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Colorado West Regional Mental Health, Inc. DBA Mind Springs Health, Inc.’s (Mind Springs Health, MSH) Certified Community Behavioral Health Clinic Expansion (CCBHC) project will establish Mind Springs Health as a CCHBC and increase access to and improve quality of mental health and substance use disorder treatment for persons of all ages in nine rural and one semi-urban counties in Northwestern Colorado. Populations of focus will include Hispanic/Latino immigrants, refugees and asylees and persons experiencing homelessness. Cultural competency training for staff in working with veterans and military personnel will also be included. Mind Springs Health will serve a total of 14,000 unduplicated clients during the two-year grant period, which will include an increase of 300 members of these focus populations in Year One and 600 in Year Two. The CCBHC project is designed to address service gaps and unmet mental health needs. Service gaps exist due to provider shortages, high cost of care and insurance and lack of insurance, and other social determinants of health (SDoH). Prevalence of mental health and SUD conditions is relatively high in the service area for both adults and children, as compared to state and national rates, and there are disparities for the populations of focus related to these SDoH. Goals for Mind Springs Health’s CCBHC project include: (1) Elevate standard of care by achieving CCBHC staffing, access, care coordination, scope of services, quality, other reporting, and other organization authority governance and accreditation, (2) Improve MSH capacity to effectively and efficiently treat client needs and symptoms through population health management and evidence-based training, (3) Improve client access to and experience of care by reducing health disparities and system/quality barriers that prevent client access to and engagement in care, (4) Increase capacity to conduct data-driven performance improvement activities by increasing use of technology, staff data literacy, and technology functionality. MSH will provide a full continuum of outpatient mental health and SUD care, including telehealth options, for prevention, intervention/treatment, and recovery support services, utilizing proven care delivery models such as person/family-based care and evidence-based practices. Strategies and activities for the project are designed to increase standard of care, staff capacity, client experience, clinical outcomes, and technology infrastructure to improve client access and quality of experience, and population health, particularly for Hispanic/Latinos persons experiencing homelessness.

The Arab Community Center for Economic and Social Services, a provider of bidirectional behavioral and primary care in Southeast Michigan, will increase the total number of Southeast Michigan 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 the large, marginalized Arab American community, including those who are resettled refugees and other vulnerable immigrants. The proposed project will annually serve at least 4,000 unduplicated people. The project will significantly enhance ACCESS’s capacity to deliver comprehensive, bilingual treatment in the two communities where Arab Americans predominate (Dearborn and Sterling Heights), during business and non-business hours, and utilizing an ethnic self-help model. The project features the following innovations: • Expanded use peer support staff to reach and engage individuals who, for reasons of language and culture, do not seek care from traditional mental health providers • Specialized behavioral health care team to flexibly treat recently resettled refugees and other vulnerable immigrant communities • Restructuring the organization’s case management program better address social determinants of health and culturally specific consumer preferences • Improve the capacity of ACCESS’s Sterling Heights office to meet CCBHC quality criteria ACCESS will implement all of the CCBHC required activities at the scope and standards outlined in the CCBHC Criteria Compliance Checklist in pursuit of the following objectives: 1. Increase the number of individuals who receive integrated mental health and substance use disorder treatment from two community-based locations, from 2,430 during 2020 to 4,000 by the end of 2022, including 3,200 Arab Americans with SMI/SED, SUD, and COD. 2. Implement linguistically and culturally customized, evidence-based service delivery to improve consumer 6-month retention in treatment from 55% during 2020 to at least 75% by the end of the project period. 3. Launch and maintain a specialized, bilingual / bicultural team that annually reaches and addresses the complex acculturative and post-traumatic behavioral health needs of 220 resettled refugees and other vulnerable immigrant groups.

Project Summary: Zepf Center seeks CCBHC Expansion Grant funding to increase access to and improve the quality of community mental health and substance use disorder treatment in Toledo, Ohio. The CCBHC will be located in Toledo’s historic Junction Neighborhood and will allow Zepf to expand its service offerings further into the community and offer the full array of CCBHC services to persons in need. Designated Collaborating Organizations (DCOs) include Mental Health and Recovery Services Board of Lucas County (LCMHRSB), Rescue Mental Health and Addiction Services, UTMC’s Ryan White Program, Neighborhood Health Association, and Health Partners of Western Ohio. Population of Focus: The Junction Neighborhood (zip code 43607) is home to 20,854 people, 66.3% of whom are Black, 24.2% are White, and 5.2% are Hispanic or Latino. The current unemployment rate in 43607 is 7.3%, which is higher than the current county unemployment rate, the state unemployment rate and the national unemployment rate at 6.7%. Zepf Center is one of the only service providers in this neighborhood, operating a two-building campus which provides integrated care for co-occurring disorders with co-located primary care services. Total Number Served: Y1: 400, Y2: 500; Total across grant award: 900 unduplicated persons. Goals and Objectives: Goal 1: Increase the capacity of Zepf Center to provide comprehensive, integrated behavioral health services to the target population to decrease the conditions that lead to the exacerbation of mental health, substance use, and chronic disease. Objectives: (1) Within 30 days of the NoA, ensure that the CCBHC pilot location in the Junction Neighborhood is providing 100% of services. (2) By the six-month administration of the NOMS, 50% of participants will report reductions in MH symptoms and in substance use, and improvements in physical health. Goal 2: Ensure sustainability of the CCBHC so that services remain present for the target population. Objectives: (1) By the fourth month, utilize Technical Assistance (TA) funds to consult with MTM and the National Council and the Key Project staff to ensure that all requirements are met. (2) By the end of Y1, conduct the Program Sustainability Assessment Tool (PSAT) and have a plan in place that addresses the 8 domains of sustainability. Evidence-Based Practices: Zepf will focus on the implementation of two EBPs for this project: (1) Peer Support Services and (2) EMPath Mobility Mentoring. Peer Support Services are a vital part of Recovery Support Services which help people manage their substance use disorder and mental health care successfully and can contribute to successful management of their physical health care needs. Zepf’s Peer Support Specialists are called Resiliency Coaches to emphasize their focus on resilience, asset-building, and strengths. EMPath Mobility Mentoring partners with participants to help them gain resources, skills, and sustained behavior changes necessary to attain and preserve their economic independence. This practice utilizes: (1) The Bridge to Self Sufficiency Tool, (2) Coaching, (3) Goal setting, and (4) Recognition. Contact: Deb Flores, CEO; dflores@zefpcenter.org

