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Public Health Services Impact Statement By: Green Country Behavioral Health Services, Inc. (GCBHS) GCBHS is submitting an application in response to the SAMHSA Funding Opportunity, “FY 2020 Certified Community Behavioral Health Clinic Expansion Grants” (FOA) No. SM-20-012. Our proposal will increase mobile crisis and integrated care, improving chronic health outcomes for Muskogee and McIntosh Counties in Oklahoma. We will also reduce out of home placement in our service area, with the use of mobile technology providing 24/7 access to clinicians trained in crisis stabilization services. Our population focus will continue to be adults and children with (SMI), (SUD), (SED), and/or (COD) and our community veterans suffering from Post-Traumatic Stress Disorder (PTSD) and/or any other mental illness or addiction. Our expansion project will provide us the funds to expand our mobile crisis team, enhance and expand integrated healthcare for adults and children, and offer primary care screening and monitoring to those uninsured and underinsured individuals in our service area. We will also expand availability and utilization of Medication Assisted Treatment (MAT), meeting with Primary Care Physicians in our community to provide education on the availability and proven track record of MAT services. GCBHS plans to dramatically decrease inpatient psychiatric hospitalization by combining mobile technology solutions, community outreach, 24/7 outpatient and crisis stabilization services, utilizing evidence-based practices. Our staff will work with housing partners to increase placement opportunities for our community’s homeless population, with an emphasis on finding appropriate housing for those suffering with SMI, SUD, or COD. We will improve access for Veterans in our community by expanding outreach and treatment options, by providing outreach and education to Veterans’ Service Organizations. GCBHS has partnered with MyCare Integrated Software Solutions, which integrates with our EMR system. We will track progress toward our goals and objectives, as well as collect and report on all of the CCBHC Continued Quality Improvement measures. These grant funds will also be used to provide training and technical assistance to our staff in order to improve our support of veterans in our catchment area. At GCBHS, we understand the methodology and concepts within the CCBHC six core program requirements. Not only is it a focus of collaboration within the healthcare system, which is less fragmented for the people we serve; it is also a deeper collaboration with our colleagues to enhance availability and accessibility to the underserved population. This can only be accomplished with communication and quality data driven analysis by competently trained staff. We will continue to coordinate our local efforts with those of the ODMHSAS, OHCA, OSDH, and local community service organizations. We will reach out for guidance from ODMHSAS in our efforts to improve a fragmented, disconnected and often inadequate, system that has been limiting the recovery for the people we serve.

The CCBHC Expansion Services in NE Indiana project will be delivered in eight counties in northeastern Indiana, serving a total population of 686,377. With four MUAs and 24 HPSAs located in the target area, there are only 160 mental health providers for every 100,000 of population. The overall goal of the proposed project is to increase the number of individuals in the targeted region who receive mental health services and supports, including mobile crisis intervention. Many of the required CCBHC services are already being provided by Park Center and Parkview using a hub and spoke model. Park Center in Fort Wayne, Allen County serves as the “hub” with many services provided via telehealth to the “spokes” in DeKalb, Huntington, Kosciusko, LaGrange, Noble, Wabash, and Whitley counties. Indiana’s suicide rate has been on a steep upward trend, increasing from 13.5 suicide deaths per 100,000 in 2012 to 16.6 in 2019. This is higher than the national increase (12.4 to 14.5) during the same period (CDC). Further, Indiana has a higher suicide rate in all racial/ethnic categories and age groups than the nation as a whole, except for those over 65 years of age. In terms of substance abuse issues, Indiana has the seventh biggest drug problem in the United States. Drug-related deaths rose from just over four per 100,000 in 1999 to 29.4 in 2017 (as compared to the national increase from five to 21.7 per 1000,000 in the same time period). Furthermore, the rate of increase in Indiana has been significantly greater in recent years, increasing 22.5% from 2016 to 2017 (NIH, Indiana Opioid Summary). The objectives of the project are to: (1) reduce PHQ9 scores of patients served by 20% over six months, (2) extend services to crisis mental health care to 24/7 within four months, (3) increase mental health treatment and support service referrals for individuals with serious mental illness (SMI), substance use disorders (SUD), children and adolescents with serious emotional disturbance (SED), and individuals with co-occurring mental and substance disorders (COD); (4) reduce number of EMS runs for opiate overdose, (5) reduce deaths from overdose, and (5) increase the number of pregnant women with substance use disorders (SUD) who receive navigation services. These objectives will be achieved by expanding the current array of mental health and substance abuse services, including; screening, assessment and diagnosis; patient-centered treatment planning; provision of psychotropic medication and supports; 0utpatient primary care screening and monitoring; case management; psychiatric rehabilitation; social supports; community recovery supports; Assertive Community Treatment; cooperative relationships with judicial officials/court systems; tobacco and vaping cessation programs; vocational and education counseling; and, support housing. In addition, the program will implement 24/7/365 mobile crisis intervention services.

