Behavioral health home consumer activation is more rapid in provider-supported care model which includes nurse support of consumers and other staff than in consumer self-directed models which focus on self-management strategies without nursing interventions. However, after consumers were activated for both models, their use of outpatient services increased over six months before beginning to decline. Consumer activation is defined as confidence in, and the ability to improve or manage, one’s own health as measured by the Patient Activation Measure. Activation scores on the Patient Activation Measure are linked to improved clinical outcomes, lower costs of health . . .