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Clear Pathways 2025 Impact Report

Events

June 16, 2026
12:00 pm

Understanding Ohio’s Adult Mobile Crisis Landscape

Join Clear Pathways for a presentation of two completed research phases examining adult mobile crisis (AMC) services across Ohio, along with an early look at how we’re translating those findings into action. 

Phase I explored what best-practice AMC response actually looks like, drawing on in-depth interviews with behavioral health providers statewide and benchmarking their approaches against state and national standards. Phase II examined what it truly costs to operate AMC programs, who is currently paying for those services, and where gaps in sustainable funding leave these programs at risk. 

Together, these findings offer critical insights into how providers are operating and why current payment structures make it difficult to sustain high-quality mobile crisis response services in the long term. The implications are significant for providers managing operational sustainability, for payers and funding partners determining how services are resourced and sustained, and for policymakers seeking durable solutions to Ohio’s behavioral health crisis infrastructure. 

The session will close with a preview of the AMC Alternative Payment Model (APM) Demonstration developed directly in response to what Phases I and II uncovered — and a look at what comes next. 

By the end of this session, participants will be able to: 

  1. Identify the core components of best-practice AMC response and describe how Ohio providers currently align with state and national standards. 
  1. Understand the true cost of operating AMC and articulate the gaps that risk the long-term sustainability of high-quality crisis services in Ohio. 
  1. Describe the rationale and design of Clear Pathways’ AMC APM Demonstration and its potential to address systemic barriers identified in the research. 

Speakers

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David Frederick, Assistant Director of Policy and Sustainability, Clear Pathways
David Frederick, M.S.A.H., is the Assistant Director of Policy and Sustainability for the Clear Pathways initiative at Peg’s Foundation. In this capacity, he focuses on advancing the behavioral health crisis care continuum in Ohio, with a specific goal of improving access to quality, trauma-informed services for individuals experiencing mental illness. His work encompasses community activation, Medicaid, and behavioral health policy initiatives. David has extensive experience collaborating with various stakeholders. He has worked with state agencies, county leadership, community behavioral health, hospital systems, county mental health & addiction boards, provider associations, criminal justice systems, and law enforcement/first responders. He takes a practical approach to handling mental health challenges, recognizing how different sectors are connected.
Charles Klinger Square
Charles Klinger, Senior Consultant, Health and Human Services, Computer Aid Inc (CAI)
Charles Klinger is a seasoned leader with more than 20 years of experience in health and human services. His career began providing case management and residential services to adjudicated delinquent and dependent youth in Pennsylvania before transitioning to the Office of Mental Health and Substance Abuse Services (OMHSAS) in 2014. He advanced to Director of Systems Management of the Pennsylvania BH system where he managed eligibiity for over 3 million Pennsylvanians, oversaw the BH provider enrollment system for all BH providers in Pennsylvania, developed a business intelligence section, ensured functional data systems, and managed the Pennsylvania billing code structure for BH services. In 2021, he joined the Behavioral Health Alliance of Rural Pennsylvania (BHARP) as a Chief Operating Officer and Chief Compliance Officer where he developed innovative approaches to maximizing access to BH services for over 250,000 individuals residing in 24 rural Pennsylvanian counties. Charles currently is an innovative Senior Consultant who works with state and county governments to advance their health and human services initiatives.
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Julie McLafferty, Assistant Director of Cross-Systems Integration, Clear Pathways
Julie McLafferty, MA, is the Assistant Director of Cross-Systems Integration for Clear Pathways, an Initiative of Peg's Foundation. Julie is one of the co-authors/co-editors of the Bureau of Justice Assistance’s 40-hour crisis intervention, de-escalation, and disability response national curriculum, titled Crisis Response and Intervention Training (CRIT). This training prepares first responders in their response to people experiencing crises related to behavioral health conditions (including mental health conditions and substance use disorders) and intellectual and developmental disabilities. Julie a certified Sequential Intercept Model (SIM) mapping facilitator, as well as a certified Trauma Training for Criminal Justice Professional facilitator. She works across the criminal legal and behavioral health systems to bridge gaps in care and improve experiences for individuals who interact with these systems.
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Alicia D. Smith, Executive Director, Clear Pathways
Alicia D. Smith, MHA, is the Executive Director of Clear Pathways Initiative at Peg’s Foundation, the largest mental health funder in Ohio. In her role, Alicia advances the foundation’s strategic priorities to improve systems, programs, and policies in service to persons with mental illness. She supports the foundation’s work to identify sustainable solutions for the financing and delivery of crisis response services. Alicia has over 27 years of experience with Medicaid and other public assistance programs and has worked extensively with national and state mental health and substance use disorder payment and regulatory systems and providers. She provided policy and program development and analysis consultation to numerous state Medicaid agencies. Alicia has also led several large-scale, multi-stakeholder projects on behalf of Medicaid managed care organizations, community behavioral health providers, hospital and health systems, and state and national trade associations.

Register here for this event!

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