Ohel Children's Home and Family Services (OHEL) proposes to expand our current service delivery model of comprehensive, trauma-informed and integrated care through the CCHBC Expansion Grant to better serve individuals and families of all ages living with serious mental illness, substance abuse disorders (including opioid), comorbid health conditions and complex social and economic needs in several highly diverse communities throughout Brooklyn. While OHEL already provides the majority of required CCNHC services, this will allow us to further enhance that continuum, building on decades of deep experience and expertise in serving children and families with complex cultural, linguistic and religious needs including children in foster care, individuals in the Orthodox Jewish community, and families with early childhood needs (0-5). We will expand and enhance our services to improve access to care coordination, social services, enhanced SUD treatment including medication assisted treatment (MAT) and deepen our partnerships to better serve veterans and justice-involved individuals including with the VA of NY/NJ and the Brooklyn DA's Office. Communities like Brooklyn with large proportions of black and brown residents have borne a disproportionate impact of COVID including the health, mental health and economic effects of the pandemic. OHEL has spent the last year adapting and meeting the needs of individuals suffering the mental health effects of COVID including being selected by NYC to provide crisis counseling services and through a wide range of telehealth and telemental health options. OHEL provides a wide range of evidence-based practices in addition to a range of rehabilitative and social services such as supportive housing, pre-vocational supports, personalized recovery-oriented services (PROS), peer support, mobile outreach, and much more. We also recently completed construction on a brand-new building that currently houses a licensed outpatient mental health (< H) clinic AND a medical clinic and urgent care center and has applied for an additional license to provide substance abused disorder (SUD), which is expected this year. This building will house our CCBHC. With this grant, we will increase our total unduplicated individuals served annually from 1,000 to 1,300 by the end of year 2, with a special focus on vulnerable populations including veterans, young children, and individuals living with trauma including those affected by COVID. Brooklyn is home to 2.6 million people. The populations we serve reside in some of Brooklyn's most populous neighborhoods including Midwood, Madison, Flatbush, and Borough Park. Our population mirrors the diversity of the area residents - 37 percent White, 30 percent Black/African American, 19 percent Hispanic/Latino, and 12 percent Asian. OHEL will build on our experience to date to enhance and expand an integrated, coordinated network of mobile crisis, diversion, respite and community supports proven to reduce ED use and divert people to more community-based alternatives. We will increase the number of individuals receiving care coordination and referrals to social services and increase the connection of individuals to primary care.

Behavioral Health Services, Inc. will expand services in the creation of a CCBHC in Gardena, California serving the behavioral and medical health needs of 600 individuals with comorbidities of substance use disorder and/or mental illness and unmet primary medical needs over the two years of this project. We will do this by formal integration of our SUD treatment services in Gardena with our medical serviced provided in our Federally Qualified Health Center in Hawthorne, California, and adding full mental health and psychiatry services within this milieu. The target population for these services are adults living with mental illness, SUD, who reside or seek services in the Centinela Valley Area of Los Angeles County. We expect that the majority will be low functioning, with poor education poor employment histories, history of lack of compliance with physical and behavioral health care, and often speaking English as a second language or not at all. Utilizing two Assertive Community Treatment teams, coupled with a street outreach and engagement team, we will provide 24/7 mental health crisis intervention, assessment and treatment/service planning, psychiatric assessment/treatment and medication management, individual/group/family therapy, SUD treatment, peer counseling/mentoring, primary medical care with linkage/follow up to as needed specialty medical care, with continual care coordination and case management services. The goals of this project are to: 1) improve overall service quality, and enhance our ability to ensure that data drives all agency policies, 2) expand staff training as a primary strategy to ensure service quality, and 3) expand the delivery of timely services to the target population. The service team in the CCBHC will include the medical director/psychiatrist; tow ACT teams comprised of a licensed therapist, care coordinator, SUD counselor, and a peer counselor. The ACT teams will be supported by a street outreach team. Services will be provided in the office, medical clinic, in patient's homes, in the streets, or other locations most comfortable to individual patients.

Spindletop Center has served as the Local Mental Health Authority for a four-county area including Jefferson, Hardin, Orange, and Chambers counties in Southeast Texas for over 45 years. Since 2005 when the community was devastated by Hurricane Rita, this same service area has been impacted by nine tropical storms and hurricanes, most notably Hurricane Harvey in 2017, as reported by the National Hurricane Center. Based on a community needs assessment completed by STC in 2020, there are approximately 2 local behavioral health hospitals, 15 Federally Qualified Health Clinics, 4 public health departments, and a VA Clinic in Beaumont. STC has applied to Texas Health and Human Services Commission to pursue Certified Community Behavioral Health Clinic (CCBHC) status. The CCBHC model of care aligns with the STC mission of helping people help themselves by providing resources and supports. In addition to the need for the comprehensive service array which a CCBHC model of care will ensure, the individuals living in the service area clearly need the benefit of care coordination to assist them in accessing the right care at the right time to address the health concerns of the whole person. In fiscal year 2020, STC served 12,718 unduplicated individuals in all services combined with 45.9% of adults uninsured and 16% of children uninsured. STC proposes to utilize this grant funding to increase access to care for children and adults with serious mental illness or serious emotional disturbance and individuals with substance use disorders who are identified as low-income or uninsured. STC proposes to serve approximately 13,650 unduplicated individuals over the life of the grant.

