Thursday, November 21, 2024
11/21/2024
This application will build upon the work of Delaware’s Department of Health and Social Services through its Division of Substance Abuse and Mental Health (DSAMH) and the Division of Public Health (DPH) along with several key community partners to address the needs of individuals within our communities with mental illness and substance use disorders. Two of Delaware’s Federally Qualified Health Centers (FQHCs), Westside Family Healthcare and La Red Health Center, will be key hubs to support improved care coordination for these individuals at high risk for poor health outcomes. Delaware’s strategy will focus on providing integrated care services for people with behavioral health disorders and the associated risk factors impacted by the social determinants of health. Specifically, integrated primary care and behavioral health services will directly target improved health outcomes, especially addressing the prevalence of obesity, diabetes, hypertension, and dyslipidemia. Delaware’s focus population will include individuals with substance use disorders (including prenatal patients with substance use disorders), adults with a serious mental illness who have co-occurring physical health conditions or chronic diseases, and adults with a mental illness who have co-occurring physical health conditions and/or chronic diseases. Through the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT), FQHCs will use evidence-based screening materials in a variety of commonly-spoken languages to screen all patients for substance abuse and mental health conditions. Once identified, patients with mental health or substance use disorders will receive a more in-depth screening, conducted by a licensed behavioral health counselor, to determine the acuity of the patients’ needs. The patient will be assigned to a care manager who will establish a medical home within the FQHC for the patient, develop a care plan that is overseen by a doctor, and connect the patient with community-based support services. Depending on the level of behavioral health or recovery services needed for the patient, FQHCs will then either begin providing services to the patient in-house or refer patient to community providers, with ongoing coordination of care by the care manager. Other Evidence Based Practices to be used throughout this project include expanding the use of Medication Assisted Treatment (MAT), MAT with COR-12, Brief Cognitive Behavioral Therapy, and Motivational Interviewing Therapy. Primary care and behavioral health partners will provide trauma-informed care to treat both medical and behavioral health problems.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