Integration Information, Ignite Implementation, is an expansion of the CCBHC model aimed at improving the quality of mental health and substance use disorder treatment. Implementation of ongoing real-time data reporting will inform practice management to address a 200% spike in crisis services with a highly qualified community shared workforce. Since becoming a CCBHC, our agency has doubled the number of unique individuals served and is committed to increasing access by another 7%-10%. Wallowa County, with a population of 7,051, is geographically isolated, vast in size, and culturally conservative. Individuals with MH and SUD diagnoses generally mirror the ethnic makeup of this frontier county as a whole. Wallowa County is predominantly white with "white alone" making up 93.7% of the population, with 2.6% identifying as two or more races. The largest minority group is Hispanic at 2.8%. Wallowa County has a high rate of persons 65 and over (27% in Wallowa County vs 15.9% statewide). The median age of the county is 52.7, as compared to the statewide median of 37.3. The two fastest growing age categories are over 65 and under 18. Wallowa County's poverty rate is 14.6%, higher than the national average of 12.7%. The uninsured rate has tripled from 5% to 17%. As a CCBHC, our populations of focus consists of all community members regardless of location or payer. However, due to the integrated care model we have additionally identified a sub-population made up of males between the ages of 15 and 33.Through Culturally and Linguistically Appropriate Service (CLAS) delivery, the CCBHC will continue increasing access to routine care, continue reducing ED admissions, ensure ongoing data collection to inform practice management, and lower the prevalence of dental neglect that increases the risk of poor physical, psychological and emotional health outcomes.

Citadel Community Behavioral Health Clinic (CCBHC) is designed to not only bring together chemical and mental health care, but to coordinate a person's total health and social service needs, including physical health care. In many communities, a person with a mental illness would need to contact several different agencies to obtain services, and rarely could they obtain both mental and substance use disorder treatment through the same agency. CCBHC will change that, offering a range of coordinated services such as primary care screening, crisis mental health services and case management in addition to mental and chemical health care. In short, CCBHC will serve as a "one-stop-shop" for both adults and children who have trouble otherwise getting the help they need. CCBHC will improve access, quality, coordination and continuum of care to a minimum of 500 clients annually, through the use of evidence-based standardized assessment tools and practices; implementation of person centered and/or family centered informed care; increase of care coordination and recovery support services; and inclusion of youth and family/caregiver participation at all levels. The target population is adults and/or youth who are locally identified with priority going to adults and/or youth, as well as youth involved in multiple systems, such as welfare and justice systems. Services will be delivered through collaborations/partnerships between CCBHC and other community-based treatment providers and/or DCO's in the Riverside-San Bernardino-Ontario MSA. People who utilize CCBHC may receive comprehensive outpatient mental health and substance use services, including provision of psychotropic/anti-psychotic medications; psycho-therapeutic interventions; primary care screening and monitoring (including HIV and viral hepatitis screening); behavioral health screening, assessment and diagnosis, including risk management; psychiatric rehabilitation services; including 24-hour mobile crisis teams, emergency crisis intervention and crisis stabilization; patient-centered treatment/crisis planning; targeted case management; peer and family support; intensive community based treatment services for veterans and members of the armed forces; assertive community treatment; social support services and/or connections with other service providers. The overall objective of the project is to reduce disparities in mental health and improve health outcomes. We will meet this objective by increasing access to and improving the quality of mental and substance use disorder (SUD) treatment services, including opioid use disorders; provide access to 24/7 crisis intervention services for individuals with serious mental illness (SMI); children and adolescents with serious emotional disturbances (SED); individuals with co-occurring mental and substance disorders (COD); and increase culturally, linguistically and LGBTQIA competent services. Success will be measured based on required performance measures as well as via routine care needs; time to initial evaluation; time to comprehensive person-centered and family centered diagnostic and treatment planning evaluation; documentation of current medications in the medical record; initiation and engagement of alcohol and other drug dependence treatment; enrollment in education, vocational training and/or employment; housing status; managing one's disease(s) or symptoms; making informed healthy choices that support physical and emotional well-being; conducting daily activities; and/or social connectedness.

