State Health Information Guidance (SHIG) on Sharing Behavioral Health Information


The California Office of Health Information Integrity (CalOHII), with support from the California Health Care Foundation, has created the State Health Information Guidance (SHIG). The SHIG is an authoritative but non-binding guidance from the State of California written in plain language for a general audience. It explains when, where, and why mental health and substance use disorder information can be exchanged and also provides clarification of state and federal laws.

The SHIG grew out of comprehensive research, drawing from a broad group of stakeholders that reflect cross-industry insights and experience, to get a clear understanding of the problems different groups were facing in the field. The result of the research is the SHIG, a guidance containing 22 scenarios derived from real user stories, which clarify how laws apply to actual situations that arise for care providers.

The SHIG is for YOU! The SHIG is applicable to Physical Health Care Providers, Mental Health Care Providers, Substance Use Disorder Providers, Emergency Service Providers, Caregivers and Care Coordinators, Social Services, Law Enforcement, and Payers. We strongly encourage all users of the SHIG to read it in its entirety and, as always, to consult with your legal counsel if you have any questions.

On this website page, you can:

Download the SHIG 

  •  State Health Information Guidance (SHIG) (January 2018 version)
    This update reflects new required language (effective February 2, 2018) for re-disclosure of information due to the "Confidentiality of Substance Use Disorder Patient Records" (42 C.F.R. Part 2) final rule published January 3, 2018.


SHIG Webinar – July 25, 2017


For information about this project, please email