely positioned to conduct in-depth analysis of outcomes for clients who use services from multiple DSHS programs. They are  able to make these de-identified data available to local, state, and federal agency staff, the Governor’s office, state legislators, and the general public. The division also houses the Human Research Review Board, which protects the privacy and confidentiality of clients and members of the general public who are subjects in any research project that falls under the jurisdiction of DSHS or the Department of Health (DOH).

IDS projects to Inform Policy

Washington State Screening, Brief Intervention, and Referral to Treatment Program

Between 2004 and 2009, DSHS implemented the Washington State Screening, Brief Intervention, and Referral to Treatment project (WASBIRT) in nine emergency departments throughout Washington State, with funding from the U.S. DHHS Substance Abuse and Mental Health Administration (SAMHSA). Research and Data Analysis (RDA)’s evaluation of this project demonstrated significant medical cost savings among Medicaid patients. The demonstrated success of this project led the DSHS Division of Behavioral Health and Recovery (DBHR) to revise Washington Administrative Code to include Screening and Brief Intervention (SBI) as a certified service, putting in place regulations to ensure consistency for organizations providing this service and laying the groundwork for reimbursement of these services. DBHR has since worked with the state Medicaid program to amend the Medicaid state plan to include SBI services, allowing for the activation of relevant billing codes developed by U.S. DHHS Centers for Medicare and Medicaid Services. Medicaid billing codes were activated in January 2014 and DSHS/DBHR is nearing completion of five-year SAMHSA-funded project, WASBIRT-Primary Care Integration, to implement SBI in primary care clinics, the first phase of a statewide roll-out of billable SBI services.

Link to Project Reports:

AISP Network Site IDS Case Study: Washington State

Washington State’s Integrated Client Data Base and Analytic Capacity

Multi-site Research Project

Educational Well-being of Children in Assisted Housing Programs