HIPAA And Confidentiality Resources and Links

CASAT OnDemand Resources:

Confidentiality and HIPAA Learning Lab – This CASAT OnDemand Learning Lab has a wealth of information and resources for diving deep into the topic of HIPAA and Confidentiality.

Catalyst Blog Posts:

• HIPAA At a Glance
• What We Know So Far About the Impact of COVID-19 on Behavioral Health and Services

Centers for Disease Control and Prevention (CDC)

SAMHSA Resources

Fact Sheets regarding the Substance Abuse Confidentiality Regulations:

• Disclosure of Substance Use Disorder Patient Records: Does Part 2 Apply to Me? (PDF | 1.5 MB) – This fact sheet explains a 42 CFR Part 2 Program and how healthcare providers can determine how Part 2 applies to them.
• Disclosure of Substance Use Disorder Patient Records: How Do I Exchange Part 2 Data? (PDF |1.7 MB) – This fact sheet describes how 42 CFR Part 2 applies to the electronic exchange of healthcare records with a Part 2 Program.
• Frequently Asked Questions (FAQs) about Applying the Substance Abuse Confidentiality Regulations to Health Information Exchange (HIE) – This information answers often asked questions for information only.
• Transition to ICD-10: What it Entails and Why It’s Important to Behavioral Health Providers – This fact sheet answers common questions for behavioral health treatment and service providers about the International Classification of Diseases, 10th Edition (ICD-10) code sets.

Treatment Improvement Protocol (TIP) and Technical Assistance Publication (TAP) Manuals:

• TIP 60: Using Technology-Based Therapeutic Tools in Behavioral Health Services – These manual assists clinicians with implementing technology-assisted care. It highlights the importance of using technology-based assessments and interventions in behavioral health treatment services. The manual also discusses how technology reduces barriers to accessing care.
• TAP 21: Addiction Counseling Competencies The Knowledge, Skills, and Attitudes of Professional Practice – This guide enhances the competencies of substance use disorder treatment counselors. It discusses patient assessment and screening, treatment planning, referral, service coordination, counseling, family and community education, and cultural competency.
• TAP 21-A: Competencies for Substance Abuse Treatment Clinical Supervisors – These manual lists competencies for effective supervision in substance use disorder treatment programs. It provides step-by-step guidance for implementing comprehensive supervisory training and workforce development.
• Treatment Improvement Protocol (TIP) 33: Treatment for Stimulant Use Disorders – This updated TIP reviews what is known about treating the medical, psychiatric, and SUD-related problems associated with the use of cocaine and methamphetamine, as well as the misuse of prescription stimulants. The TIP offers recommendations on treatment approaches and maximizing treatment engagement and retention, and strategies for initiating and maintaining abstinence.
• TIP 52: Clinical Supervision and Professional Development of the Substance Abuse Counselor – This manual presents guidelines for clinical supervision in the substance use disorder treatment field. It covers supervision methods and models, cultural competence, ethical and legal issues, and performance monitoring. The manual also includes an implementation guide for program administrators. Access the literature review.
• TIP 56: Addressing the Specific Behavioral Health Needs of Men – This guide addresses specific treatment needs of adult men living with substance use disorders. It reviews gender-specific research and best practices, such as common patterns of substance use among men and specific treatment issues and strategies.
• TIP 44: Substance Abuse Treatment for Adults in the Criminal Justice System – This manual offers guidelines to help counselors and administrators deliver substance use disorder treatment in criminal justice settings. It discusses aspects in providing substance use disorder treatment to people within the criminal justice system, including screening and assessment, and triage and placement in treatment services.
• TIP 51: Substance Abuse Treatment: Addressing the Specific Needs of Women – This guide assists providers in offering treatment to women living with substance use disorders. It reviews gender-specific research and best practices, such as common patterns of initial use and specific treatment issues and strategies.

