CMHA-CEI CCBHC Expansion Project - In response to the Notice of Funding Opportunity, CDC-RFA-SM-18-019, FY2018 Certified Community Behavioral Health Clinic Expansion Grants, Community Mental Health Authority of Clinton, Eaton and Ingham Counties (CMHA-CEI) is requesting $1,892,490 per year for a two year project to expand services to 2,100 individuals annually with a diagnosis of Serious Mental Illness (SMI), Serous Emotional Disturbance (SED), Substance Use Disorder (SUD), or co-occurring disorders (COD) and are uninsured, underinsured, or have commercial insurance. Services will be provided through the addition of Nurse Care Managers, Mental Health Therapists, Recovery Coaches and the expansion of collaborating partnerships with Ingham County Health Department for primary care via their network of Community Health Centers and West Brook Recovery Center for expansion of outpatient Medically Assisted Treatment.
Applying national and state rates to the Clinton, Eaton, and Ingham County population, it is estimated that there are 21,887 youth in the tri-county area with SED, 162,998 adults with SMI, and 40,123 individuals with SUD. Expanding the capacity to provide ongoing services to more of this population is vital in reducing, hospitalizations, re-admissions and ongoing management of chronic conditions to reduce the number of emergency department visits. Three primary goals have been identified for the project:
Goal 1: Reduce hospital emergency department visits for individuals with SMI, SED, SUD, and COD, by improving management of chronic conditions and increasing care coordination with primary care. Goal 2: Reduce psychiatric hospitalizations for youth and adults by expanding mobile crisis intervention services, expanding the use of urgent care services, and increasing access to emergent psychiatric and emergent detoxification services. Goal 3: Reduce all causes of hospitalization readmissions of individuals by increasing participation in evidence-based practices. Evidence Based Practices (EBP’s) for adults include: Clubhouse, Medically Assisted Treatment (MAT), Dialectical Behavior Treatment (DBT) and Assertive Community Treatment (ACT). EBP’s for youth include: Trauma Focused Cognitive Behavioral Therapy (TFCBT) and Parent Management Training Oregon (PMTO).
CMHA-CEI will work closely with external researchers to monitor the fidelity of implementation of the project, analyze output data collected through the project activities, and determine the impact of programs on participants and systems. The results will be used to improve all existing CMHA-CEI programs and systems.