California Health and Human Services

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, created the State Health Information Guidance (SHIG). 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 SHIG:

  • Provides an authoritative but non-binding guidance from the State of California written in plain language for a general audience
  • Explains when, where, and why mental health and substance use disorder information can be exchanged
  • Provides clarification of state and federal laws
  • Contains 22 scenarios derived from real user stories, which clarify how laws apply to actual situations that arise for care providers

We strongly encourage all users of the SHIG to read it in its entirety and consult with your legal counsel if you have any questions.

Download the SHIG:

Other Information:

For information about the SHIG, email

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