Columbia River Mental Health Services (CRMHS), in partnership with NPC Research, proposes to become a Certified Community Behavioral Health Center (CCBHC) serving Southwest Washington, including Clark County, Skamania County, and Cowlitz County. CRMHS targeted population are Medicare enrollees and uninsured individuals seeking behavioral health services, such as individual and group therapy, case management, medication management, peer support, psychiatric services and substance use disorder treatment. In 2019, the uninsured rate in Southwest Washington was around 7% and there are 112,000 Medicare enrollees. The identified service gap is that nearly all behavioral health providers in Southwest Washington do not accept Medicare enrollees or uninsured clients; however, this population is expected to have a growing need for mental health providers, as individuals struggle with anxiety, depression, and connection to primary care providers. CRMHS will become a CCBHC to serve all individuals in Southwest Washington, with a focus on reaching uninsured individuals and Medicare enrollees. CRMHS will hire LCSWs, case managers, psychiatrists, and nurses that have specialized training and focus on treating elderly and uninsured. The goal of the project will be to increase the local capacity of the health system to provide comprehensive mental health services to Medicare and uninsured patients in the Southwest Washington region. NPC Research will assist with performance measurement, data collection, and outcomes. Annually, CRMHS will provide mental health assessments to 200 individuals and for the entire program will serve 400 individuals. Another goal is to reduce the social barriers (e.g., transportation) Medicare and uninsured patients experience when accessing care by providing care case management to all patients receiving care at CRMHS. Annually, CRMHS will connect 170 people with case managers to increase connectivity for Medicare enrollees and uninsured individuals. Throughout the program, 340 individuals will be connected to social services in Southwest Washington. Through evidenced based practice and communication with a client’s primary care provider, clinicians, psychiatrists, case managers, and a medical team will assist clients in becoming healthier both physically and emotionally. By having these additional services in Southwest Washington, CRMHS will reduce the rates of depression and anxiety in the Medicare population, while connecting them to resources such as housing, food, and employment and provide services to individuals who may have to wait months to receive mental health services.

Bluebonnet Trails Community Services (BTCS) seeks to expand substance use disorder services and outreach within our communities. BTCS will use CCBHC-E funds to establish two mobile provider teams providing Medication-Assisted Treatment (MAT) services. These teams will deploy from BTCS outpatient behavioral health clinics in Bastrop and Guadalupe Counties, opening treatment options to residents of Bastrop, Caldwell, Fayette, Gonzales, Guadalupe, and Lee Counties. Additionally, BTCS will add NRT services in Williamson County. The mobile MAT teams will consist of a Registered Nurse (RN), Addiction Psychiatrist available by telemedicine, Peer Recovery Coach, Family Nurse Practitioner (FNP), and a Licensed Professional of the Healing Arts (LPHA) with a background in counseling. Care Coordinators will be assigned to ensure the connection of individuals served to additional services, according to their assessed needs. The LPHA will provide trauma-informed therapy utilizing evidence-based trauma and substance treatment therapy protocols, based on the stage of change and a Person-Centered Recovery Plan. The two mobile teams will share the LPHA. A Peer Recovery Coach will also work at both sites to provide peer support in one-on-one and group formats. Teams will share an FNP, under the supervision of an Addiction Psychiatrist to provide MAT services, including Suboxone and NRT. Each team will have a separate RN to provide ongoing medication monitoring and health and wellness support.

