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Award Number | Organization | City | State | Amount | Award FY | NOFO | |||
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SM083041-01 | MID-SOUTH HEALTH SYSTEMS, INC. | JONESBORO | AR | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Mid-South Health Systems' CCBHC Project will focus on individuals with serious mental illnesses, substance use disorders; children and adolescents with serious emotional disturbances; and individuals with co-occurring mental illness and substance use disorders. MSHS is the Community Mental Health Center servicing 20 Counties in Eastern Arkansas. The Catchment area is inclusive of the Mississippi Delta Region, an area plagued with many problems such as abject poverty, high crime, poor health and myriad issues related to substance use and mental illness. For the purposes of the current project, efforts will focus primarily on 3 counties within MSHS' Catchment Area- Craighead, Crittenden and Mississippi Counties. MSHS' CCBHC Project goas are to expand access to comprehensive behavioral health services that meet the criteria for CCBHCs to individuals with SMIs, SEDs, SUDs and CODs in Craighead, Crittenden and Mississippi Counties, Arkansas. Secondly, to expand the array of behavioral health services and support offered in the CCBHC's Catchment Area. It is also our goal to deliver integrated care for behavioral health and physical health risks and needs; and finally to ensure sustainability of the CCBHC Project Services in the target area. Over the course of the project it is anticipated that 185 individuals will be served annually and 370 individuals over the lifetime of the project.
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SM083044-01 | UPLIFT FAMILY SERVICES | CAMPBELL | CA | $1,995,620 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
As a consortium, Uplift Family Services (UFS) and designated collaborating agencies, School Health Center of Santa Clara (SHC) and Pacific Clinics (PC) are seeking to become a Certified Community Behavioral Heath Clinic for the purpose of increasing access to and improving the quality of community mental and substance use disorder treatment by integrating services with physical health. The target population is unrepresented and under represented low-income families through Santa Clara County, with focus on individuals that live in the Washington Clinic neighborhood whereby most residents are Hispanic, Lantinx and non-English speakers. While operating as separate entities, services will be delivered in an integrate manner within a single clinic in San Jose, California to allow for more comprehensive assessment and treatment of physical, mental health, and substance use disorders in a manner that is less likely to be stigmatizing, more consistent with the target community's help-seeking behaviors, and relatively seamless in care. UFS behavioral personnel will be integrated with SHC physical health personnel. Experts in adult behavioral health, Pacific Clinics will provide telepsychiatry, training, and consultation. We expect to serve 2000 unduplicated clients over the two years. Our goals are: Goal 1. Increase access to outpatient community mental health and substance use disorder treatment for un/underrepresented communities through outreach and engagement and insurance enrollment assistance so that they can access needed behavioral health treatments. 1A. To increase access for the uninsured population. 1B. To increase the number of insured children and adolescents receiving mental health treatment. 1C. To increase the number of insured adults receiving mental health treatment. 1D. To increase access to behavioral therapy for adults receiving MAT. Goal 2. Increase the availability of high-quality behavioral health services by implementing evidence-based treatment to decrease symptoms that impact daily functioning. 2A. To increase the use of evidence-based treatment for children and adolescents with trauma. 2B. To increase use of evidence-based practices for mental disorders among adults. 2C. To increase substance use prevention and treatment among children/adolescents. 2D. To increase the use of behavioral therapy for individuals receiving MAT. Goal 3. Provide an array of behavioral health services in a single location to improve access and minimize barriers for unrepresented and underrepresented, hard-to-reach population. 3A. To increase integration of physical health and behavioral health services by providing more comprehensive assessments at each visit. 3B. To increase integration of physical health and behavioral health treatment by improving coordination between primary care physicians and behavioral health treatment teams to improve client outcomes and increase client satisfaction. 3C. To develop a continuum of outpatient behavioral health services for children and adolescents in the catchment area. 3D. To develop a continuum of outpatient behavioral health services for adults in the catchment area.
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SM083046-01 | RIVER VALLEY BEHAVIOR HEALTH | OWENSBORO | KY | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
As of result of the 2015-2018 MAPP Survey in the Green River region of western Kentucky, RiverValley Behavioral Health (RVBH) will provide expanded CCBHC services for the non-metro rural areas to 300 individuals per grant year who have been identified as SMI, SED, SUD, and/or COD. Due to barriers of living in rural areas, lack of transportation and limited access to substance abuse treatment, crisis intervention, and physical and mental health services, these individuals will receive services in the areas of integrated behavioral-physical health; substance abuse treatment; crisis intervention including mobile crisis; care coordination, smoking cessation, peer support and recovery; Medication Assisted Treatment; Assisted Outpatient Treatment (AOT) or Assertive Community Treatment (ACT). This project has six major goals which include: increasing the capacity for access to treatment in the rural non-metro areas of Western Kentucky by reducing wait lists and utilizing peer support specialists; increasing mobile crisis capacity to rural areas and reduce burden and reliance on law enforcement personnel; increasing capacity of physical-mental health integration; reducing the number of readmissions within 30 days and first-time admissions to acute hospitalization; expanding public health efforts for the target population by utilizing evidence-based practices; and expanding addiction and SUD/COD treatment and recovery efforts, particularly with methamphetamine and opioid addictions in the rural non-metro counties in the catchment area.
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SM083048-01 | CHAUTAUQUA COUNTY DEPARTMENT OF MENTAL HYGIENE | MAYVILLE | NY | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Chautauqua County, NY, is a large rural area with individuals who have pronounced mental health and substance use disorder treatment needs. Chautauqua County Department of Mental Hygiene is the largest, most comprehensive provider of behavioral health services in this area. CCBHC will fill service gaps; improve the health, safety, and wellbeing of vulnerable county residents; relieve over-burdened emergency rooms; and more effectively leverage resources. The project is Chautauqua County Department of Mental Hygiene Certified Community Behavioral Health Clinic Grant. This project will serve the large rural county of Chautauqua (population 127,939) and those who are in need of treatment for serious mental illness, serious emotional disturbance, substance use disorder or co-occurring disorders. The county suffers from significant socioeconomic stresses and has a high prevalence of SMI, SED, SUD, and co-occurring disorders. In Chautauqua County suicide death rates are 72% higher than in New York state as a whole; adults experience frequent mental distress are among the five highest out of all 62 counties in NYS; adult ER BH visits exceed that of WNY as a whole and pediatric ER BH visits are twice that of WNY; and is known to have the highest “opioid burden” with an overdose death rate that is 65% higher than the entire state as a whole. These shocking statistics lead CCDMH to the following project goals and objectives: One, increase care coordination to assist consumers with all health-related needs. This will be done by increasing appointment attendance/compliance 15%, decreasing gaps in consumer care 10%, and 15% increase in consumer linkages. Two, promote recovery and mental health wellness through a comprehensive range of services. This will be accomplished through outreach and social support services increasing by 20% to assist with reducing hospitalizations, suicide, and jail; a 10% decrease in opioid related overdoses with MAT services; and a 15% improved monitoring rate of EBPs and assessment tools specific to suicide. Finally, decrease the number of ER visits for evaluation and/or admission due to SMI, SED, or SUD. This will be accomplished by implementing EBP eco-systemic family therapy to reduce child/youth hospitalizations by 5%, increasing rapid access to services by 10%; and decreasing high risk BH and SUD by 10% due to enhanced crisis services intervention. Therefore, interventions will include MAT, enhanced crisis services, increased care coordination efforts, use of EBPs and rapid access of services. The unduplicated number of individuals Chautauqua County’s CCBHC plans to serve year one is 2500 consumers and 6,000 consumers total. Queen Elizabeth II said, “the courageous do not lie down and accept defeat. Instead, they are all the more determined to struggle for a better future.” Those with mental illness and substance use are the courageous ones. It is the organizations, such as CCDMH, who are the determined ones to help the courageous get a better future. CCDMH believes a CCBHC award will create a better future for our courageous.
