CCBHC Expansion - will increase access, capacity, enhance and expand services to MAT, primary care screening and monitoring and tele-psychiatry, for individuals with SMI, SUD, COD and SED. - Through the CCBHC Expansion Grant Mercy Life Center Corporation (MLCC), a PA CCBHC awardee, will increase access and capacity and enhance and expand services for individuals with SMI, SUD, SED and COD within Allegheny County PA, by utilizing collaborative partnerships, enhanced clinical treatment teams and complex care coordination. The proposed services include expansion of a COD focused MAT program, coordination of and linkage to primary care screening and monitoring and expanding services via increased access to psychiatric services through tele-health portals. The proposed activities include expansion of care coordination services within the highly specialized MAT program; care management focused on risk stratification using predictive risk analytics to guide intervention activities; and coordination of and linkage to primary care screening and monitoring and mental health services utilizing telepsychiatry and teleconsultation. Expanding on a high fidelity CCBHC program, these proposed comprehensive population focused services 1) effectively screen, assess and coordinate care through a Complex Care Management Model, 2) provide increased access to MH, SUD & COD treatment, 3) institutes a safety net for community providers to coordinate and access care across systems, 4) provides access to telepsychiatry and teleconsultation services to address gaps in care related to readiness to engage, social disparities and provider shortage areas. Throughout the life of the grant 1700 individuals will be served. The project will utilize the Evidence-Based Practices Illness Management and Recovery (IMR), Motivational Interviewing (MI), Harm Reduction, and trauma informed approaches and interventions, in engaging and maintaining individuals in service. MLCC, building upon the CCBHC model, will expand capacity and sustain a program with the following objectives: (1) Outreach and engage individuals with mental health and substance use disorders, and screen and enroll (100) in year one and (300) over the life of the grant in Medication Assisted Treatment (MAT), with 85% continued engagement beyond 6 months. (2) Create a data driven quality measurement process to evaluate risk factors, effectiveness of interventions and decreased days/weeks/months of use for individuals enrolled in the MAT program. Decrease the frequency and days of use by 60% in the target population within 6 months of enrollment in the program (100) in year one and (300) over the life of the grant. (3) Improve coordination of care to and primary care screening and monitoring for 90% of new individuals in the targeted population (SMI, SED, SUD &COD), (1000) new individuals by the end of the grant period, (300) year 1, (700) year 2. (4) Improve access to behavioral health treatment, psychiatric evaluations and medication services to 400 individuals utilizing telepsychiatry and teleconsultation; (150) in year one and (250) in year two.