Citrus Health Network, Inc. (CHN) is a not for profit community-based behavioral health center founded in 1979 and became an HHS/HRSA Federally Qualified Health (FQHC) Center under CHC 330(e) in 2004. The goal of the project is to create a health home that meets CCBHC requirements to address the needs of persons who are dually-diagnosed, and seriously mentally ill through expanded care coordination and integrated care. A total of 600 persons are expected to be served with the enhanced care coordination services. CHN is accredited by the Joint Commission and has also received recognition as a Patient Centered Medical Home. CHN is located in the West Dade/Hialeah area. The area is designated as a Medically Underserved Area and Medically Underserved Population. The target area includes the Cities of Hialeah, Hialeah Gardens, Miami Springs, Medley and West Dade. The persons served by CHN also includes children, persons who are homeless and persons who are disabled due a serious mental illness.

The MHC will improve quality of services, impacting all persons served and specifically targeting the outcomes of the homeless and housing insecure population through improved integration with human services and primary care. The MHC will also increase data analysis capacity and sharing of information to expand partners' abilities to report on costs and coordination of care outcomes.

Bootheel Counseling Services (BCS), located in the rural southeast portion of the State of Missouri, serves as the Administrative Agent for offering behavioral health care to individuals living in Scott, Stoddard, Mississippi and New Madrid counties. This project focuses on a 4-step goal that includes: expanding the array of services our agency currently offers, improving access to care, increasing the quality of care and to become a tobacco/vaping free facility. We will expand our current behavioral health services by: providing rapid response to individuals presenting with mental health concerns in local emergency rooms; expand psychiatric medication services by prescribers using Medication Assisted Treatment; and by decreasing the number of hospitalizations for the chronically mentally ill by creating a local Assertive Community Treatment team. This goal will be accomplished within the first four months of the grant project. The second goal of the project will implement a screening/triage system that will result in identification of immediate, urgent, and routine level of need for services for individuals requesting new services. The third goal will focus on increasing quality of care for individuals by using evidence based practices, screening tools, case management and collaborations. For the final goal, BCS will become a tobacco/nicotine inhalation product free facility/grounds and promote abstinence from all tobacco products. It is estimated that within the two year period of the grant award BCS will serve an additional 1,500 consumers, 100 of which are Veterans.

The Certified Community Behavioral Health Clinic (CCBHC) Expansion Program at Metrocare will expand behavioral healthcare for adults and children to include Care Coordination and a 24/7 Crisis Services Continuum that provides a warm line, a hot line, mobile crisis services, and enhanced clinic-based crisis assessment, intervention, and stabilization. If awarded Metrocare plans to utilize funding to implement care coordination and crisis services at Metrocare’s Skillman location which is located in Northeast Dallas County and serves approximately 4,000 individuals per year. Mental health, primary care, and Adult Substance Use Disorder services are currently provided at Skillman and Metrocare’s robust housing is located at this site. Metrocare’s goal is to provide a holistic and integrated approach to care by implementing care coordination services and to assist individuals from crisis to stabilization with the creation of a crisis services continuum. Over the course of this two-year project, Metrocare anticipates providing care coordination and crisis services to approximately 5,000 individuals.

The Centers intends to lead The Cuyahoga County Certified Community Behavioral Health Clinic (CCBHC) project in northeast, Ohio. The overall goal of the project is to increase access to, and the quality of, behavioral health treatment and recovery services for three groups experiencing severe health disparities: underrepresented minority adults, low-income families and youth. Annually, a projected 5,000 individuals will be served and 15,500 over the two years. The project service area, Cuyahoga County, includes the city of Cleveland, the county’s largest population center. Cleveland also has the second highest rate of child poverty among large U.S. cities, with more than half of all children living in poverty. Cuyahoga County has the following US Health Resource Services Administration designations: 19 Medically Underserved Areas, 8 Primary Care Health Professional Shortage Areas, 10 Dental Health Professional Shortage Areas and a large Mental Health Professional Shortage Area. The 2018 Cuyahoga County Substance Use Epidemiologic Profile indicated that drug induced fatalities occur among the population of focus at almost eight times the national rate. As the largest behavioral health provider in the county, with five service locations, The Centers, will engage the community to fully integrate the project with: Ohio Department of Medicaid (Medicaid managed care) local hospitals, a federally qualified health center (certified as a patient-centered medical home), 24/7 mobile crisis stabilization and peer support services providers, and leverage community health workers through the local pathways community HUB to work closely with individuals and families to connect to social and medical services to remove barriers to health. Together, an experienced public health researcher and Better Health Partnership, a local multi-stakeholder Health Care Improvement Collaborative, will conduct an evaluation to determine whether the project resulted in the Quadruple Aim® for performance improvement of healthcare institutions: • Aim 1: Increase the capacity of the local behavioral health (BH) system in Cuyahoga County, Ohio to address unmet needs that contribute to longer and healthier lives of the population. • Aim 2: Improve the client experience through increased accessibility and availability of person-centered, trauma-informed, culturally competent, and recovery-oriented services. • Aim 3: Increase the effectiveness of a system-wide care coordination, integrated care and referral programs in Cuyahoga County leading to a reduction in per capita cost of health care. • Aim 4: Improve recruitment and retention of behavioral health workforce by implementing nationally-recognized best practices that support the work-life of health care staff.