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SM083049-01 | MACOMB COUNTY COMMUNITY MENTAL HEALTH | CLINTON TOWNSHIP | MI | $3,414,999 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
The purpose of the proposed “Integrated Health Macomb” (IHM) project is to expand and enhance targeted protocols, services, rate and ease of access, and community capacity consistent with the CCBHC requirements for all residents living in Macomb County, Michigan (population 874,759), which is the intended catchment area. IHM will provide CCBHC required services, including integrated behavioral and primary health care services to uninsured and under-insured Adults with Serious Mental Illness (SMI), Children with Severe Emotional Disturbance (SED) and persons with co-occurring Mental Illness and Substance Use Disorder. IHM goals will focus on increasing ease of access, expanded use integrated care and proven Evidence-Based Practice (EBP) treatment and support models. Primary health care screening and monitoring services will be provided in coordination with an FQHC community partner. IHM will expand informed trauma competency within the IHM system,with Designated Collaborating Organizations and other community stakeholders. IMH will demonstrate improved system performance in access to services, engagement with persons served and retention in treatment. Finally, IHM will apply quality improvement practices to collect, monitor and report on data to show program impact and create improvement strategies. IHM expects to provide services to approximately 1,500 persons annually, 3,000 over the two year grant period.
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SM083051-01 | ACENDA, INC. | GLASSBORO | NJ | $1,676,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Acenda Integrated Health proposes to provide CCBHC services in Gloucester County, New Jersey via an easily accessible person-centered integrated system designed to reduce unnecessary hospital utilization, increase treatment engagement and adherence, and promote long-term wellness. This essential funding will allow the agency to expand capacity in order to more rapidly support more individuals with mental health and substance use disorders. Additionally, the CCBHC funding will provide care management for individuals not currently served by other programs, thereby reducing unnecessary hospitalizations. The Gloucester County model will be configured to allow easy access to the program, without relying on all services being provided at one facility. This approach provides flexibility to address the need within the county as well as specific consumer demographics (e.g. children, veterans, older adults). Acenda will utilize multiple site entry points for the initial screening, and then connect consumers to the existing range of services via care coordination and according to level of need and acuity. The agency proposes to serve 1,716 individuals over the course of the grant period (715 in Year 1 and 1,001 in Year 2). The project goals include: Goal 1: Increase treatment and medication adherence for individuals with co-occurring disorders; Goal 2: Increase first appointment follow-through and treatment adherence for individuals who are discharged from screening or the hospital; Goal 3: Increase early identification of persons at risk of suicide through assessment and referral to treatment; Goal 4: Increase access to an integrated treatment network for Veterans who are identified and screened as having an SMI, SUD and/or Co-occurring Disorder; Goal 5: Increase access to an integrated treatment network for previously incarcerated individuals screened as having an SMI, SUD and/or Co-occurring Disorder; Goal 6: Implement same-day access to Mental Health and Substance Use Disorder treatment services Acenda currently administers over 120 programs and is positioned to provide and/or support all of the required CCBHC services, with limited need for DCO’s. For purposes of the Gloucester County CCBHC, Acenda will be engaging DCO’s within the county including Inspira Health (hospital system and physician practices), Jefferson Health (hospital system and physician practices), Gloucester County Division of Social Services, Gloucester County One Stop (employment), Gloucester County Housing Authority and the Gloucester County Veterans Clinic.
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SM083055-01 | WELLSPAN HEALTH | YORK | PA | $1,999,519 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
WellSpan’s Certified Community Behavioral Health Clinic (CCBHC ) will serve residents of York County, particularly underserved residents of York City, PA where 35% live below poverty level, 33% are Hispanic, almost 40% are underrepresented minorities and 13% are uninsured. The city of 44,118 residents has a shortage of MH providers with 920 residents for each MH provider, resulting in use of the WellSpan York Hospital Emergency Department to access services. The comprehensive one-stop clinic located in York City will improve care and access to services for individuals with Mental Health and/or Drug and Alcohol Issues, by serving any individual regardless of their ability to pay, treating the whole person by offering person and family centered care. A care team consisting of therapists, physicians, peer support, and case management and partnering agencies will support patients in their health journey tying together MH/SUD/Physical/Social/Crisis support mechanisms. Crisis services will be 24/7 and a mobile crisis team will be added. According to the 2018 Community Health Needs Assessment, 65.5% or 218,000 York County adults reported at least one day of depressive symptoms in the previous 2 weeks. The unduplicated number to be served with grant funds is 1500 individuals during the grant period. This will consist of 500 individuals first year and 1000 individuals in the second year. Expected outcomes are: 1. Decrease the % of MH/SUD clients presenting at ED who need outpatient care by 10% from 47% to 43% annually by 8/29/22. 2. Decrease wait time for intake screenings for MH and SUD clients by 20% by 12/31/21. 3. Decrease monthly wait list for outpatient psychiatry for adults and children by 25% by 8/29/22. 4. Decrease monthly wait list for outpatient therapy by 25% by 8/29/22. 5. At least 90% of CCBHC clients will have a Social Determinants of Health screening for food and housing insecurity and will be referred to support services by 6/1/21. 6. At least 90% of CCBHC clients will be screened for SUD, tobacco use, HIV, and viral hepatitis and referred to a regular source of primary care by 6/1/21.