The Human Service Center - UnityPlace Certified Community Behavioral Health Clinic (HSC - CCBHC) will address the community mental health and substance use disorder treatment needs of Peoria, Tazewell, and Woodford county in Central Illinois. The HSC-CCBHC will improve access to and quality of community mental health care for individuals of any age with serious mental illness (SMI), serious emotional disturbance (SED), and individuals with co-occurring mental and substance use disorders (COD). HSC-CCBHC proposes to serve 5,740 individuals in the first year and 6,315 in year two, with a specific sub-population of focus of 1,500 mid or high-risk individuals per year. In 2020, HSC served a predominantly Medicaid insured population (78%), that was 51% male and self-identified as 55% White, 26% Black/African American, 2% Hispanic, 3% Other and 14% Unknown. In the Central Illinois Tri-County area's 2020 Community Needs Assessment reported. 69% of individuals reported mental health as the most significant health issue throughout the community. All three counties have a higher suicide rate than the Illinois state average (11.3 per 100,000) with Peoria County at 12.2, Tazewell County 12.0 per 100,000 and Woodford County at 17.7 per 100,000. Peoria County's poverty rate is nearly 17%, exceeding the state average of 11.5%. The Illinois State Board of Education annual report card shows that 78% of students attending Peoria Public Schools live in poverty, 30% higher than the Illinois state average of 48.5%. Black students make up 56.9% of the district's enrolled students. HSC-CCBHC will increase access to care and provide critical improvements and expansion of existing services. Expansion of care coordination services will allow for increased outreach and engagement efforts and standardization of rapid care communication across providers. Development of an Advisory Work Group will increase the presence of the consumer voice into the planning, implementation, and evaluation of critical services in our community. HSC will partner with the regional Heartland Healthcare (FQHC), UnityPoint Clinics, UnityPoint Hospitals, and others quality mental health care and care coordination through data driven implementation: Goal 1: to establish HSC-CCBHC UnityPlace as a CCBHC to grow the service capacity and increase access and quality of care for individuals in Peoria, Tazewell and Woodford Counties with SMI, SED, and COD by decreasing wait times, increase number of individuals cared for and developing robust data metrics to guide implementation and ongoing evaluation. Goal 2: Strengthen HSC - UnityPlace Care Coordination practices to decrease utilization of high-cost services by decreasing number of ED visits by high utilizers, decreasing psychiatric rehospitalizations, increasing engagement of new and existing patients, and ensuring all individuals have a PCP and attend an annual wellness check. Goal 3: Expand HSC-UnityPlace Crisis Services for Youth and Adults in Order to initiate and engage individuals in services to mitigate harmful behaviors by increasing crisis staff, providing 24 hour follow up, and implementing an innovative approach to early identification of children experiencing adverse childhood experiences. HSC-CCBHC is uniquely situated to implement a CCBHC in the Central Illinois region. HSC- UnityPlace has served the behavioral health and substance use Central Illinois region for over 40 years.

Volunteers of America Massachusetts (VOAMASS) proposes a CCBHC expansion to improve access to and quality of community mental health and substance use disorder treatment services through its Integrated Care Center. The expansion project will provide 24-hour crisis intervention and community-based, integrated treatment and rehabilitative services for the target population who suffer with serious mental illness (SMI), substance use disorder (SUD), co-occurring disorders (COD), and serious emotional disturbance (SED). The CCBHC will serve a total of 850 clients, 350 in Year 1 and 500 in Year 2 in Metro Boston, Massachusetts including the communities of Dorchester, Jamaica Plain, Somerville, and Quincy. Metro Boston is home to a diverse ethnic population of Black (25.2%), Latinx (19.8%), and Asian (9.7%) residents; including 16,022 veterans and more than 6,252 undomiciled persons in addition to traditionally underserved minorities and criminal justice-involved persons. The (CCBHC) Integrated Care Center will implement clinical treatments, coordinated primary health care, and wraparound services through a distinct patient-centered, trauma-informed, culturally-competent, whole-person care approach, VOAMASS’ integrated care approach or ICA, delivered by a licensed and vetted multi-disciplinary team. Through a centralized intake process, clients will receive screening and assessment for risk, mental health, and primary health indicators; follow-up diagnosis and patient-centered integrated treatment and care plans (ITCPs); coordinated primary care, housing, employment and other wraparound services to address gaps in social determinants of health. The multidisciplinary team will update ITCPs with integrated care goals across CCBHC services; and quarterly, clinicians and clients will review their ITCPs to assess progress, discuss any barriers to success and modify goals. CCBHC staff will employ evidence-based practices for behavioral health treatment and services including Trauma-Informed Care; Motivational Interviewing; Cognitive Behavioral Therapy; Integrated Dual Diagnosis Treatment; Medication-Assisted Treatment; Dialectical Behavioral Therapy; Tobacco Recovery Across the Continuum; and High-Fidelity Wraparound used by the agency’s designated community organization DCO, Justice Resource Institute. VOAMASS has identified five goals for expansion implementation (1) Employ a diverse staff reflective of its population and enhance staff competencies to deliver a patient-centered, culturally competent, whole-person approach to integrated behavioral health care; (2) Create a trauma-informed organizational approach to improve client engagement, treatment, and retention of adults and children with SMI, SUD, SED, COD, and underserved populations by addressing individual, systematic, and cross-cultural sensitivity to trauma; (3) Expand capacity to deliver an integrated behavioral health model with low barrier, rapid access trauma-informed treatment to reduce traditional barriers to care for underserved populations with SMI, SUD, SED, and COD; (4) Improve whole-person health by focusing on social determinants of health for adults and children with SMI, SUD, SED, COD, and underserved populations; and (5) Ensure the continuity of integrated behavioral health services after CCBHC funding. VOAMASS respectfully requests SAMHSA funding for $3,302,948 to implement the proposed two-year CCBHC Expansion project -VOAMASS Integrated Care Center to improve access to and quality of community mental health, substance use disorder treatment and wraparound services in Metro Boston.

Lakewood Community Services Corporation (LCSC) CCBHC will advance primary, behavioral health and substance abuse integration and use evidence-based practices to serve an unduplicated 610 individuals (Y1: 260; Y2: 350) using a holistic model of care coordination and wraparound services. Target population is Orthodox Jewish population in Lakewood, New Jersey with mental health conditions including serious mental illness, substance use disorders, including opioid use disorders, co-occurring disorders and/or youth with serious emotional disturbance. 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. The impact of COVID-19 has exacerbated the need for behavioral health services in this hard hit community. LCSC CCBHC goals include: 1) Expanding access to services by increasing capacity of behavioral health services and integrating substance abuse and primary care screening 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. LCSC currently provides most of the required services (i.e. outpatient mental health, care coordination, screening/assessment, treatment planning, psychiatric rehab and peer supports, etc.). To meet all certification requirements by 4 months post-award, strategies include: 1) Refine policies and procedures/workflows to meet all CCBHC criteria 2) Add open access hours 3) Develop formal relationships with care settings including a DCO relationship for ACT 4) Train staff and implement EBPs 5) Implement crisis diversion program, reducing the need for more intense levels of care, 6) Complete regulatory process for NJ licensure to provide SUD services, including MAT, for patients with primary SUD diagnosis 7) Hire Nursing Director to provide health screening 8) Expand psychiatric availability by hiring Psychiatrist and PNP 9) Hire peers and psychiatric rehab providers 10) Expand Care Coordination program 11) Implement weekly team meetings 12) Refine existing HIT and use Data Dashboards to assist with clinical decision making, 13) Apply a continuous quality improvement approach 13)Expand awareness by conducting marketing and outreach campaign.