Heartland Family Service (HFS) CCBHC will enable HFS to strengthen behavioral health services in Pottawattamie, Mills and Harrison Counties in southwest Iowa. Depression, suicide and substance use disorder are key issues of concern in Iowa, along with low availability of mental health services. The CCBHC model will be used to further improve the integration of physical and behavioral health care for mental illness and substance use disorder. HFS has been a State Block Grant provider since 1981. As an Integrated Provider Network grantee, HFS provides substance use and problem gambling services and was selected based on ability to educate the public, assess local needs, provide effective co-occurring treatment, deliver prevention methodologies, and offer wrap-around services. Total population of this area is 122,730. The CCBHC funding will allow HFS to serve 1,800 people over two years. HFS provides person- and family-centered integrated services to SAMHSA’s targeted population and will welcome the opportunity to serve additional clients under the CCBHC grant. HFS has experienced staff who apply appropriate Evidence-Based Practices to effectively serve each client’s needs. HFS currently coordinates care with many other providers and agencies in southwest Iowa who serve the targeted populations, including Micah House shelter, Methodist Jennie Edmundson Hospital, One World Community Health Center, Children’s Square, All Care Health Center, Douglas County Veterans Services, and others. HFS offers a unique breadth of services to a broad population. HFS will continue to directly provide and expand crisis mental health services; screening, assessment and diagnosis; risk assessment; patient-centered treatment planning; comprehensive mental health and substance use services including psychotropic medication; screening for HIV and viral hepatitis; case management; psychiatric rehabilitation services; social support; peer support services; intensive community mental health care for members of the armed forces/veterans, and Assertive Community Treatment. HFS will use Designated Collaborating Organizations to provide medical substance use detoxification services and outpatient clinic primary care screening/monitoring and quality health care to meet all CCBHC requirements. Outcomes projected for the CCBHC include serving 700 clients in the first year of the award, and 1,100 in the second year of the award through expanded availability of behavioral health services. HFS will collect and provide the data elements required under the award to support evaluation and quality improvement activities for SAMHSA. HFS will ensure data sharing and quality measures with collaborating providers to better assess and impact population health and disparity reduction. A third goal is to provide more client and peer input into program approaches through the development of an Advisory Work group comprised of individuals with mental and substance use disorders, and family members, to provide input and guidance to the CCBHC on implementation of services and policies by 12/01/2020