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SM083056-01 | MENTAL HLTH MNTL RETARDATION TARRANT CO | FORT WORTH | TX | $4,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
MHMR of Tarrant County proposes to enhance our comprehensive system of care through an integrated service delivery framework and improve homeless individuals’ experience through care coordination and promote overall health and wellbeing through the Mobile Outreach and Treatment Services for Homeless Individuals (MOTSHI). Research indicates that providers in the Tarrant County area identify substance use services and mental health/behavioral health care as the most challenging to access for homeless and/or low-income individuals. During the 2019 Tarrant County Homeless Point in Time count, 2,028 persons were experiencing homelessness – a 0.6% increase from 2018. This often mobile population has had negative experiences with mental health care and programs, and is determined not to accept further treatment. For these reasons, individuals can be slow in receiving services and ambulatory treatment is preferred in most cases. Therefore, MHMR will expand its Care Coordination model of services to improve primary and behavioral health outcomes for this population. The purpose of MOTSHI is to provide robust outreach and mobile services to increase the accessibility to behavioral and primary health care to homeless individuals living in Tarrant County. The MOTSHI team will include a Project Director, a RN Practice Manager, a RN Community Wellness Nurse, four Outreach Specialists, a Licensed Therapist, a Prescriber, two Wellness Navigators, a Transportation Navigator, an AOT Personal Service Coordinator, a Peer Support Specialist, a Veteran Mental Health Peer Specialist, and a Substance Use Counselor. MHMR will also contract with Acclaim to provide a mid-level Physical Assistant and Medical Assistant to provide medical services in the field. This team will provide services to address primary and behavioral health issues, including linkage to internal and outside resources, follow up to referrals, and nonclinical support from Peers. The MOTSHI Team will place staff in the designated sites to provide assessment for behavioral health diagnoses and indicators of medical risk, and they will provide linkage to clinics. The RN Practice Manager will work with the Outreach Specialists and RN Community Wellness Nurse to make appropriate linkages to treat identified concerns, within the agency or externally if specialized services are required. Staff will provide ongoing support and follow up for people in services to facilitate access to care and to ensure continuity across all involved providers of services. Peers will also provide appropriate support and linkage to community resources. All people linked to MHMR integrated services will receive care using evidence-based practices, and their needs will be assessed as needed to determine the most appropriate type of care. As certified CCBHC and the largest provider of behavioral health care in Tarrant County, MHMR has an established ability to effectively provide care for behavioral health, SUD, or primary health care needs. Though the agency will work with its community partners, no Designated Care Organizations will be used to provide services. Through this opportunity, MHMR plans to expand access to 300 unduplicated individuals, age 16 and over, by the end of the grant.
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SM083058-01 | ST. JOSEPH'S REHABILITATION CENTER, INC. | SARANAC LAKE | NY | $1,936,203 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
St. Joseph’s Rehabilitation Center (SJRC) is an intentionally trauma-informed person and family centered agency serving Franklin and surrounding counties in northern New York. We aim, through the addition of mental health clinician and prescriber time as well as care coordination, behavioral health skill building, and peer support, to increase capacity to better serve the over 800 individuals and families per year who are impacted by trauma and related mental health and substance use disorders. We will enable success through the following actions and steps: Goal 1: Decrease wait time for SUD and MH services across the region. O1: By July 1, 2020, SJRC Open Access Center will provide 24/7 phone screenings with next business day appointments as appropriate O2: By September 1, 2020, SJRC Outpatient clinics will offer same day appointments O3: By November 1, 2020, 75% of individuals receiving an initial assessment will have a follow up contact within 7 days. O4: By May 1, 2021, all persons who are referred for psychotropic medication assessment will be offered an appointment within 14 days. O5: Goal 2: Increase overall health monitoring and integration for persons across the region O1: By August 1, 2020, all SJRC Outpatient clinics will offer tobacco cessation counseling and options for treatment. O2: By December 1, 2020, at least 10 potential hospitalizations or Emergency Department uses will have been diverted via crisis services across our region since initiation of CCBHC O3: By September 1, 2020, all individuals (established and new) will receive a C-SSRS and initial Stanley Brown Safety Plan O4: By September 1, 2020, all adults who receive an initial assessment will be screened for level of trauma using the Adverse Childhood Experience International Questionnaire O5: By September 1, 2021, there will have been at least a 2% decrease in mental health related hospitalizations or Emergency Room visits when comparing 2019/2020 and 2020/2021 PSYCKES data
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SM083062-01 | PREFERRED FAMILY HEALTHCARE, INC. | KIRKSVILLE | MO | $3,849,834 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Preferred Family Healthcare’s (PFH) Health Pathways Plus project will focus on youth and adults aged 12+ with a substance use disorder (SUD), who experience a multitude of service gaps, barriers, and disparities related to treatment access, residing in the rural and economically disadvantaged 18 counties in north central and northeast Missouri. The project will expand SUD and mental health services to 160 adults and 40 adolescent youth clients annually. The target population will be non-Medicaid eligible, with no other source of funding for treatment and medically and clinically appropriate for mental health/ SUD treatment. Significant barriers to service access exist due to rurality: lack of public/affordable transportation, distance/ travel to treatment sites; lack of/minimal recovery support services (e.g. recovery/transitional housing, community-based recovery groups, peer support); and lack of/limited wraparound support services (e.g. benefits assistance; job training/vocational support; affordable/available housing; child care; lack of culturally/ linguistically responsive programs; pervasive stigma related to substance use; and health professional shortages). The goal and measurable objectives of Health Pathways Plus will improve access and increase the number of clients engaged and retained in CCBHC services. Goal 1: Expand CCBHC services to uninsured individuals who are in excess of the current funding available. Obj. 1.1 Enroll at least 160 adults and 40 youth clients into the program in Y1 & Y2; Obj. 1.2 All clients receive a comprehensive assessment; Obj. 1.3 Health Navigator will assist 90% of clients with accessing health care coverage; Obj. 1.4 90% of the clients will demonstrate engagement by participating in at least 4 visits during the first 60 days of treatment. Goal 2: Provide integrated healthcare, including addressing needs of individuals with co-occurring disorders (COD) and opioid use disorders (OUD). Obj. 2.1 80% of individuals with OUD will be referred to a DATA-waivered physician to assess for medication assisted treatment; Obj. 2.2 90% of the SUD clients with COD will receive co-occurring individual therapy; Obj. 2.3 100% of clients admitted into the program will be screened for tobacco use; Obj. 2.4 80% of the clients reporting tobacco at intake will receive a tobacco cessation intervention; Obj. 2.5 100% of adult clients will be screened for HIV/viral Hepatitis; Obj. 2.6 90% of clients who identify as past/current members of the armed services will be referred to the Veterans Specialist; Obj. 2.7 65% of adult SUD clients will report participation in recovery/community support at follow up; Obj. 2.8 70% of participants will report they are healthy overall at follow up; Obj. 2.9 85% of adult SUD clients will report abstinence or a reduction in use at follow up. Goal 3: Improve education and/or employment status of those participating in the program. Obj. 3.1 90% of clients 17 or under who have not graduated from high school (or equivalent) will remain enrolled in school; Obj. 3.2 90% of clients who report seeking employment will receive assistance from Job Coach; Obj. 3.3 50% of clients unemployed at intake will be employed at follow up.
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SM083064-01 | HENDERSON BEHAVIORAL HEALTH, INC. | LAUDERDALE LAKES | FL | $1,983,150 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
The Henderson Behavioral Health CCBHC Initiative will provide a continuum of coordinated behavioral health, substance use, primary care, and wellness promotion on-site to underserved and disenfranchised children, adolescents, adults and families who reside in Broward County, Florida. Primary focus will be placed on serving four (4) population groups (1) adults with a serious mental illness or substance use disorder with an emphasis on the opioid crisis; (2) Veterans and active military personnel: (3) individuals with co-occurring mental and substance use disorders and (4) children and adolescents with serious trauma and/or emotional disturbance. The Initiative will deliver integrated services by providing rapid-response 24/7 crisis management; screening, assessment, diagnosis and treatment of behavioral health, substance use and physical health needs; patient-centered and family-centered treatment planning; active and veteran military support; case management and care coordination; clinical outpatient and psychiatric rehabilitation; peer and family support. Through the CCBHC Initiative, Henderson Behavioral Health will support the goals of increased availability and accessibility to integrated, cost-effective, high-quality community-based treatment services; improved quality of integrated treatment services by the continual inclusion of evidenced-based practices in routine care; positive health outcomes, wellness, and resiliency of residents by increasing awareness through effective public education of the prevalence of different illnesses, risk and preventive factors, and promoting screening, early intervention, treatment and prevention strategies; and decreased hospital readmission rates by engaging individuals in treatment upon discharge from an inpatient stay. Objectives accomplished through the Initiative will result in the revision or writing of policies and procedures to reflect EBPs by January 2021; 250 Broward residents trained in Mental Health First Aid by the end of year two of the Initiative; 100% of new clients identifying routine needs were provided an initial evaluation within 10 business days; 60% of persons served received 2 or more services within 3 months of initial assessment; 80% of persons served received follow-up within 1 business day of discharge following hospitalization for mental illness or substance use; and 95% of individuals and families served rate their participation in treatment as positive. The program will serve a minimum of 500 persons in the 1st year of operation, 600 persons in the 2nd year, for a total of 1,100 individuals served with CCBHC funding by grant conclusion.