Inwood Community Services (ICS), a multiservice organization serving a lower SES, largely immigrant population in upper Manhattan for over 42 years, proposes to expand and transform its outpatient mental health and chemical dependency clinics, as well as its wellness and prevention program, into a Certified Community Behavioral Health Clinic (CCBHC) model by establishing a FAMILY LIFE CENTER, including a robust case management/crisis management service, over the next two years. This upper Manhattan neighborhood has been particularly hard hit by the COVID pandemic, consistently suffering with one of the highest infection rates in the city and lagging far behind in vaccinations – due to minimal supply/opportunity, coupled with understandable hesitancy/mistrust of the vaccine. Consequently, depression, anxiety, and trauma are pervasive, as is spiraling suicidality and drug overdoses. This project will enroll two hundred (200) clients (125 adults; 75 children) with 10,000 units of service in the first year; and two hundred and fifty (250) clients (150 adults; 100 children) with 15,000 units of service in the second year. This expansion will involve the establishment of an intensive case management team of culturally competent workers who will ensure that all clients receive necessary counseling, medication management, concrete assistance, medical care and follow up, entitlements, and necessary housing support. These case managers will accompany clients to appointments (especially medical), advocate on clients’ behalf, and visit clients’ homes when necessary. A staff of experienced, bilingual social workers and a bilingual CASAC will offer individual, group, and family counseling. The project’s case managers and its clinicians will also staff an afterhours crisis service that will be available for all clients and will assure that all emergent situations are addressed promptly, personally, and effectively. The ICS Family Life Center will offer all clients a sense of community and belonging. Activities will include socialization groups, vocational services, nutritional counseling and workshops, recreational activities, cultural and holiday celebrations, peer support, self-help meetings, and an active consumer oversight committee. Evidenced based practices and certain trauma protocols will be utilized when indicated in both clinical and prevention services. It is anticipated that this project will significantly assist its participants by alleviating anxiety and stress, ameliorating depression and PTSD symptoms, and reducing psychiatric hospitalizations, emergency room visits, suicide attempts, and drug overdoses. More importantly, it will immerse its participants into the fabric of a thriving community center that functions like an extended family instead of an institution—one that values every person’s particular narrative, journey, and culture. In addition, the project’s case management component will ensure that no client is ‘lost to contact.’ Research on engaging a disadvantaged, ethnic minority populations underscores the importance of offering a welcoming, person-centered approach to reduce stigma, increase engagement, and enhance outcomes.

FIRST PERSON CARE CLINIC SM-21-013 Project Abstract Summary Project Name: First Person Care Clinic Certified Community Behavioral Health Center. First Person Care Clinic, Inc (FPCC), a Federally Qualified Health Center, is applying for funding for a CCBHC grant. The service area for this application consists of 23 Zip Code Tabulation Areas(ZCTA), combined population of approximately 1,051,231 individuals, which reflects the ZCTA in which at least 80 percent of FPCC’s reside. The target population this application proposes to serve includes patient seeking mental and behavioral health services. FPCC is planning to implement the FPCC CCBHC Project and become a Comprehensive Community Behavioral Health Center through this SAMHSA funding opportunity. FPCC will utilize mobile crisis teams to serve approximately 7,200 patients throughout the two years period. This program will immediately enhance its existing integrated, community-based services to provide services for individuals of all ages with untreated severe mental illness (SMI); substance use disorders(SUD), Including children and adolescents with serious emotional disturbances (SED), and individuals with co-occurring mental and SUD conditions. Specific programs will be added for veterans, active military, and medical professionals. The provision of these services to the most vulnerable populations in our community will close service gaps for these populations and increase access to services, all under one roof through the implementation of each of the required activities that have been identified in FOA SM-21-013. Project goals include: (1) Increase capacity and improve quality. Increase the implementation of new and expansion of preexisting activities for wraparound, and patient-centered treatments; (2) Increase access. Increase the number of individuals with MH/SUD receiving timely appropriate care through the use of new MAT equipment, mobile applications, and expanded telemedicine; and (3) Expanding FPCC’s capacity to provide continuous access to health services in Clark County, NV, including a 24/7 crisis intervention services for people with serious mental illnesses or SUD. This would include achieving CCBHC certification within 4 months of being awarded the grant.

A community-based, nonprofit agency, SCAN's bilingual, bicultural staff provides behavioral heath (SMI and SED), SUD, and COD services to more than 2,000 adults and children annually through over 30 different programs in 7 satellite offices covering 19 counties in South Texas. Through the proposed project, SCAN will achieve CCBHC certification by the state of Texas (a planning grant state) to offer fully integrated services accessible through any point of entry to 570 (270 in year 1 and 300 in year 2) children, youth, and adults, including veterans, with Serious Mental Illness (SMI) and children/youth with Serious Emotional Disturbances (SED), and or adults/children/youth with Substance Use Disorders (SUD) or Co-occurring Disorders (COD) in the Catchment Area of Webb County, Texas many of who are homeless. Webb County's population heavily self-identifies as Hispanic and people speaking Spanish at home comprise 89.9% of the population. The evidence-based practices include: Columbia Suicide Severity Rating Scale (CSSRS), Motivational Interviewing (MI), Acceptance and Commitment Therapy, Matrix Model, Assertive Community Treatment (ACT), Seeking Safety, Integrated Dual Disorder Treatment, Adolescent-Community Reinforcement Approach, Parent-Child interaction Therapy, and Trauma-Focused Cognitive Behavioral Treatment. These EBPs will support the Proposed Project's Goals: Goal 1: Build robust emergency crisis intervention services available 24 hours a day, 7 days a week to respond to the needs of the POF and link them to ongoing care. Goal2: Build an integrated treatment capacity linking clients to appropriate services through a single point of access from screening throughout treatment. Goal 3: Through certification as a CCBHC strengthen the agency's infrastructure and community outreach so that all agency operations fully support the integration of mental heath, substance abuse, co-occurring disorders, HIV/Hepatitis rapid testing and primary health care. The grant will support additional key staff including: a Project Director, Clinical Director, additional psychiatry, psychiatric nursing, dedicated internal medicine (MD), advance practice nurses, additional licensed mental health and substance abuse staff, additional case managers and recovery coaches. An Advisory Workgroup of clients, family members, partners and community resources will receive regular project evaluation reports, address barriers, and lead sustainability efforts. Key Partners (signing Letters of Commitment): Bethany House, Laredo Housing Authority, Border Behavioral Health center, Gateway Community Health center, Palms Behavioral Health and the Association for the Advancement of Mexican Americans. SCAN is in the process of accreditation by the Joint Commission (TJC). The Joint Commission formerly known as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), through which we have addressed most CCBHC certification requirements especially relating to organizational infrastructure, licensure, insurance, staffing, treatment, training, skills, and competencies and administrative support capabilities. With the strategic support of this grant, SCAN will be certified as a CCBHC by Texas within 4 months.