PROJECT ABSTRACT Community Rehabilitation Center (CRC), a non-profit community-based organization, proposes to implement Project Integrated Health Services (IHS) targeting the following populations: 1) adults, ages 18 and over, affected by severe mental illness or substance use disorders; 2) children and adolescents with a serious emotional disturbance; and 3) adults with co-occurring mental health and substance use disorders. CRC seeks funding to enhance the current service model by becoming a fully functioning Certified Community Behavioral Health Clinic (CCBHC) and expand its ability to provide effective services by including 24/7 mobile crisis services in Duval County, FL. These services, including physical health care, will be available 24/7 in one single location. In addition, CRC will work with the Jacksonville Police Department and the Duval County Sheriff’s Department to implement a 24-hour Crisis Intervention Team (CIT). The target area is deeply impacted by mental health issues and substance abuse. This is evident through findings from the Jacksonville Community Health Needs Assessment (2019) which identified Mental/Behavioral Health and Mental Disorders and Access to Health Services as the top two concerns. Project IHS will accomplish the following measurable goals: 1) By January 30, 2021, strengthen its infrastructure by recruiting and hiring professional treatment staff and creating partnerships with local law enforcements. 2) By November 30, 2020, establish The Jacksonville Integrated Health Advisory Work Group comprised of mental health and substance use disorders, consumers, and family members, to provide input and guidance to Project IHS on implementation, services, and policies. 3) By the end of January 2021, develop and implement a crisis intervention team program, to include training curriculum and law enforcement participation. 4) By September 2022, train 250 law enforcement officials in crisis intervention. 5) By September 2022, enroll 600 adults and 300 adolescents into treatment services that were recruited from the community and the CIT Program and provide them with the following evidence-based practices: CBT, ACT, MI, Matrix Model, IT, Trauma-focused Seeking Safety, case management/patient navigation, CRA, and Primary Health Services. In order to fully implement this plan, CRC will assign/hire experienced and competent staff that will be divided in two teams: the Mental Health Team comprised of one Psychiatrist, four Patient Navigators/Case Managers, three Licensed Professional Counselors, and three Substance Abuse Counselors, and the Clinical Team comprised of a psychiatrist/medical director, psychiatric nurse practitioner, pediatric nurse practitioner, a registered nurse, two LVN’s , and a dietician. CRC will also hire an external evaluator.

Abstract Southern California Health and Rehabilitation Program (SCHARP) proposes to seamlessly integrate primary care and behavioral health and improve overall quality to serve 600 individuals in South Central Los Angeles, an underserved community. The focus populations are homeless (adults including veterans, and children) with SMI or SUD, children and adolescents with SED, and individuals with COD; and a general SMI, SUD, SED, and COD population. Project strategies include infrastructure development to support data driven decision making, targeted staff expansion to address gaps in service, and training for all staff on EBPs and protocols for integrated care delivery and consumer support. The project has three goals: Goal 1- improve overall service quality, and enhance the agency ability to ensure that data drives all agency policies through CCBHC certification, the use of dashboards, a written protocol manual, and initiating Joint Commission accreditation Goal 2 -expand staff training as a primary strategy to ensure service quality including in EBPs and health navigation and Goal 3 -through targeted enhanced staffing, expand the delivery of timely services to the focus populations including case managers, employment specialists, and clinical staff. The catchment area is the Los Angeles County Public Health Department (LACDPH) Service Planning Area 6 (SPA 6). Portions are designated as Mental Health and Primary Care Health Professional Shortage Areas (HPSAs). The total population is 1,030,078. About 68% of residents are Latino, 22% African-American, 2% White, 2% Asian, with less than1% other. Almost half speak Spanish at home (48.8%). About 33.6% live at or below 100% FPL the highest rate in LAC. About 30.6% of residents report their health is fair or poor, the highest rate in LAC (LACDPH, 2017). SCHARP reports that 24% of clients who are homeless are diagnosed with Schizophrenia, 28% with Schizoaffective Disorder, 21% with Bipolar Disorder, 15% with Major Depression, 16% with PTSD and 25% with COD. The prevalence of SED SMI among those at or below 138% FPL in SPA 6 is 27.8% for children 0 to18. EBPs to be utilized include many cited in SAMHSA CCBHC Report to Congress (2017). These include Housing First, Motivational Interviewing, Seeking Safety, CBT and Trauma Informed CBT, and ACT. A wide range of other EBPs are used. SCHARP has been a continuous provider of BH and related services including housing since 1995. It serves the chronically, severely mentally ill and homeless from diverse populations, many of whom have co-occurring SU and health disorders. SCHARP focuses on Permanent Supportive Housing (PSH), ACT and Housing First. SCHARP has already met the majority of the CCBHC compliance criteria and will complete remaining compliance criteria within 4 months of notice of award. California is a planning grant state.

