Letter from the director of research and evaluation

As Director of the Research and Evaluation (R&E) team here at CHRT, I am pleased to reflect on the significant work we accomplished in 2024, contributing to our mission to inspire and enable evidence-informed policies and practices that improve the health of people and communities.

Terrisca Des Jardins

Our team, who come from diverse disciplines such as public health, social work, public policy and sociology, is driven by a passion for using our skills to evaluate real-world programming and policy. We strive to provide actionable and transformative deliverables to our partners and clients, believing that lessons learned from evaluations can improve programs and the lives they touch.

In 2024, the R&E team examined a diverse set of  interventions using our mixed-methods skill-set to determine their success, challenges and the lessons learned along the way of implementing them. We developed lessons learned for each program to help improve on-going and future work. While our work spans the health and social ecosystem, including health delivery, community programs, and social programs, at its core is our desire to improve the lives of the people touched by these programs. We are committed to providing evaluations that are understandable, accessible, and actionable. 

This year our work included local, state, and nationally focused projects. Key highlights from our work this year include:

Local level projects:

State level projects:

National level projects:

Melissa Riba
Research & Evaluation Director

“LEADD is a transformative approach that provides an “off-ramp” from the legal system for those dealing with behavioral health issues. LEADD promotes rehabilitation, public safety, and the long-term well-being of our community.”

Eli Savit, Washtenaw County Prosecutor

Q

How can Michigan expand access to behavioral health services through evidence-based innovative care models?

Answer: By running the Certified Community Behavioral Health Clinic (CCBHC) Demonstration and evaluating it to ensure it has the positive impact intended.

CHRT's RolE:

CHRT conducted research, analyses, surveys, and consultations to assess how the Demonstration was implemented across participating sites and its effect on access to care.

Impact:

CHRT’s evaluation provides critical insights for scaling and sustaining integrated behavioral health models in Michigan and beyond.

Services: Health services research, evaluation, consulting

35

CCBHCs in Michigan

6x

increase in individuals receiving outpatient substance use services

1.7%

decline in emergency department use by individuals CCBHCs served

Q

How can free and charitable clinics expand access to mental health care for underserved populations?

Answer: By learning from each other to discover what is most effective. CHRT is compiling lessons learned to enable clinics to do this.

CHRT's RolE:

The Community Routes: Access to Mental Health Care program provided funding to 11 free and charitable clinics to support innovative approaches for providing mental health care to underserved populations. In collaboration with Direct Relief, CHRT analyzed data from 11 grantees and compiled lessons learned into a report.

Impact:

CHRT presented findings and led a panel discussion at the National Association of Free and Charitable Clinics conference in September 2024.

Services: Evaluation, research synthesis, strategic learning

63,659

individuals served by participating clinics

11

clinics evaluated

Q

How can we improve well-being and resilience among mothers in Detroit?

Answer: Through evidence-based peer support programs like the Mom Circles pilot organized by Children of the Rising Sun.

CHRT's RolE:

CHRT is evaluating the Mom Circles pilot to assess the program’s impact and support its long-term sustainability and growth In 2024, CHRT designed and implemented data collection tools and assessed the data gathered.

Impact:

The program served 19 mothers across two cohorts—one with returning participants and one with new participants. CHRT’s evaluation is shaping the future of Mom Circles and guiding efforts to expand access to peer-based maternal support.

Services: Program evaluation, data collection

19

mothers served in 2 cohorts

National conference presentation

Q

How can communities divert individuals with behavioral health needs away from the criminal justice system?

Answer: Through pre-arrest diversion programs like the Washtenaw Law Enforcement Assisted Diversion and Deflection (LEADD) initiative.

CHRT's RolE:

CHRT is evaluating LEADD to determine its effectiveness and sustainability. In 2024, CHRT conducted interviews with LEADD participants, law enforcement officers, and partner agencies. The team also analyzed criminal legal data and surveyed stakeholders.

Impact:

Since its launch in 2021, LEADD has received 72 referrals for 66 individuals. These diversions improve public health, safety, and equity.

Services: Program evaluation, data analysis, stakeholder engagement

77%

of deputies and 85% of sergeants trained in harm reduction principles

69%

of LEADD participants reported feeling supported

75%

of participants had no arrests or fewer arrests in the year after enrollment