Berrien Mental Health Authority dba Riverwood Center (RWC) CCBHC Expansion Project (BMHA_CCBHC) proposes to expand its services to residents who experience or are at risk of developing severe mental illness, severe emotional disturbance, and/or substance use disorders. Project aims include enhancing our integrated healthcare approach through improving coordination with local primary care providers; expanding access and engagement methods to our substance use services array; increasing trauma-informed treatment practices; and implementing new evidenced-based interventions (EBPs) to improve care for those who experience acute behavioral health (BH) crisis. This grant will serve 720 Berrien County residents over the next 2 years, with additional broad community impacts. Berrien County is a mix of both urban and rural communities in southwest Michigan with traditionally underserved populations including disproportionately high African American representation. RWC currently works with approximately 4200 consumers annually, including children through older adult. Many of these consumers suffer from preventable/treatable medical conditions such as cardiovascular, pulmonary, and infectious diseases and/or other health risk behaviors which will be addressed with grant funding. 90% of RWC consumers will receive increased screening and, when warranted, intervention and monitoring of health risk behaviors/conditions. Integral to this effort will be improving the exchange of health information (HIE) among health care providers, as evidenced by communication with external providers and an increase in the notification rate when RWC consumers present at local ERs for BH needs, to 80% of all occurrences. RWC will leverage grant funds to expand and improve services to individuals who experience acute BH conditions via a multipronged approach, including: expansion of our mobile crisis team; offering increased flexibility to respond to acute BH crisis situations throughout the community; 24-hour follow-up contact for consumers discharging from acute BH care settings; and enhancing RWC’s EBP as supported by 90% of clinical staff receiving Motivational Interviewing (MI) and trauma-informed care trainings. Expanding access and increasing engagement rates for BH treatment are other key population health issues that will be addressed by targeting the increasing suicide and substance use (including opioid use) rates. Access and engagement with services will be targeted, with a goal of 80% of consumers initiating treatment within 14 days and 65% of those individuals receiving at least 2 additional interventions within 34 days. RWC is guided by the tenants of the Quintuple Aim: 1) enhancing the quality of healthcare and the experience of the person served; 2) improving population health; 3) controlling cost; 4) improving the work-life of providers (including recruitment and retention of the behavioral health workforce); and 5) health equity, by working to eliminate or close health disparities. The CCBHC Expansion Grant is vital to RWC maintaining this path.

Allegan County Community Mental Health Services (ACCMHS) proposes to provide Certified Community Behavioral Health Clinic services for: (1) adults/youth with mild/moderate/serious mental illness, (2) adults/youth with substance use disorders/involvement, and (3) children/families with serious emotional disorders, inclusive of those who are uninsured, veterans, or otherwise without access to care. The A-CCBHC project will significantly extend the reach and impact of ACCMHS by supporting access of the target population to our locally accessible service array.

The Prairie Ridge Integrated Behavioral Healthcare CCBHC Initiative will focus on increasing access to high-quality, evidence-based community behavioral health and substance use disorder services. The focus of services will be to provide comprehensive, integrated care that directly addresses behavioral health issues, chronic health conditions and adverse social determinants to health like hunger, poverty, lack of transportation and homelessness. Individuals served will include adults with severe mental health disorders, children who have a diagnosable mental, behavioral, or emotional disorder, individuals with substance use disorders, individuals suffering with a chronic medical condition that occurs with one of the previous three conditions and/or individuals with co-occurring conditions that include 2 or more of any of the criteria listed above. The geographic focus of the project includes an 8-county area in Northern Iowa, including the counties of Cerro Gordo, Floyd, Mitchell, Worth, Winnebago, Kossuth, Hancock and Franklin. This area has no existing CCBHC. The total population of the 8-county area, as documented by the U.S. Census 2018 American Community 5-Year Survey, is 123,149. Our Community Health Needs Assessment shows individuals in our area continue to face many unmet needs due to the lack of a comprehensive and integrated services system, inconsistent use of evidence-based practices, a lack of insurance, poverty (with 10.46% of the population living below the poverty level), and a lack of affordable transportation. These challenges are exacerbated by a persistent shortage of providers in the area, including physicians and psychiatrists. The lack of psychiatrists is particularly acute and intensified by a statewide decline in psychiatric beds for emergent and crisis services. All counties within our catchment area are primary care and behavioral healthcare shortage areas (HPSAs) for Medicaid populations. A CHNA by a local health system also identifies a lack of mental health providers/support services as the most significant need in North Central Iowa. The lack of behavioral health services is linked to a critically high suicide rate which is the ninth leading cause of death in Iowa and the second leading cause of death for Iowans between the ages of 10 and 34. Further, there has been a marked increase in the number of suicide deaths since 2000, growing from 288 to 521 in 2019, and growing still further during the Covid-19 pandemic. From March to August 2020 alone, 267 suicide deaths were reported in Iowa. Concurrently, alcohol-and drug-related hospitalization rates continue to grow. Issues are particularly acute among our Veterans, who make up nearly 7.6% of the state's population. Prairie Ridge has designated four goals with measurable objectives to meet the needs of the people of our catchment area and our focus populations. These goals include providing immediate access to comprehensive suicide prevention services, developing an Assertive Community Treatment program, expanding access to a comprehensive range of community-based mental health and substance use disorders services (including the expansion of crisis services and Medication Assisted Treatment services), and expanding access to Veteran-focused mental health and substance use disordered services. Our goal is to serve 1,000 unduplicated individuals in the first two years.

