Behavioral Health and Social Determinants of Health

Governors are uniquely situated to take a big picture look and coordinate action among state agencies, communities and stakeholders. They are actively engaged in aligning multiple health delivery system reform efforts with broader population health strategies and exploring economically sustainable models.  Since 2012, the National Governors Association Center for Best Practices has supported states in their efforts to help prevent and treat substance use disorders and overdose. Center teams lead several initiatives that address substance use and related consequences and is supporting efforts to promote mental health and wellbeing.

One focal point of the NGA work with states is in establishing or scaling up cost-effective programs for individuals with complex care needs. Many of those individuals have unmet behavioral health (mental illness and/or substance misuse) and social service needs that are better served in the community and outside of acute care or institutional settings.  To that end, NGA is providing states technical assistance around a number of policy priorities in behavioral health including:

  • Improving outcomes and reducing cost of care for complex populations
  • System-level behavioral health and primary care integration
  • Capacity building in rural and underserved areas
  • Supportive housing
  • Behavioral health in criminal justice involved

NGA Resources

Leveraging the Rural Health Transformation Program to Improve Behavioral Health Outcomes

Leveraging the Rural Health Transformation Program to Improve Behavioral Health Outcomes

Physical and mental well-being are closely intertwined, and both are essential for people to lead their healthiest and most productive lives. The Rural Health Transformation Program, created under OBBA and ...
Strengthening State-Level Mental Health Policy During Uncertain Economic Times

Strengthening State-Level Mental Health Policy During Uncertain Economic Times

Mental illness – which includes a wide range of conditions that affect mood, thinking, and behavior, such as anxiety disorders, depression, and schizophrenia – affects 1 in 5 adults in ...
Lessons Learned from the NGA Policy Academy to Drive Thriving Youth Mental Health and Wellbeing

Lessons Learned from the NGA Policy Academy to Drive Thriving Youth Mental Health and Wellbeing

This report expands upon findings from the Policy Academy to Drive Thriving Youth Mental Health and Wellbeing and provides guidance and insight to Governors and other state and territory policymakers ...
Maternal Mental Health Week 2025

Maternal Mental Health Week 2025

Maternal Mental Health Awareness Week is an opportunity to recognize and discuss mental health conditions that can arise during and after pregnancy. This year, the week is dedicated to the ...
Fentanyl Awareness Day 2025

Fentanyl Awareness Day 2025

Tuesday, April 29th marks the 4th annual National Fentanyl Awareness Day. This is a day of reflection and remembrance of those loved ones lost to the drug overdose crisis, as ...
Community Resilience & Mental Health

Community Resilience & Mental Health

To help commemorate National Public Health Week 2025, this publication is part of a NGA series that explores policies, programs and considerations to improve population health. As natural disasters and ...
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