Through this project, title CCBHC Access to Integrated Behavioral Health Urgent Care, Access: Supports for Living Inc.'s (Access) Certified Community Behavioral Health Clinic (CCBHC) focuses on the population seeking urgent mental health and/or substance use disorder services to create immediate access, and to avoid and resolve acute crises. The Access catchment area is centered on Orange County (OC), New York, and services the entire Hudson Valley Region. According to the US Census 2018, OC has 381,951 residents. Of the total population, 5% are veterans, 14% are 65 and older, and 25% are under 18. 24.4% of the OC population ages 5 and over speaks a language other than English. 12% of the OC residents meet the federal definition for poverty. According to the NYS Office of Mental Health Patient Characteristics Survey in 2015, of the more than 2500 total OC clients receiving services from programs licensed or funded by the NYS Office of Mental Health (OMH), the most common diagnosis is schizophrenia and other psychotic disorders (30%) followed by depressive disorders (22%) and bipolar and related disorders (20%). Of the 2500 OMH clients in the county, 16% have an intellectual disability, are on the autism spectrum, or have another developmental disability; a quarter (25%) of all clients have co-occurring disorders. many clients experience physical health conditions as well as behavioral; 56% have at least one chronic medical condition. Access proposes to: (1) increase the capacity of Access' CCBHC to provide urgent care to meet the immediate behavioral health (BH) needs of adults and children in OC, (2) increase and improve community-based engagement with individuals with BH needs, discharged from facilities in OC, (3) increase Access' revenue source to sustain routine behavioral care for individuals with an urgent need after the grant term, and (4) utilizing existing resources, connect CCBHC Urgent Care clients to employment and vocational support. The agency will provide immediate, walk-in mental health and substance use services, including psychiatry, for adults and children, including crisis intervention and hospital diversion for those in acute BH crisis, and transitions of care services for people discharged from inpatient BH care.

East Bay Community Action Program (EBCAP) is seeking 2 million dollars funding to support a Certified Community Behavioral Health Clinic Expansion Project which will increase access to; and improve the quality of community behavioral health and substance use disorder treatment services. EBCAP, the only organization in Rhode Island that is a Community Action Program, Federally Qualified Community Health Center and state licensed Community Mental Health Center, which provides person-and family-centered, integrated health and enabling services. EBCAP is a Joint Commission accredited and NCQA PCMH Level 3 fully integrated practice, that has incorporated multiple evidence-based screenings and models of care at all its sites. EBCAP has long served the Severely and Persistently Mentally Ill and Severely Mentally Ill persons in our state. The populations of focus are the 2,686 persons (particular emphasis on SPMI and SMI) currently using medical only services under the umbrella of EBCAP’s Integrated Health Services, who have at least one behavioral health diagnosis, who are not currently receiving behavioral health care due to lack of resources and adequate staffing. EBCAP’s service areas include the cities and towns of East Providence, Bristol, Barrington, Warren, Little Compton, Tiverton Newport, Middletown, Portsmouth, and Jamestown. EBCAP represents the only point of guaranteed access to care regardless of ability to pay in its service areas. EBCAP anticipates serving a minimum of 798 additional persons, for a total of 18,593 (face to face and clinical support non-billable encounters) encounters in year 1; and a minimum of 976 persons for a total of 22,741 (face to face and clinical support non-billable encounters) encounters in the second year of the project. EBCAP will provide comprehensive 24/7 access to community-based mental and substance use disorder services, treatment of co-occurring disorders, and physical health care in one single location. With the merger and acquisition of one of RI’s certified CMHCs in 2016, EBCAP is now the only BH safety net provider serving the upper East Bay region service area. The incorporation of BH/SUD services, MAT and an extensive host of enabling services, allow EBCAP’s patients to have access to a full continuum of comprehensive, integrated care. The goals of this initiative are to increase recruitment and retention rates via a salary restructure, increase numbers served, to provide greater access and to increase access to same day Intake Assessments. Additional goals include ensuring that staff are fully trained and equipped to provide Culturally-Sensitive Trauma Informed Care, particularly to special populations such as SPMI, and Veterans and those with Opioid use disorders. EBCAP will ensure the availability of fully integrated services care coordination for medical patients who have BH/SUD but do not engage in treatment and/or recovery services by providing live time, Psychiatric consults and conferencing. Objectives include a 20% increase in MAT DATA Waiver providers, a 15% reduction in hospitalization, increase in services that support recovery such as a 10% increase of referrals for Vocational Rehabilitation Services.