The CCBHC Expansion Project will serve as the one-stop shop for consumers in Blair, Elk and Huntingdon Counties, PA who have a severe mental illness (SMI), substance use disorder (SUD), serious emotional disturbance (SED), and those with co-occurring mental and substance disorders (COD). All three counties are largely rural. Blair County (527 sq. miles) has a population density of only 241.7 persons, Elk County (827 sq. miles) has 39 persons per square mile, and Huntingdon County (889 sq. miles) has 52.5 per square mile. The populations of focus are individuals and their families with serious mental illness (SMI), substance use disorders (SUD), co-occurring disorders (COD) and children/adolescents with serious emotional disturbance (SED). Additional focus is on individuals who experience social and economic risk factors, which increase likelihood for trauma and related mental health, drug and alcohol, physical health and social problems. CenClear will have a dedicated team comprised of the Project Director, 3 Care Support Coordinators, 3 Psychiatric Medical Assistants, 3 Psychiatric RNs, a BH/PH Wellness Nurse, a CRNP for Physical Health, a Quality Assurance Expert, a Navigator, 3 Departmental Assistants, 2 Mental Health Clinical Supervisors, 2 Drug & Alcohol Clinical Supervisors, a Data Collector, and An ACT Team comprised of an RN, a CRNP, a Team Leader, Peer Specialist, D&A Specialist, a MH Specialist, an Employment Specialist, and a Departmental Assistant to cohesively operate the CCBHC Expansion Project and to increase access to, and improve the quality of community mental and substance use disorder services to consumers in the three counties. The Lead Evaluator will provide data collection, performance measurement, program evaluation, and analyze and evaluate the overall performance of the project. Designated Collaborative Organizations (DCOs) will provide crisis services, CRS services, and Psychiatric Rehabilitation Services. The CCBHC Expansion Project planning team determined that the following evidence-based practices will be used: -Assertive Community Treatment (ACT) ACT -Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) -Eye Movement Desensitization and Reprocessing (EMDR) -Cognitive Behavioral Therapy (CBT) -Medication-Assisted Treatment (MAT) -Motivational Interviewing (MI) -Wellness Recovery Action Plan (WRAP) CenClear will serve 1744 clients each year and a total of 1919 during the 2-year program. CenClear has defined goals and objectives for the CCBHC Expansion Project. Through the implementation of this project, CenClear will have the ability to expand access to evidence-based trauma focused treatment and trauma-informed services to children, adolescents, adults, and families who are in dire need in the three counties; provide an ACT team to adults with severe SMI; provide individuals with integrated psychical health services; provide ongoing assessment of depression and suicide risk factors to individuals; and provide coordination of care for all clients.

The expansion grant funds the Counseling Associates (CA) to become a Certified Community Behavioral Health Clinic (CCBHC) to advance primary care and behavioral health integration and use evidence-based practices to increase services to 600 clients of all ages in 5 Arkansas counties with mental or behavioral health disorders, including opioid use disorders. The catchment area is the following 5 counties in Arkansas: Conway, Faulkner, Pope, Perry, and Van Buren. Four counties are Medically Underserved Areas and Health Professional Shortage Areas in the primary health and behavioral health domain, and the 5th (Pope) has areas designated as such (HRSA, 2020). The majority of the geographic area is rural/non-metro with urbanization in Faulkner. The target population is comprised of the following individuals in the catchment area: children (0+) with Serious Emotional Disturbance (SED) and persons of all ages who have or are at-risk for: 1) Serious Mental Illness (SMI) 2) Substance Use Disorders (SUD), including Opioid Disorders 3) Co-Occurring mental health and SUD (COD). The target population also includes persons of all ages in crisis in Faulkner County, adults on the Johnson County Mental Health Docket and in the Faulkner County Mental Health Court, and youth in the Faulkner County Juvenile Detention Center, as well as those post-release. The target area's county demographic percentages are the following ranges: 80-94 White, 2-11 Black, 3-9 Hispanic, 1 Asian, 1 Native American. Additionally, Faulkner County has 1,200 Marshallese residents. All of these groups, with the exception of children and juveniles, include veterans and service members. CA will become a CCBHC to advance primary care and behavioral health integration and use evidence-based practices (EBPs) to increase services to 600 unduplicated additional people of all ages in the target population (Y1: 200; Y2: 400). CA will increase treatment quality and capacity to the target population through the: (1) Certification of CA as a CCBHC (first 4 months of Y1), (2) Creation (Y1) and deployment (Y1,Y2) of integrated physical and behavioral health treatment to the 5-county catchment area via the mobile health unit and mobile team, (3) Provide evaluations (initial and follow-up) and individual and group therapy to juveniles in the Faulkner County Juvenile Detention Center as well as follow and provide services to them in the community post-release, and provide vaping cessation programming, (4) Creation (hiring and training) (Y1) and deployment (Y1,Y2) of the ACT Team in Faulkner County, (5) Screen, connect to insurance, and refer for CA services adult participants in the Johnson County Mental Health Docket and the new Faulkner County Mental Health Court (Y1,Y2), and (6) Integrative care and EBP training (Y1,Y2) of all personnel involved in the treatment and care of the target population.

Lummi Nation is seeking funding to support the expansion of its Community Based Behavioral Health Center services developed by Lummi people, in response to the MH-SUD prevention treatment and after care services needs of Lummi individuals, families and ultimately the Tribal Community over the last 55 years. Lummi Care is a Tribally and State certified counseling service managed and operated by the Lummi Nation. The Lummi Nation needs substantial financial support to expand the services to support additional residential clients accessed through a newly constructed 16 bed 24/7 Secure Withdrawal(DETOX) Facility and a 12 unit permanent supported housing facility. This is an additional case load of approximately 500 clients. Clients with multiple long term MH & SUD issues which exacerbate problems with the legal, educational, housing and transportations systems. Lummi Nation is seeking financial assistance needed to employ professional, para-professional and train family members and others as support staff, develop a system to coordinate staff resources and facilities resources provided by the Tribes to meet clients needs and generate the required financial resources through billing existing payment systems. This expansion will require the Lummi Nation to review and appropriately modify and/or update all Lummi Nation treatment and assessment policies, protocols and procedures consistent current practices and with identified client needs. This revision and update will encompass all of services elements required for formal certification.

Through the CCBHC Expansion Grant, COMHAR will expand its capacity of its behavioral health workforce and infrastructure and increase its access to services for individuals with Serious Mental Illness (SMI), Substance Use Disorder (SUD), Serious Emotional Disturbance (SED) and Co-occurring Disorders (COD) within the geographical area of COMHAR services in Philadelphia by utilizing an enhanced interdisciplinary clinical treatment team, care coordination, and psychiatric rehabilitation. COMHAR will expand its existing MAT program for individuals with COD and coordination of and linkage to primary care, detox, increased access to psychiatric services and integrated physical health via telehealth platforms. COMHAR will implement enhanced care coordination services across various divisions within its organization that include outpatient and MAT services, tobacco recovery and wellness, psychiatric rehabilitation, targeted case management, and housing supports. The care coordination will include integrated care with healthcare providers, primary care screening and monitoring of key health indicators, client and family centered integrated treatment planning, and mental health services utilizing single point of access technology, telepsychiatry, and teleconsultation.