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SM083068-01 | TEAM MENTAL HEALTH SERVICES | DEARBORN | MI | $3,210,353 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Team Wellness Center, a provider of bidirectional behavioral and primary care in inner-city Detroit, will increase the total number of Wayne County adults and children, struggling with serious mental illness and substance use disorders, who have access to and utilize person-centered treatment. The two-year project will particularly target complex subpopulations, such as justice-involved, precariously housed, and super-utilizer populations. The proposed project will annually serve 9,000 unduplicated people and 12,000 during the project’s two-year period. The project will enhance Team Wellness Center’s capacity to deliver comprehensive, integrated treatment in the community, during non-business hours, and as an alternative to episodic treatment at hospital emergency departments. The project features the following innovations: • Specialized peer outreach with 500 returning citizens with SMI and SUD • Expanded clinical capacity at Team Wellness Center’s Psychiatric Urgent Care unit to assist 7,000 individuals with SMI and SUD • A behavioral and primary care mobile unit that annually reaches 2,000 individuals with SMI and SUD in neighborhoods with historically poor connections to behavioral and primary care • Additional permanent housing placement and retention resources using a Housing First model that will assist 150 homeless individuals with SMI and SUD • Evidence-based chronic disease and chronic pain self-management education for 25 peer support professionals to, in turn, educate 500 individuals with complex SMI and SUD The proposed project will implement all of the CCBHC required activities at the scope and standards outlined in the CCBHC Criteria Compliance Checklist.
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SM083069-01 | OZARK CENTER, INC. | JOPLIN | MO | $1,986,304 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Through the Urgent Behavioral Solutions (UBS) project, Ozark Center in partnership with Freeman Health System and Access Family Care, seeks to provide integrated, urgent behavioral health services, seven days a week, in a convenient, trauma informed, welcoming and comfortable care environment that ultimately will reduce reliance on emergency departments, reducing potential acute care admissions by developing alternatives, and reducing recidivism rates for high utilizers. The geographic catchment area of Barton, Jasper, McDonald and Newton counties, is located in the southwest corner of Missouri, along the Four State Area border (Missouri, Kansas, Arkansas, and Oklahoma). The city of Joplin is the project site and the largest city located in the geographic center of the region. These counties were selected as the location for this project because of their 1) identified need for urgent and emergent behavioral health services; and, 2) the existing infrastructure that exists as a result of the CCBHC established in this area in July, 2017. The population of focus will be a diagnostically heterogeneous population aged 16 years and older with an emergent or urgent psychiatric need resulting in a mental health crisis. These individuals will be unable to safely await routine community care due to risks such as suicide, self-harm, or clinical deterioration. Other populations served include those new to behavioral health care requiring immediate access but lack the ability to navigate a comprehensive treatment system, those who missed previously scheduled appointments at outpatient centers requiring an emergent response, those individuals that missed medication assisted treatment and require follow-up for prescriptions, and those individuals frequenting emergency departments requiring boarding and extended stays. It is expected that UBS will serve 3,650 unduplicated individuals over the entire project period with 1,500 served in the first year. Achievement of UBS project goals will produce meaningful and relevant results through expansion of effective urgent behavioral healthcare. The project has four goals: 1) decrease the number of individuals boarded in emergency departments; 2) reduce mental health symptoms in high utilizers of inpatient services; 3) increase access to opioid treatment services (4) increase psychiatric post-hospitalization follow-up; and 5) increase community access to programs defined by trauma informed practices and facilities as well as person first language. The applicant, Ozark Center, is a 501(c)(3) not-for-profit organization that was incorporated and began providing behavioral health services in February, 1965. The Center is dedicated to providing effective, comprehensive behavioral health care, including substance use treatment services. Ozark employs approximately 655 employees in 30 locations across Jasper, Newton, McDonald and Barton counties and serves nearly 14,000 consumers annually. In 2017, Ozark received Certified Community Behavioral Health Center status from the Missouri Department of Mental Health.
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SM083072-01 | MENTAL HEALTH ASSOCIATION OF WESTCHESTER COUNTY, INC. | TARRYTOWN | NY | $4,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
The Mental Health Association of Westchester(MHA) proposed project is "Mental Health Association of Westchester Certified Community Behavioral Health Clinic Expansion Project 2020." The project will serve individuals experiencing serious mental illness, SUD, and co-occurring mental health/substance use disorders, as well as children and adolescents with serious emotional disturbance and military/veterans and their families. The Counties are designated as Medicaid mental health professional Medically Underserved Populations and include 37,963 veterans and many active military personnel. Over 25% of children in the area live below the poverty line and 8.2% of residents (81,145), including 3% of children (9,508) lack medical insurance. In the past year, an estimated 22.45% of young adult (18-25) and 14.65% of other adult Metro North residents were diagnosed with a mental illness and 7% of residents used an illegal substance or prescription medication for non-medical reasons. Rockland County Teen (15-19 years) suicide mortality was 4.1 per 100,000 in 2016. In Westchester County, 12% of residents used illicit drugs in the past year and provider surveys identify substance overdose, suicide and youth vaping as emerging issues. Project goals: (1) serve 4,840 individuals in Year 1, increasing to 5,566 in Year 2; (2) screen, assess and confirm the diagnosis of at least 400 unduplicated individuals suspected to have a SUD (3) initiate treatment within 14 days for at least 60% of individuals with a confirmed SUD diagnosis (current rate in the region is 54%); (4) serve at least 250 individuals in active MAT (increase from original grant's target of 60); (5) at least 90% of individuals in mental health and/or SUD treatment will have outpatient primary care screening and monitoring of key health indicators and health risks within two months of MHA enrollment; (6) initiate mobile treatment services in Rockland County and serve 50 children and adolescents; (7) initiate telehealth to expand 24/7 crisis intervention; (8) engage at least 50 military personnel, veterans and their family members in mental health and/or SUD services; (9) annual Hepatitis A, B and C screenings with 40% of individuals with SUD; (10) have follow-up outpatient behavioral health evaluation within 7 days for 60% of MHA individuals discharged from a psychiatric hospital; (11) annual metabolic testing of at least 50% of individuals with ongoing antipsychotic use. Client satisfaction results will be reviewed quarterly and used to adjust operations. Strategies: add a psychiatrist via telehealth for crisis response; continue services and add staff including Credential Alcoholism and Substance Abuse Counselor for screening, assessment, diagnosis; develop mobile capacity for children in Rockland Co. needing mental health/SUD care; support HIV/Hepatitis screening and work with DCO in lab and on site; hire nurse navigator to monitor workflows; expand care management in Rockland County to support individuals ineligible for care management; implement tobacco cessation program including myStrength; and move part-time employment counselor to full-time. MHA meets all CCBHC requirements and will utilize continuous monitoring to ensure ongoing compliance. MHA has 2018 expansion grant to integrate SUD services and serve un/uninsured and veterans, through which we have begun the work that this grant would expand in both scope and populations.
