CCAOH-CDS: Improving Health Equity: Increasing Access to Behavioral Health/Substance Use Treatment Services in New Haven, Connecticut - For this initiative, Catholic Charities’ New Haven Family Service Center Certified Behavioral Health Clinic (CCBHC) will provide additional staffing and staff training and fidelity monitoring in the evidence based models of Motivational Interviewing/Cognitive Behavioral Therapy to enable clinic staff to offer these evidence based treatments to the clinic population. The target population is adults ages 18 and up in New Haven, CT with Substance Use Disorder (SUD), those with Any Mental Illness (AMI) and SUD; those with Serious Mental Illness (SMI) and SUD; among those with SUD will be individuals with Opiate Use Disorder.
2022 US Census population estimates show that New Haven’s total population ages 18 and up is 135,736;approximately 78% of population (105,900) are ages 18+ and 11% (14,630) are ages 65+; 17% (24,158) are ages 18-24, 51% (70,429) are ages 25-64. 49% are male and 51% are female; 32% are Caucasian; 28% are Black, 31% are Hispanic of any race, 9% are of another race.
Project Goals and Objectives are as follows: Goal 1: To increase staff capacity to provide evidence-based treatment for individuals with substance use and co-occurring diagnoses. By December 1, 2024, hire project staffing, including 2 clinicians, a case manager, a peer specialist and a prescriber. By December 15, 2025, to increase the capacity of staff to implement Motivational Interviewing (MI) and Cognitive Behavioral Therapy (MI/CBT) with fidelity by providing a two day intensive training in the MI/CBT model of care to 12-15 clinic staff and a half day training for 4 supervisors in model coaching and fidelity rating. Beginning January 2, 2025 to increase the capacity of staff to implement MI/CBT with fidelity by providing monthly coaching sessions with 4 clinical supervisors. Beginning January 2, 2025 to evaluate model fidelity by analyzing fidelity ratings and providing feedback to 4 clinical supervisors on results. Goal 2: To improve behavioral health functioning, decrease mental health symptoms and reduce substance use/risk of harm among a target population of adults with AMI/SUD SMI /SUD. Beginning January 2, 2025, improve mental health symptoms, daily functioning and reduce drug use among at least 60% of 250 adults, clinical staff will provide outpatient behavioral health services (individual, groups) using the MI/CBT model of care. Beginning January 5, 2025, an APRN will provide medication management to up to 250 adults in care and coordinate with the local FQHC to provide medication approved to treat consumers with opioid disorder. Beginning January 15, 2025 to help consumers attain and maintain sobriety/treatment gains, a peer recovery specialist will provide individual and group support services for 50 people receiving services, including their family members. Beginning January 15, 2024 to increase daily living skills and reduce the impact of SDOHs among 60% of 40 adults with SMI/COD served annually, a Targeted Case Manager will provide TCM services.
This grant will allow the FSC CCBHC to hire additional culturally-matched staffing to provide outpatient behavioral health treatment for up to 250 total unduplicated adults with mental health or co-occurring disorders using the MI/CBT model. It will allow us to evaluate the fidelity of the model by providing MI/CBT model training/coaching and fidelity monitoring through Dr. Brian Kulik from Yale University, who has extensive research and clinical training expertise in these models.