The expansion grant funds South Arkansas Regional Health Center to become a Certified Community Behavioral Health Clinic to advance primary-behavioral health integration and use evidence-based practices to increase services to 300 individuals in south Arkansas. The target population is individuals with complex physical/behavioral health disorders, including opioid disorders, adult and juvenile court participants, veterans, and school age children. SARHC serves 6 counties in the most southern region of Arkansas: Calhoun, Columbia, Dallas, Nevada, Ouachita, Union. The catchment area is extremely rural, and all counties are HRSA designated Health Professional Shortage Areas in the behavioral health and primary care domains. The largest county, Union, includes the city of El Dorado (pop. 17,982), a centralized hub where mental health and medical needs are sought and delivered. El Dorado is a HRSA designated High Needs Geographic Health Professional Shortage Area. In the past decade, declining industry has left much of the population without quality employment/insurance benefits and increased need for accessible integrated behavioral health services. The catchment area is approximately 64% White, 34% Black, and 2% Hispanic/other and has an overall poverty rate of 22.1% (range: 14.3% - 27.7%) nearly double, sometimes triple the national poverty rate. The target population is comprised of the following individuals in the 6 county catchment area: 1) children and adolescents (4-18) that are students in Union County public school systems in need of behavioral health treatment, including those with SED; 2) Individuals active in juvenile and adult court programs in Union County in need of assessment, case management, and SUD/COD treatment, including opioid disorders; 3) Active military members and veterans in need of integrated behavioral healthcare. Ultimately, the target population will consist of the following groups: On-campus clients, child clients in Union County public schools, ACT clients, juvenile and adult court clients, active military service members and veterans in need of primary and/or behavioral health care, and clients with SUD and COD living in the catchment area. SARHC will become a CCBHC to advance primary and behavioral health care integration and use EBPs to increase services to 300 unduplicated additional clients (4+) in the target population (Y1: 125, Y2: 175). SARHC will increase treatment quality and capacity to the target population through the: (1) Certification of SARHC as a CCBHC (first 4 months of Y1), (2) Develop, train and deploy an ACT Team to provide crisis and immediate care to hospitals, jails and courts (Y1,Y2), (3) Physical enhancement of the campus location in El Dorado (Y1) and implementation of on-site integrated care for physical and behavioral health risks and needs (Y1,Y2), (4) Integrative care and EBP training (Y1,Y2) for all personnel involved in the treatment and care of the target population.

Community Care Alliance, Inc. (CCA) seeks to enhance and expand evidence based practices to individuals with behavioral disorders in the State of Rhode Island. With three collaborators—Newport County Community Mental Health Center (NCCMHC), Thrive Behavioral Health, and Tides Family Services, CCA will provide expanded and enhanced CCBHC services to 648 people in Rhode Island during the first year of the project. A total of 841 (unduplicated) people will be served over two years. The project will expand evidence based behavioral health practices to over 15,800 adults, children and families who currently do not have access to these services in the first year and over 16,600 over the two year grant period. Covering an area of 1,214 square miles and a population of slightly over 1 million, (71% white (non-Hispanic), 16% Hispanic, 6% Black, and 7% Other, Rhode Island has high rates of adults with Serious Mental Illness (SMI), children with Serious Emotional Disturbances (SED), persons involved with substance use and opioid addiction, as well as high rates of behavioral disorders among our homeless population and people of color, who are experiencing increases in SMI, major depressive episodes among all age groups and increases in suicidal thoughts, plans and events rose among young adults The project has three main goals: 1) implement a fully operational CCBHC, providing the complete scope of CCBHC services to individuals eligible for Medicaid as well as those who are uninsured or under insured within 4 months of funding. 2) Enhance existing CCBHC Services by expanding/initiating 7 evidence-based practices. EBPs targeted for expansion include: 1) Medication Treatment, Evaluation and Management (MedTeam); 2) Mental Health First Aid; 3) Motivational Interviewing; 4) Brief Cognitive Behavioral Therapy (CBT); 5) Dialectical Behavioral Therapy, 6) Assertive Community Treatment (ACT); 7) Enhanced Cognitive Behavioral Therapy (E-CBT). 3) Implement infrastructure enhancements to improve the overall quality and coordination of care. Additional workforce development and infrastructure improvements that will be implemented include: a) improvements that will support telehealth,, a recovery oriented, person-centered EHR that supports health improvement activities, provide clinical decision support (utilization management), electronically transmit prescriptions to the pharmacy, and send/receive common data set for all summary-of-care records, support transitions of care, and meet required privacy/security requirements, integration of our EHR with Mirah Measurement-Based Care portal based system to support clinical and organizational decision-making, and further training on evidence-based practices listed above and principles of cultural competence (CLAS standards), which will improve both the behavioral health and health outcomes of the people we serve. CCBHC funding will enable CCA and its partners to develop a trauma-competent, integrated system of care where person centered planning, and recovery-oriented care is the organizational norm.

Tri-County Behavioral Health Care, a safety net provider of behavioral health and housing to low-income underserved populations in 3 Counties at the periphery of the Houston, Texas metropolitan area, will establish a CCBHC to provide expanded access to treatment for adults with SMI and COD, increased rural SUD treatment, expanded MH care for children/youth with SED, including school-based services, and Care Coordination for chronic health issues. Tri-County [TCBHC] will add the capacity to provide services in Spanish for the growing population of children and adults with limited English literacy. The project name is the Tri-County Behavioral Healthcare Expanded CCBHC Access. Total area population is over 768,551 persons in three Counties. Poverty rates for these Counties range from 10.3% to 24.4%. White population ranges from 54% to 63%, Hispanic from 18% to 23%, and African American from 4.6% to 23%. Fifty-five percent of adults served have at least a GED, 27% are employed, 3.9% are homeless, and 45% report no income. The CCBHC needs assessment indicated that there is a high incidence of untreated mental illness and substance abuse, attributable to demand far exceeding resources, poor access to limited services, costs beyond the means of low-income clients, and stigma associated with seeking care. Four major project goals address the unmet need in the catchment area: 1) Increase access to SUD treatment for rural consumers; 2) Increase access to MH care for children/youth with SED, through expanded intake, expanded therapy and culturally and linguistically appropriate outpatient and school-based treatment; 3) Increase access to therapy for adults with SMI and COD and culturally appropriate outpatient treatment and psychosocial interventions; 4) Provide Care Coordination to improve health outcomes for the populations of focus. Objectives include: Add IOP SUD groups in 3 rural sites; increase walk-in clinic days for children/youth and families impacted by SUD; add school-based MH services in rural schools with high proportions of Spanish-speaking children/youth; eliminate past 30-day substance use for 30% of adults and youth in SUD treatment for 6 months; reduce symptoms of SED for 50% of children/youth by treatment completion; reduce depressive symptoms of 50% of adults with SMI/COD after treatment completion. In addition to adding MH and SUD treatment staff, some bilingual in Spanish and English, the Project will add a Care Coordination Team consisting of a Licensed Vocational Nurse, MH clinician, Certified Peer Recovery Specialist, a Benefits Specialist, and a Data Analyst. The evaluation will be conducted by SAE and Associates (SAE) Behavioral Health Evaluation (BHE), which has evaluated CCBHC projects and multiple SAMHSA initiatives. 150 adults and 167 children/youth will be served in Year 1, 205 adults and 235 children/youth in Year 2, with a total of 757 unduplicated clients served over the 2 project years.

