ALASKA COSIG EVALUATION State Incentive Grant for Treatment of Persons with Co-Occurring Substance Related and Mental Disorders (COSIG) AHP is evaluating the State of Alaska’s five-year behavioral health systems redesign. This infrastructure development project is a state-wide multi-level effort to transform Alaska’s set of fragmented, primarily rural substance abuse and mental health services into an integrated behavioral health system, using the Continuous, Comprehensive, Integrated Systems of Care (CCISC) best practice model. The driver for the change process is the development of a vigorous Continuous Quality Improvement effort at the state and program levels. The evaluation includes case studies of four Alaskan communities, extensive key informant interviews, participant observation of key planning groups and training efforts, and secondary data analysis using the newly developed Alaska Information Management System. The evaluation is an integral part of program development and improvement. The Year One evaluation focused on activities and outcomes at the state system level. Years Two and Three will focus on programs and clients respectively. Years Four and Five will track client outcomes over time. This project includes Annual Implementation Reports that provide yearly feedback to project implementers, Federal funders, and other key stakeholders on project progress and challenges.
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