This report presents spending information for treatment of mental illness, substance use disorders, or both for people only enrolled in Medicaid, and those enrolled in both Medicaid and Medicare. The report also covers fee-for-service spending and managed care spending.

This report gives an overview of shared decision-making (SDM), an intervention that enables people to actively manage their own health. It examines research on the effects of SDM in general and mental health care, and includes recommendations for advancing SDM in practice.