Communicare will provide an array of integrated primary/behavioral health care services (e.g., crisis care, mental health screening, assessment , and diagnosis; primary care screening and monitoring of key health indicators; HIV/viral Hepatitis screening; integrated treatment planning; medication assisted treatment and medication management; and telehealth). Services will be evidence based, person and family centered, trauma -informed, and recovery oriented and the integration of physical and behavioral health care will serve the "whole person". the clinic will serve 250 un-duplicated people to be served in year one and 300 in year two for a total of 550.

Freedom House proposes to implement a project that will serve children and youth with serious emotional disturbances (SED), adults with severe mental illness (SMI), individuals with substance use disorders (SUD) including opioid use disorders (OUD) and those with co-occurring mental health and substance use disorders (COD) project in Warren, Orange, and Person Counties in the central portion of North Carolina. Following are the goals and objectives of the proposed project. Goal 1: To increase availability and accessibility of services Objective 1: Use mobile crisis teams in rural communities Objective 2: Embed mobile crisis teams in the community Objective 3: Institute policies to have mobile crisis teams work seamlessly with facility-based crisis for intake and admission when inpatient crisis and/or detox is required Goal 2: To provide a comprehensive array of medical and mental health services to support long term wellness and recovery Objective 1: Provide physical and mental health screenings, assessment, and diagnosis within 48 hours of admission Objective 2: Coordinate care and peer support services as part of inpatient crisis treatment planning Objective 3: Provide screenings for HIV, Viral Hepatitis (A, B, and C), diabetes and other chronic medical conditions Objective 4: Increase early intervention and education about chronic co-morbidities that negatively impact overall health and wellness Goal 3: To partner with local law enforcement to decrease emergency room usage for mental health/substance use crisis Objective 1. Increase awareness among local law enforcement of the availability and accessibility of crisis services, Objective 2. Conduct at least three mental health awareness training events Objective 3. Produce and distribute business cards and/or flyers with the mobile crisis call line number for law enforcement and EMS. Goal 4: To evaluate the project Objective 1. Gather, analyze, and monitor project outcomes against stated goals and objectives Objective 2. Collect data using the GPRA instrument required for the project. Objective 3. Analyze and produce reports at least monthly to disseminate to the project management team and Advisory Committee for continuous quality improvement Goal 5: Position Freedom House for project sustainability beyond the two-year funding by securing all credentialing and funder approvals to bill for services Objective 1. Establish an Advisory Work Group led by the Director of Credentialing and Facilities and comprised of individuals with mental and substance use disorders, and family members to meet monthly to provide input and guidance to the CCBHC on implementation and sustainability. Objective 2. Work with Utilization Management and Billing to understand and overcome barriers to reimbursement The proposed project will serve 400 individuals in the first year and 800 in the second year for a total of 1,200 over the grant funding period.

The Central Oklahoma Community Mental Health Center (COCMHC) is eager and ready to begin the CARES Project and become a Certified Behavioral Health Clinic (CCBHC). CARES will offer a five-day-per-week primary care clinic, expand staffing for our adult mobile crisis teams to function 24/7, operationalize a 24 hr/59min outpatient crisis stabilization unit, and hire additional experienced clinical and paraprofessional treatment staff. These programs and staff will ensure the consumers served by the CARES Project receive best practice, competent, and quality care. Our treatment teams are multidisciplinary and poised to embrace the CCBHC model to strengthen our service model for certification. We will build upon our history of operating innovative programs, such as: our Program of Assertive Community Treatment (PACT), drug and mental health court services, and systems of care for children. COCMHC CARES will serve all ages in need, regardless of ability to pay. Additional goals and objectives include: • Serve an additional 336 persons in year 1 and 270 in year 2, for a total of 706 individuals; • Expand access to services; expand and enhance the array of services and EBP delivery; • Expand hours and days of operation at our primary care clinic through increased staffing; • Increase staffing for services and supports by a minimum of 15 to expand access & array • Expand adult mobile crisis response team to 24/7 operability by month 4; • Open Share Space, a peer-run drop-in center, by month 2, including evidence-based recovery groups weekly led by Peer Recovery Support Specialists with lived experience; • Ensure person-centered and family-centered treatment planning through required training; • Increase recovery support services with a minimum of one new FTE for supported employment (independent placements and supports); • Practice the Housing First philosophy and model maximizing recovery support funding; • Start CARES CHAIRS Clinic, 23hr/59min crisis stabilization, beginning operation by 4th month, offering on-demand outpatient crisis services with immediate outpatient linkage; • Increase numbers of veterans served by 10% in year 1 and another 10% in year 2; • Begin on day 1 to outreach to Veteran’s Center in Norman, Veteran’s Administration, and other partners to establish a referral process, add to ongoing needs assessment, and connect; and • Training and supervision are woven throughout the CARES Project plan, with carefully planned EBPs to match the needs of the Children, adults, and families CARES will serve. We are very excited to seize this opportunity to achieve CCBHC certification and better serve our community. Because of our increased capacity, increased array of services, and increased capacity in our Primary Care Clinic, we can ensure the best outcomes for our county’s most vulnerable people. We will deliver truly integrated care across a spectrum of mental health, substance use disorder, and primary care services. We will offer recovery support services that ensure those served can live successfully in Comanche County’s communities. JTCMHC is fully committed to achieving CCBHC certification, to the goals and objectives proposed, and to a continuous quality improvement process that will build on the considerable progress of two years of the CARES project, sustaining all new services and increased service numbers.