CNS Healthcare CCBHC Expansion Project: Increasing access and improving the quality of community behavioral health services to children and adults who are uninsured, underinsured and underserved. - CCBHC Expansion Project Abstract Summary: Utilizing the 2-yearCCBHC funding, CNS Healthcare provides comprehensive outpatient services to at least770 children, adolescents, adults and older adults with Serious Mental Illness and Substance Use Disorders who are uninsured, underinsured, and underserved in Southeast Michigan. Additionally, services focus on outreach to Veterans and Native Americans. All strategies, interventions, goals, and measurable objectives meet criteria for the Medicare and Medicaid programs. CNS Healthcare is a CARF International accredited health home, and a community mental health provider with over 22 years of experience of providing mental health and substance use services in Oakland and Wayne Counties, Michigan. Each year, CNS Healthcare provides services to over 5,000 individuals, in 9 locations, including five outpatient clinics, two clubhouses, and two drop-in centers. CNS Healthcare is a recipient of a SAMHSA Primary and Behavioral Healthcare Integration (PBHCI) grant and has a co-located Federally Qualified Health Center (FQHC).At CNS Healthcare, we embrace the full-implementation of consumerism, and ensure that individuals, we serve are involved in the design, delivery and evaluation of the mental health services. Additionally, CNS Healthcare is home to an award-winning Anti-Stigma Team, composed of individuals with lived experience with mental illness and substance use disorders, who work locally and nationally, to educate the public. CNS Healthcare has an active community outreach program, presenting to schools, places of worship, law enforcement, civic organizations, and the public. As we expand access to our current Community Mental Health services, we will pursue the goals of advancing Medicaid Meaningful Use, and Medicare Merit-Based Incentive Payment System (MIPS)with the following Clinical Quality Measures (CQM):antidepressant medication management, suicide risk assessment, controlling high blood pressure, diabetes control and initiation of alcohol and drug dependence treatment, documentation of medications in the medical record, children and adolescent major depressive disorder, preventive care, screening and follow-up for clinical depression, Body Mass Index (BMI),tobacco use cessation intervention and weight assessment counseling for children and adolescents. The following services will be provided: crisis mental health services, screening assessment and diagnosis, patient centered treatment planning including risk assessment and crisis planning, outpatient primary care screening and monitoring of key indicators and health risks, clinical monitoring for adverse effects of medications including monitoring for metabolic syndrome, target case management, psychiatric rehabilitation services, clubhouses, peer support services, and assertive community treatment. CNS Healthcare will serve a minimum of 770 unique individuals (550 in Year 1, 220 additional individuals in Year 2), with SED, SMI, SUD and COD, who are uninsured, underinsured and underserved. As a result of this CCBHC project, we will increase our baseline encounters for services to veterans, Native Americans, children and adolescents. Additionally, we will increase over baseline the provision of the following services medication assisted treatment, telemedicine/telehealth, evaluation and management, enhanced vital signs, health education, case management, peer support services, individual and group therapy.