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SM083075-01 | LUTHERAN FAMILY SERVICES OF NEBRASKA, INC. | OMAHA | NE | $1,999,607 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Opened in 2016, the Health 360 campus (H360) integrates primary care and behavioral health services in Lincoln, Nebraska, as a partnership between Lutheran Family Services (LFS, the applicant) and Bluestem Health. Accredited by COA, LFS is 127 years old with 18 locations across the state. LFS has served Lincoln-Lancaster County for more than 40 years. Bluestem Health, a Federally Qualified Health Center (FQHC) is the key partner for this project. As an integrated center, H360 also houses a pharmacy and Head Start program. For this project, LFS has secured commitments from the University of Nebraska and six other qualified DCOs to form a Certified Community Behavioral Health Clinic (CCBHC) at H360 and focus our expansion of services on the following populations: low-income urban communities, Limited English Proficiency (LEP) families, and military and veterans and their families. The two-year implementation of this project is a natural outgrowth of recent and ongoing program expansions at H360 to increase access to and improve the quality of mental health and substance use disorder treatment services. The population of focus for this expansion project will include adults, children, youth and families in Lincoln-Lancaster County, Nebraska, in need of mental health services to help them improve their well-being while focusing on the social determinants of health. LFS proposes to serve 4,600 unduplicated individuals during the project period and achieve seven key objectives, beginning with satisfying of all criteria for a CCBHC within four months of award date. Other objectives will see increases in living stability, improved mental health functioning, increases in social connectedness, decreased abuse of substances, and reduction in disparities regarding access to and outcomes of behavioral health services at H360. Crisis mental health services and case management will be built out, and H360 will provide care coordination, psychiatric rehab, social support opportunities, and comprehensive community recovery supports. The Care Coordinator will be responsible for insuring that LFS coordinates care with hospitals, schools, criminal justice agencies and other providers to improve health outcomes and reduce use of emergency room and inpatient facilities. Care coordination will be facilitated through a new agencywide practice management platform, connection to NHIE, and comprehensive treatment planning with our DCOs, including a longstanding partnership to provide Assertive Community Treatment (ACT). The CCBHC project will allow ACT services to become more integrated across all program components thus increasing accessibility for individuals and families. Implementation of the two-year project plan will be supported and assisted by its DCOs, and it will be evaluated by University of Nebraska’s Public Policy Center, an academic research office experienced in evaluating and assessing SAMHSA-funded programs as well as mental health-focused projects.
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SM083078-01 | JEWISH BOARD OF FAMILY AND CHILDREN'S SERVICES | NEW YORK | NY | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Project Summary: The Jewish Board (JB) proposes to transition its Midwood Service Hub into a CCBHC that offers all required services - health screening/prevention, behavioral health (BH) treatment, 24/7 crisis care, rehabilitation/recovery services and more - to primarily low-income culturally-diverse Brooklyn, New York residents of all ages. During the 2-year grant period, JB will serve 7,000 people, the majority with a serious BH condition. People served annually/project period: In the 2-year grant period, JB will serve 7,000 individuals of all ages at the CCBHC and related off-site programs with 3,728 individuals served annually. Population served: JB will serve primarily low-income culturally-diverse residents of all ages living in 5 densely populated, underserved Brooklyn communities in New York City (NYC). Today, 2 of 3 Hub clients have a serious mental illness (SMI) and 10% have a substance use disorder (SUD). Two thirds (62%) are ages 18-64, 22% are children ages 0-17 and 16% are 65+; 72.7% are low-income on Medicaid. Many have unaddressed trauma and co-morbid medical conditions. In the service area, 10-17% of residents are smokers; 41% of an adult cohort with SMI reported smoking. In NYC, Brooklyn residents had the second largest number of overdose deaths from a range of substances. In the population, 23% are high utilizers of inpatient/ER services (JB 25%); 50% have no outpatient follow-up after a psychiatric inpatient admission (JB 43%). Strategies/Interventions: The Hub currently has a large Mental Health Clinic, rehabilitation / recovery services, ACT, care transition and care coordination. CCBHC funds will facilitate the addition of SUD services, in-home BH and crisis care, health screenings/preventive care, outreach/engagement to high-need populations (veterans, public housing, homeless) and comprehensive screening/care planning/navigation for individuals to determine their needs. Goals/Objectives: (1) Decrease tobacco use by screening & providing appropriate follow-up. (Staff will screen for tobacco use & develop/implement a tobacco reduction/cessation plan with nicotine replacement therapy as needed increasing from 35% to 70%.) (2) Reduce adult BMI through routine weight screening/follow-up. (Staff will screen ages 18+ for BMI & as needed develop/implement a follow-up plan for weight reduction, increasing from 10% to CMS benchmark 66.4%). (3) Improve diabetes detection in adults with schizophrenia/bipolar disorder using anti-psychotic medications. (Staff will screen A1C levels of ages 18+ using medications, increasing from 18% to 60%). (4) Increase depression diagnoses for ages 12+ using the PHQ & implementing follow-up plan as needed. (Clinicians will administer the PHQ-9 per evidence-based guidelines, increasing from 46% to CMS Benchmark 60%). (5) Improve follow-up after psychiatric hospitalization of ages 6-21 by providing care transition & home-based MH services. (Staff will provide in-hospital intake and post-discharge in-home MH treatment/care navigation, increasing follow-up after hospitalization within 7 days of discharge from 43.1% to 65%).
