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What We Do


The mission of the West Virginia Bureau for Behavioral Health & Health Facilities (BBHHF) is to ensure that West Virginians with mental health or substance use disorders, intellectual/ developmental disabilities, chronic health conditions, or long-term care needs experience services that are comprehensive, readily accessible, and tailored to meet individual, family, and community needs. The Bureau recognizes that participant-centered planning, family-centered care, and community involvement are critical to develop and improve services in West Virginia. We support partnerships, data-informed decision-making, and evidence-based practice as key to every aspect of behavioral health. The principles that guide the work of the BBHHF are aligned with SAMHSA principles in understanding that the evidence base behind behavioral health prevention and promotion, treatment, and recovery services continues to grow and promises better outcomes for people with or at risk for mental and substance use disorders.

Our Role

The West Virginia Bureau for Behavioral Health & Health Facilities (BBHHF) is the federally
designated Single State Authority (SSA) and State Mental Health Authority (SMHA) for mental health, substance abuse, and intellectual and developmental disabilities responsible for administering the Substance Abuse Prevention and Treatment and Community Mental Health Block Grant. With the Block Grant and a combination of other federal grants and state funding, BBHHF supports comprehensive behavioral health prevention, promotion, early intervention, treatment, and recovery programs statewide. BBHHF provides funding for community-based behavioral health services for persons with behavioral health needs, including those who are uninsured or underinsured, as well as operational support for seven State-owned facilities with long-term or acute care psychiatric functions for adults. BBHHF operates under the auspices of the West Virginia Department of Health and Human Resources (WVDHHR) which also includes the State Bureaus for Public Health, Children and Families (Child Welfare), Child Support Enforcement, and Medical Services (Medicaid). The overall role of BBHHF is to provide leadership, oversight and coordination of policy, planning, development, funding and monitoring of the public behavioral health system.

Organizational Structure and Organization Chart

The Commissioner’s Office provides direction to the Bureau and communicates the goals of the Bureau/Department to the community to ensure continuity of services. Underneath the Commissioner’s Office are three integrated sections (Programs and Policy; Administration; and Operations), each overseen by a Deputy Commissioner.

Staff within the Programs and Policy section are charged with the development, implementation, and oversight of the statewide community-based behavioral health system of care and must ensure that individuals with (or at risk of) mental health, substance use, and/or developmental disorders have meaningful treatment and support services to maximize their ability to function as productive and stable citizens of West Virginia within the least restrictive environment suitable to their needs. Funding is provided to comprehensive community behavioral health centers and other providers to provide for a statewide continuum of care and supports for individuals in need of prevention, intervention, treatment and recovery, as well as related supports and services. 

The Programs and Policy section underwent a reorganization in 2016 to better reflect and support the integrated nature of behavioral health programs, after WV BBHHF’s 2015 Integrated Block Grant application. The new structure includes the main programmatic divisions of the Bureau:

Office of Adult Services;
Office of Children, Youth, and Family Services; and
Office of Policy, Research, Planning and Compliance