CLAS Standards Resource Library for CCBHCs

The United States Department of Health and Human Services, Office of Minority Health developed a set of 15 standards
known as the National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care
(the “CLAS Standards”).

The CLAS Standards provide a framework to advance health equity, improve health care quality, and help reduce disparities with a whole-person approach that considers cultural background when attending to a person’s health care needs. The Principal CLAS Standard is: “Provide effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.” The remaining CLAS Standards are divided into three categories: (1) governance, leadership, and workforce;communication and language assistance; and (3) engagement, continuous improvement, and accountability.

Requirements at the state level are often focused on cultural competency training, in alignment with the standard to “Educate and train governance, leadership, and workforce in culturally and linguistically appropriate policies and practices.”  In most cases, CLAS training must be completed as a part of the renewal process for licensed health care providers, or training must be provided as part of continuing education courses or in curriculum for colleges that train health care providers.   

Full CLAS Standards Resources

CLAS Standards Series On-Demand (National Council)
National CLAS Standards (HHS OMH)
CCBHC Certification Criteria (SAMHSA)
Implementing CLAS Standards: Lessons from the Field (CMS)
CCBHC-E Data Optimization Series (National Council)
Behavioral Health News – CLAS Organizational Toolkits
Minnesota DHS CLAS Implementation Framework
Developing Your Cultural Competence (CASAT OnDemand)
Think Cultural Health Implementation & Evaluation Checklists
Georgetown NCCC Cultural & Linguistic Competence Package

Additional Resources for Specific Standards or Implementation Areas

Principal Standard (Standard 1)

CLAS, Cultural Competency & Cultural Humility Guide
CDC Health Literacy Guidelines
Tip Sheet for Achieving the Principal Standard
Superior Health Plan Cultural Competency & Health Literacy Guide
Hesperian Health Guides

Governance, Leadership and Workforce (Standards 2-4)

Behavioral Health Implementation Guide for CLAS
Alabama DMH CCBHC Policy Bulletin
Pennsylvania CLAS Toolkit
NCFHS Guide to Implementing CLAS
Tip Sheet for Governance, Leadership & Workforce
Strategies to Implement CLAS (Marin County)

Communication and Language Assistance (Standards 5-8)

Behavioral Health Implementation Guide for CLAS
Rhode Island CCBHC CLAS Checklist
Alabama DMH CCBHC Policy Bulletin
Pennsylvania CLAS Toolkit
CLAS Training Toolkit for Outreach Workers

Engagement, Continuous Improvement, and Accountability (Standards 9-15)

Behavioral Health Implementation Guide for CLAS
Rhode Island CCBHC CLAS Checklist
IFRC Community Engagement & Accountability Toolkit
Community Engagement Toolkit (SPARC BC)
Coalition for Juvenile Justice Engagement Toolkit
PrepareCenter Community Engagement Toolkit