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SM083081-01 | HEGIRA PROGRAMS, INC. | LIVONIA | MI | $1,986,519 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Hegira Health, Inc. Certified Community Behavioral Health Center (HHI CCBHC): Through community outreach, education, training, and use of evidence-based strategies (EBP), Hegira Health, Inc. (HHI) will expand integrated healthcare services and reduce suicide in Wayne County, Michigan. HHI will build on existing experience and services and improve screening, referral and coordination in the community to identify/treat mental health (MH) and/or substance abuse disorders (SUD), and primary care needs and to intervene appropriately. These goals will be accomplished by expanding capacity to deliver EBPs including Mental Health First Aid (MHFA) and Question Persuade Refer (QPR) to school personnel, human services staff, the faith community, parents, and youth to detect and appropriately respond to MH and/or SUD symptoms and concerns. The EBP Whole Health Action Management (WHAM) will be used by peers with lived experience to assist clients with establishing self-monitoring and practices to improve communication with physicians, decrease hospitalization and increase exercise and nutrition to produce better self-reported health. HHI refers to this initiative as the “HHI CCBHC” which includes recruitment and on-boarding, building service capacity, and enhancing screening and treatment. Some key include: 1) launching a trained CCBHC team within the first four months of award, 2) increasing integrated primary care services, 3) increasing capacity by expanding EBPs, 4) expanding suicide prevention training, screening, and treatment, and 5) implementing data-driven improvement practices. The catchment area for the project is Wayne County, Michigan. (population 1,761,382) inclusive of the City of Detroit (population 659,135). US Census data for 2019 reports 22.7% of residents live below the federal poverty level (FPL) compared to Michigan (14.2% FPL) and national averages (13.4% FPL). The racial profile of the County is 53.1% Caucasian, 39.1% African American, 5.7% Hispanic or Latino, and 2.0% “other” including Asian and Native American populations. (MLPP, 2018) Over 49% of families are single-parent and 30% have a High School diploma or less. Unemployment remains higher with 5.2% for Wayne County, 4.2% for Michigan, and 3.7% nationally. The top three service needs for Medicaid and uninsured residents were MH, SUD, and primary care. Suicide and overdose deaths increased over the last five years (CMHAA, 2019). Multiple Wayne County regions are designated as health and mental health shortage populations. (HRSA 2020) HHI CCBHC project will expand HHI’s service capacity as outlined with emphasis on outcome measurement and sustainability. HHI will: 1) provide integrated primary care services to 300 adults/50 youth in year 1 and 400 adults/100 youth in year 2; 2) expand enhanced screening to 1,500 adults/700 youth per year; and, 3) expand SUD services to 300 adults/100 youth per year; and 4) provide QPR training to 250 adults/50 youth in year 1 and 300 adults/100 youth in year 2.
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SM083082-01 | CHINATOWN SERVICE CENTER | LOS ANGELES | CA | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Chinatown Service Center (CSC) is seeking to expand our organization to establish the first CCBHC in California. CSC's proposed CCBHC site is located in Alhambra, at 320 S. Garfield Avenue. Our population of focus will be adults and children with a behavioral health diagnosis, including Severe Mental Illness, Severe Emotional Disturbance, and Substance Use Disorders. Los Angeles (LA) County is organizing eight Service Planning Areas (SPA); our proposed catchment area is SPA 3, also the location of our CCBHD site. In SPA 3, the primary racial groups are Hispanics (46.0%), followed by Asians (29.0%). Clinical characteristics of SPA 3 demonstrate the need for the CCBHC: a) 46.1% with SED/SMI did not utilize mental health services; b) 36.0% of adults who tried to access mental health, reported it was difficult to access care; c) the prevalence of Asians with SED/SMI is two to ten times higher than all other LA County SPAs; d)11.4% Medicaid enrolled individuals are estimated to have SED/SMI; e) 11.0% adults are at-risk for major depression; and f) 30.0% of those incarcerated in the LA County jail system have mental illness, nearly twice the U.S. estimate (16.9%). CSC proposes to serve 10,500 unduplicated patients each year, with a total of 21,000 patients projected to be served over the two-year grant period. Based upon the demonstrated need for expanded behavioral health care in SPA 3, CSC has developed the following CCBHC program goals, which are in addition to and separate from other performance measures required by the CCBHC criteria. Program objectives include: 1) By the end of grant, conduct outreach within 8 locations to reach 150 SED youth, with 75% becoming CCBHC patients; 2) By the end of the grant, conduct outreach within 8 locations to reach 200 patients with SMI, with 75% becoming CCBHC patients; 3) Within 6 months, develop a resource guide addressing emotional and social support/resources with SPA 3, distribute 80,000 resource guides by the end of the grant; 4) By the end of the grant, provide depression screenings for 2,000 patients, referring positive screenings, with 75% of referrals yielding an appointment; 5) For each grant year, provide transportation to 300 patients, with 75% of patients receiving vouchers attending scheduled appointments; 6) For each grant year, conduct community outreach at 8 fairs or events to raise awareness of the CCBHD program, reaching 3,500 individuals by the end of the grant; 7) Within six months of award, provide cultural competency training to 90.0% of CSC providers and selected DCO and partner staff; and 8) By the end of the grant, identify 200 individuals with mental health or SUD disorders, previously incarcerated and/or soon to be released, and refer to CSC's CCBHC, with 75% of referrals yielding an appointment. CSC is a long-established, multi-service agency with Federally Qualified Health Center (FQHC) designation; we already meet much of the criteria to become a CCBHC. Further, CSC has ample experience serving patients within the population of focus. We are confident that our proposed approach/timeline will allow for CCBHC certification within four months of award.
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SM083086-01 | COMMUNITY MENTAL HEALTH AFFILIATES, INC. | NEW BRITAIN | CT | $4,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Through SAMHSA’s Certified Behavioral Health Clinic Grant Program (CCBHC), Community Mental Health Affiliates, Inc. (CMHA), will increase access to and improve the quality of community mental health, substance disorder, and co-occurring treatment services among adults, youth, and families in Central CT. The CCBHC will provide 24 hour/7-day access to community-based mental health, substance abuse, and co-occurring disorder treatment integrated with an on-site Federally Qualified Health Center. The CCBHC service population includes adolescents and adults with serious mental illness (SMI), substance abuse disorder (SUD), and co-occurring disorders (COD), as well as children with serious emotional disorders (SED) in CMHA’s Central CT service area: Berlin, Bristol, Burlington, Kensington, New Britain, Plainville, Plymouth, Southington, and Terryville. US Census/agency data shows a target population of 238,618: 194, 180 ages 18+, 19,759 ages 12-17 and 24,679 ages 4-11. CMHA is the only Central CT provider which offers the full array of CCBHC services to a population of primarily indigent children and adults. In Fiscal Year 2019, CMHA served 4,050 clients - 3,770 adults over age 18 and 280 children ages 4-18; (70%) are from New Britain; 43% are Caucasian, 39% are Latino (a majority Puerto Rican), 12% are African-American, 6% are other/unknown. 95% fall at/below 200% of the Federal Poverty Level, with 77% on Medicaid, 19% on Medicare; 14% and .8% have a primary language of Spanish and Polish, respectively. Agency and community data indicates need for more Open Access hours, Medication Assisted Treatment (MAT), Veteran/Military services, Targeted Case Management (TCM), Assertive Community Treatment (ACTT), and treatment for Autism Spectrum Disorder (ASD) youth. CCBHC Goals include: 1) To equip CCBHC staff with the skills and knowledge of evidence-based practice (EBP) by providing EBP model staff training (Motivational Interviewing/ Cognitive Behavioral Therapy (MI/CBT), Trauma, Recovery and Empowerment Model (TREM), Seeking Safety, Trauma-Focused Cognitive Behavioral Therapy, Modular Approach to Therapy (MATCH); 2) To reduce the incidence of death by drug overdose, suicide, and self-harm by increasing the availability 24/7 Mobile Crisis Teams and Open Access Clinic hours. 3) To reduce high risk behaviors, substance abuse, trauma symptoms, and improve behavioral health and daily living skills among target adults by expanding outpatient, telehealth, Assertive Community Treatment and Targeted Case Management. 4) To reduce behavioral and trauma symptoms and improve child/adolescent functioning by expanding EBPs for children/adolescents with SED/ASD. 5) To reduce chronic disease and premature death among adults and children by embedding the Community Health Center (CHC) into the CCBHC and further integrating primary and behavioral health care. 6) To reduce smoking and promote wellness and recovery by providing care management and recovery support groups. 7) To meet CCBHC goals/objectives by creating project management/governance structures. The CCBHC will serve a total of 2,510 unduplicated consumers.