Additional Resources:

• Advisory: Using Technology-Based Therapeutic Tools in Behavioral Health Services – This Advisory is based on TIP 60, Using Technology-Based Therapeutic Tools in Behavioral Health Services. It provides information on synchronous and asynchronous telehealth technologies for behavioral health treatment. Factors such as technology access and implementation are addressed.
• Advisory: Treating Substance Use Disorders Among People with HIV – This Advisory is based on TIP 37, Substance Abuse Treatment for Persons With HIV/AIDS. It highlights strategies and considerations for substance use disorder (SUD) treatment providers to effectively engage people with HIV in SUD treatment.
• Data Collection Across the Sequential Intercept Model (SIM): Essential Measures – This manual provides a starting place for jurisdictions looking to use data to better understand and improve the outcomes of people with mental and/or substance use disorders who come into contact with the criminal justice system.
• Telehealth for the Treatment of Serious Mental Illness and Substance Use Disorders – This guide reviews ways that telehealth modalities can be used to provide treatment for serious mental illness and substance use disorders among adults, distills the research into recommendations for practice, and provides examples of how these recommendations can be implemented.
• Prevention and Treatment of Anxiety, Depression, and Suicidal Thoughts and Behaviors Among College Students – This guide reviews literature on treating college students’ mental health concerns, such as anxiety, depression, and suicidal thoughts and behaviors; distills the research into recommendations for practice; and provides examples of the ways that these recommendations can be implemented.
• Reimbursement of Mental Health Services in Primary Care Settings – This white paper report identifies and proposes strategies to address Medicaid and other reimbursement policies that may pose barriers to mental health services in primary care settings. It presents findings, discussion by an expert panel, and recommended action steps.
• Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health – Full Report – This Surgeon General’s Report on Alcohol, Drugs, and Health addresses the prevalence of alcohol, illicit drugs, and prescription drug misuse in the United States. Chapters of the report cover neurobiology, prevention, treatment, recovery, health systems integration, and recommendations for the future.
• Funding and Characteristics of Single State Agencies for Substance Abuse Services and State Mental Health Agencies, 2015 – This report highlights the structure, responsibilities, policies, services, and financing of single-state agencies and state mental health agencies. The report includes discussion of efforts to integrate physical and behavioral health and efforts by state agencies to address opioid abuse and misuse.
• Treatment of Depression in Older Adults Evidence-Based Practices (EBP) KIT – This kit offers information about an array of evidence-based practices for treatment and services to improve outcomes for older adults experiencing depression, including dysthymia. It considers planning, implementation, and maintenance.
• Federal Guidelines for Opioid Treatment Programs – This manual provides guidelines for the operation of opioid treatment programs. It covers patient assessment, treatment planning, and recovery care. The manual also offers guidance for medication-assisted treatment for methadone and buprenorphine, and overdose and relapse prevention.
• Preventing the Use of Marijuana: Focus on Women and Pregnancy – This guide supports health care providers, systems, and communities seeking to prevent marijuana use by pregnant women. It describes relevant research findings, examines emerging and best practices, identifies knowledge gaps and implementation challenges, and offers useful resources.
• Municipal Courts: An Effective Tool for Diverting People with Mental and Substance Use Disorders from the Criminal Justice System – This report examines the opportunities and challenges associated with municipal court diversion for people living with mental illness and substance use disorder conditions. It outlines elements for effective diversion, recovery-based engagement strategies, and proportional response.
• Mental Health Services Provided Across State Government Agencies – This report describes efforts to improve coordination and financing of mental health services through better cooperation across substance use disorder agencies, as well as criminal justice and other state agencies. It discusses benefits, challenges, facilitating factors, and implementation steps.
• Integrated Treatment for Co-Occurring Disorders Evidence-Based Practices (EBP) KIT – This toolkit gives practice principles for integrated treatment for mental illness, substance use disorders, or both, and offers advice from successful programs. The toolkit includes a brochure, a PowerPoint presentation, and an introductory video.

Click to download the HIPAA vs FERPA infographic from the CDC.