Behavioral Health Quality & Compliance: A How-To Guide to Building an Effective Program
Build a compliance and quality program that operations can actually run.
Most compliance programs fail not because no one understood the rules, but because no one built the architecture underneath them. Behavioral health adds confidentiality obligations, referral risks, and enforcement patterns that a generic healthcare compliance manual was never built to address.
This is a working reference for building and running a compliance and quality program in a behavioral health setting. It is written by two practitioners who have worked inside these programs, not summarized them from a distance, and it is organized as two connected halves: compliance first, then quality.
What is inside
The compliance half covers 42 CFR Part 2, HIPAA, the Anti-Kickback Statute, Stark Law, EKRA, and the False Claims Act, with real statutory citations, plus the operational infrastructure that makes a program real: policies, training, reporting channels, auditing and monitoring, investigations, vendor oversight, and credentialing. Setting-specific chapters address outpatient practices, substance use disorder treatment and residential programs, CCBHCs, telehealth, crisis services and 988, and medication-assisted treatment.
The quality half explains what quality means in behavioral health and how to measure and improve it across outpatient and inpatient care, transitions of care, and populations, then shows where compliance and quality should be integrated and where they should not.
Every chapter is tagged CORE or REFERENCE, so a first-time builder can read the CORE path in sequence and have a working foundation in weeks, while the REFERENCE chapters supply depth to grow into. A 90-day roadmap, 45 ready-to-use appendices (templates, checklists, audit tools, sample forms, and real, sourced enforcement cases), a table of authorities, and an index make it a book to keep open on the desk.
Who it is for
Compliance officers, quality directors, executives, clinical leaders, attorneys, and board members at outpatient practices, residential and inpatient programs, CCBHCs, and addiction treatment providers.
Law and guidance are current through September 2026. A standalone first edition drawn from the Healthcare Compliance and Quality Compendium series.
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