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SM083089-01 | OPTIONS FOR SOUTHERN OREGON, INC. | GRANTS PASS | OR | $1,993,073 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Options for Southern Oregon’s (Options) Certified Community Behavioral Health Clinic (CCBHC) Expansion Project, “CCBHC Expansion Services: Integrated Peer Wellness, Mobile Outreach and Engagement”, will expand the capacity of its Jackson County, Oregon CCBHC to successfully engage and treat those with mental illness (MI), substance use disorders (SUD), serious emotional disturbance (SED) and co-occurring disorders (COD) with an emphasis on those w/comorbid physical health concerns, chronic pain and underserved populations. Underserved subpopulations include those experiencing homelessness, criminal justice involved individuals, child welfare involved families, Veterans and members of the Armed Services, members of the LGBTQ+ community and individuals with MH/SUD emergency department (ED) utilization. This expansion project will meet the following goals: (1) reducing the MH symptoms and the severity of addiction for CCBHC adults and youth; (2) expanding the integration of evidence based health and wellness activities and concepts into behavioral health treatment and the CCBHC culture; (3) increasing capacity to outreach and engage underserved populations in CCBHC services; and (4) increasing treatment retention. Options will meet project goals by providing culturally relevant, evidence-based MH, SED, SUD, COD and chronic pain treatment services, feedback informed treatment, missed appointment and emergency department follow-up, community outreach and engagement services, peer wellness coaching and the development of a comprehensive CCBHC Culture of Wellness. A minimum of 1,084 individuals will be served in year one and 1,086 in year two, resulting in a total of 2,170 served during the grant period. Tele-health services will be provided as well to ensure that care is readily available and timely. Measurable objectives reflect the expanded use of evidence based practices including Motivational Interviewing, Cognitive Behavioral Therapy-chronic pain, and Partners for Change Outcomes Management Systems-feedback informed treatment in addition to expanding peer services. Measurable objectives also include: CCBHC members identifying improvements in pain management, anxiety, over-all sense of well-being, or increased sense of ability to cope; an increased number of members abstaining from illegal substances; increased retention in treatment; meeting target numbers for screenings and outreach and engagement activities particularly for underserved populations and achieving Culture of Wellness standards across the CCBHC.
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SM083090-01 | CALHOUN COUNTY COMMUNITY MENTAL HEALTH AUTHORITY | BATTLE CREEK | MI | $3,995,541 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Calhoun County CCBHC is a project of the Calhoun County Community Mental Health Authority (CCCMHA), hereafter referred to as Summit Pointe, to improve the health of individuals in the county while advancing integration of behavioral health and physical health care, increasing use of evidence-based practices, and expanding capacity, access, and availability to high quality care. The population of focus is Adults with Serious Mental Illness (SMI), Adults with Substance Use Disorders (SUD), Children/Adolescents with Serious Emotional Disturbance (SED), and Youth and Adults with co-occurring Substance Use Disorders (COD). Calhoun County’s population is 133,952 with 30,478 youth under the age of 18 and 9,976 veterans. Demographic make-up shows 79.88% Caucasian, 10.99% African American, 2.84% Asian, .68% American Indian, .04% Native Hawaiian. Hispanic/Latino is 5.33% of the total population. Gender make-up is 48.93% male; 51.07% female. Summit Pointe’s strategy will provide crisis mental health services, screening, assessment and diagnosis, patient centered treatment planning, risk assessment and crisis planning, outpatient behavioral health services, outpatient primary care screening and monitoring of health indicators and risks, clinical monitoring for adverse effects of medications, targeted case management, psychiatric rehabilitation services social rehabilitation programming, peer recovery supports, veterans’ behavioral health services, and Assertive Community Treatment. Evidence based practices include: SBIRT, Motivational Interviewing, and Seeking Safety. Goal 1. Increase access to behavioral health services for population of focus. Objective 1a) Summit Pointe and DCO outreach staff will provide contacts to 800 people in the community by end of year 2. Objective 1b) 1200 individuals by end of Year 2. Goal 2. Deliver comprehensive and coordinated care that provides access to effective evidence based interventions for individuals with complex needs. Objective 2a) Provide evidence based treatment for 100% CCBHC enrolled individuals. Objective 2b) Provide care coordination for 100% CCBHC enrolled individuals. Objective 2c) Increase number of individuals receiving SUD services from implementation baseline by 100% by end of year 2. Goal 3. Deliver integrated care for behavioral health and physical health risks and needs. Objective 3a) 95% or more of enrolled individuals will receive primary care screening and monitoring of health indicators and risks as identified in CCBHC Quality Measures. Objective 3b) Nurse Care Coordinators will be assigned to 100% individuals identified with high behavioral and health risks as determined by screenings completed. All individuals with SMI/SED/SUD/COD served by Summit Pointe will be eligible to participate with the CCBHC. Individuals enrolled in the grant portion of the CCBHC will be those who consent to the evaluation including new individuals entering care and current individuals eligible for CCBHC services. Project will serve 250 individuals Year 1, 250 individuals Year 2, for a total of 500 unduplicated individuals.
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SM083091-01 | HIGH POINT TREATMENT CENTER, INC. | NEW BEDFORD | MA | $1,996,732 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
The project “Expanding Access of Substance Use, Mental Health, and Co-Occurring Disorder Services through Rapid Access Assessment Center” would expand the Certified Community Behavioral Health Clinic services within High Point’s outpatient program in New Bedford, MA to provide an assessment center model to increase patient access to screening and assessments for mental health, substance use, and co-occurring treatment services through the SBIRT model. The population served includes adults age 18 & older and adolescents age 13 to 17. Patients will be able to access assessment center services on-site 7 days a week and meet with a clinician, who will complete a screening, intake, and do a thorough assessment to identify areas of risk, assessment of psychosocial needs, and need for medical monitoring or psychiatric stabilization. The proposed project would provide increased access through a rapid access assessment center model to screening, brief intervention, and referrals to appropriate substance use, mental health, and co-occurring disorder integrated treatment services. High Point currently provides outpatient counseling, psychiatric medication management, and MAT (Medication Assisted Treatment) services in its Brockton and Plymouth outpatient programs, and recovery support staff trained in recovery coaching within the community. The integrated assessment center staff will be comprised of Masters’ trained clinicians, medication prescriber, nurse case manager, and recovery coaches. The overall goals and objectives of the expansion would increase access to treatment for individuals diagnosed with a substance use, mental health, and/or co-occurring disorder receiving enhanced clinical support with referrals to inpatient and residential treatment services, evidence-based counseling services, psychopharmacology, MAT, and community-based recovery supports to improve coordinated care and engagement to reduce recidivism in treatment. The project will serve 3,000 patients over the course of the two-year project and 1,500 annually.
