Continuous Community-Care Mobile Treatment (CCMT) - Through FY21 Congressionally Directed Spending funds sponsored by Senator Chris Coons, and in collaboration with Gibney Mobile Healthcare, Brandywine Counseling and Community Services, Inc. (BCCS) proposes to implement its statewide Continuous Community Care Mobile Treatment (CCMT) services which will directly and positively impact the medical and behavioral health outcomes of Delaware's most socio- and economically-marginalized populations. White the CCMT will treat anyone who requests treatment, the CCMT's populations of focus includes those Delawareans who are unsheltered or imminently homeless, those with serious mental illness, those with substance use disorder (SUD), those experiencing any combination of co-occurring disorders, veterans, members of the LGBTQ+ community, ethnic minorities, and pregnant women with SUD's. At minimum, 300 individuals will be served within the first 12 months of CCMT project implementation.
The overarching goal of the CCMT is to reduce the historical disparities and inequities of access to quality medical and behavioral healthcare in hard-to-reach geographical areas and marginalized populations. The CCMT represents Delaware's first statewide mobile health collaborative between medical professionals and behavioral health (SUD and mental illness) treatment providers. It is modeled after both BCCS' statewide Homeless Street Outreach programming and its statewide harm reduction Syringe Services Program (SSP). The CCMT will have access to the SSP's established, fixed, and regularly scheduled sites (of which there are thirty-three throughout Delaware; and it will encompass the flexibility and experience of the Homeless Street Outreach team which is comfortable engaging unsheltered individuals in non-traditional settings or where homeless individuals congregate (homeless encampments, under bridges, transportation centers, public parks, etc.) as well as engage individuals in communities known for high rates of crime (shootings, outdoor drug dealing, prostitution, etc.).
CCMT services include - but is certainly not limited to - the distribution of Narcan (overdose-reversing medication), provide testing and prevention education for HIV, HEP C, and pregnancy, conduct point of care measurements for blood pressure and diabetes, off flu vaccinations, and COVID-19 testing and vaccinations, distribute health "kits", provide wound care and wound care education (in response to the xylazine crisis), and provide linkage to treatment and services which address all social determinants of health. As a mobile unit, the CCMT will meet the clients in need "where they are" throughout all three counties in Delaware.