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SM083092-01 | CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC. | BROOKLYN | NY | $1,999,038 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Catholic Charities Neighborhood Services, Inc. (CCNS) will expand access to and improve the quality of integrated community behavioral health (BH) services offered at our licensed Brooklyn-based site location. We will expand access to services for adults with mental illness, children and adolescents with serious emotional disturbance (SED); individuals with substance use disorders (SUD) including opioid disorders; and individuals with co-occurring disorders (COD) in the Brooklyn neighborhoods of: Flatlands, Midwood, Kensington, Flatbush, East Flatbush, Ditmas Park, and Crown Heights. We provide comprehensive, integrated BH services to individuals from every walk of life. Many of our clients face a myriad medical, behavioral, and social conditions and challenges. Over the grant period, we will increase the number of individuals we serve to 1,400 over the two year grant funded period, with 1,000 served in the first year (numbers do not directly sum due to clients served in both years of the program). As an existing CCHBC-E grantee whose funding is ending in September of 2020, we currently meet all CCBHC criteria and will begin service delivery immediately upon grant award. Specifically, we will: (1) provide immediate access to a comprehensive range of community-based mental health and substance use disorder services, including crisis intervention and 24-hour mobile crisis response; (2) provide integrated treatment for an expanded number of individuals with COD; (3) advance integration of behavioral health (BH) with physical health through an expanded array of evidence-based practices and by partnering with local providers, including a pharmacy and FQHC; and (4) provide overall improved access and quality of care to all populations by leveraging the lived experience of individuals living with mental illness and SUD, including veterans, through increased peer involvement in the care we offer, as well as expanding our capacity to provide targeted case management and coordinate benefits for our clients to address their holistic needs, including social determinants. In Brooklyn today, we provide all CCBHC-required services (with a DCO for ACT services) in a client-centered and integrated manner. We offer immediate access to services through open-access/walk-in appointments, provide evidence based BH assessments upon intake, and promote lived experience throughout our entire behavioral health portfolio. In addition, CCNS is currently certified by NYS OMH to provide Telepsychiatry services between clinics, which we utilize as a service enhancement to ensure psychiatric coverage and medication availability for all clients, including CCBHC clients. We are currently working to expand our tele-mental health services, which will allow clients to receive both psychiatry and outpatient therapy services virtually to further expand access.
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SM083093-01 | RESOURCES FOR HUMAN DEVELOPMENT, INC. | PHILADELPHIA | PA | $1,035,511 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Project Name: FY2020 Resources for Human Development CCBHC Expansion Initiative Population Served: Adults with Serious Mental Illness and Substance Use Disorder and Children Under 18 with Serious Emotional Disorders Resources for Human Development, Inc. (RHD), Lower Merion Counseling & Mobile Crisis Services (LMCMS) will provide immediate access to assessment, screening and treatment for adults with serious mental illness (SMI) and substance use disorders, and children under age 18 with serious emotional disorders. As a Certified Community Behavioral Health Clinic (CCBHC) LMCMS provides expanded access to intensive community-based services for individuals with untreated mental illness or addiction in Montgomery County, Pennsylvania. The goals of the expansion program are threefold: 1) to better integrate behavioral health with physical health care; 2) to increase consistent use of evidence-based practices; and 3) to improve access to high quality care for people with mental and substance use disorders. LMCMS has been providing a broad range of mental health and substance abuse services for over 40 years. Our staff includes psychiatrists, clinical social workers, family therapists, and other mental health professionals. During the grant period, RHD/LMCMS will provide the following CCBHC core services directly or through formal contract with a Designated Collaborating Organization over the two-year grant period for approximately 1955 adults and 245 children. Grant funds will be used to increase the capacity of LMCMS to deliver the following core CCBHC services directly (or through DCO agreement). LMCMS CCBHC services include: • 24-Hour Mobile Crisis Unit (through DCO agreement) • Screening, Assessment, and Diagnosis • Patient Centered Treatment Planning • Outpatient Mental Health and Substance Use Services • Outpatient Primary Care Screening and Monitoring • Medication Monitoring • Targeted Case Management • Psychiatric Rehabilitation • Recovery Supports • Assertive Community Treatment • Care for Veterans and Members of the Military Funding will also be used to purchase technical assistance from Netsmart to further develop LMCMS’ Electronic Health Record system myAvatar to more fully support electronic information exchange—along with data collection, and quality reporting. LMCMS will collaborate with the Montgomery County Department of Health and Human Services and the Pennsylvania Office of Mental Health and Substance Abuse Services to ensure that our services are aligned with the local assessment, screening and treatment needs of adults living with SMI and substance use disorders and children with serious emotional disorders.
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SM083094-01 | PESACH TIKVAH-HOPE DEVELOPMENT INC. | BROOKLYN | NY | $2,000,000 | 2020 | SM-20-012 | |||
Title: CCBHC Expansion Grants
Project Period: 2020/05/01 - 2022/04/30
Pesach Tikvah CCBHC will advance primary-behavioral health and substance abuse integration and use evidence-based practices to serve an unduplicated 4,500 individuals (Y1: 2,822; Y2: 3,245) Target population are Orthodox Jewish individuals in Brooklyn, NY neighborhoods of Borough Park and Williamsburg with mental health conditions including serious mental illness, substance use disorders, co-occurring disorders and/or youth with serious emotional disturbance. Hispanic individuals and veterans will also be served. The target population experiences health disparities, high rates of poverty, stigma, cultural and language barriers and lacks access to outpatient substance abuse and behavioral health care. Recent hate crimes targeting the community have contributed to an increased need for trauma services. Pesach Tikvah CCBHC goals include: 1) Expanding access to services by increasing capacity of behavioral health services and integrating substance abuse and primary care screening to be accomplished by obtaining licensure for substance use services, adding staff and developing collaborative relationships. 2) Improving quality of care and clinical outcomes by implementing risk stratification process and targeted case management program, implementing weekly team meetings and implementing evidence based practices including Screening, Brief Intervention and Referral to Treatment, Cognitive Behavioral Therapy, Cognitive Processing Therapy, Motivational Interviewing, MAT and Integrated Treatment for Co-occurring Disorders. Taken together, this will help decrease mental health symptoms by 45%, decrease substance use by 45% and achieve 50% compliance with medication. 3) Reduce total cost of care by increasing access to integrated care and using data to drive clinical decision making and quality improvement. This will contribute to sustainability by enabling the use of data to develop value based payment arrangements. PT currently provides most of the required services (including outpatient mental health, 24/7 access to crisis, care coordination, screening/assessment, treatment planning, psychiatric rehab and peer supports, timeliness of access, etc.) In order to meet all certification requirements by 4 months post-award Strategies and Interventions include: 1) Develop Advisory Workgroup 2) Refine its existing Needs Assessment 3) Develop policies and procedures and workflows. 4) Develop formal relationships with care settings including a DCO relationship with Woodhull/HHC for ACT services 5) Train staff and implement EBPs 6) Complete a regulatory process for NYS licensure to provide SUD services, including MAT, and build a team of Integrated Specialists 7) Hire a Nursing Director and a PNP with addiction specialty to provide primary care screening and prescribing. 8) Expand Care Coordination program 9) Implement weekly team meetings 10) Refine existing HIT and use Business Intelligence/Data Dashboard to assist with clinical decision making, 11) Apply a continuous quality improvement approach 12) Expand awareness of available services by conducting marketing and outreach campaign.
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