This project, titled CCBHC Access to Integrated Behavioral Health Urgent Care, will serve adults and children seeking mental or behavioral health (MH/BH) services in Orange County, New York. Access expects to serve 4,500 individuals in the first year and 12,000 individuals over the lifetime of the project.
Access: Supports for Living Inc. (Access) is applying for SAMHSA funding to become a Certified Community Behavioral Health Center (CCBHC) to facilitate immediate access to appropriate, evidence-based screening, assessment and treatment services for children, veterans and any individual with MH/BH needs. By improving timely access to appropriate, integrated supports and services, Access will reduce health disparities and help close the existing gaps between available resources and individual health outcomes.
Access is located in the Mid-Hudson Region of New York State where 7% of the population are veterans, 10% are disabled, 13% are 65 or older, 27% are 19 or under, and approximately 6% are individuals with intellectual or developmental disabilities (I/DD).
The Mid-Hudson has the second highest rate of drug-related hospitalizations, among all DSRIP regions in New York (28 per 10,000) and a newborn drug-related diagnoses rate of 57 per 10,000.
Approximately 3.8% of adults in the region experience serious mental illness (SMI), 54% of individuals do not have follow-up care following a hospital discharge for mental illness, current services do not have the capacity to provide timely access to psychiatric care, and 73% of individuals do not engage in substance use disorder (SUD) treatment within 30 days of initiation.
Access proposes to (1) increase CCBHC capacity to appropriately and immediately treat any individual seeking MH/BH care; (2) increase the number of individuals who receive ongoing Medication Assisted Treatment (MAT) services; and (3) increase the number of individuals in Orange County with coordinated care plans. By January 2019, four months post-award, Access will increase staffing capacity at multiple locations to provide immediate walk-in availability; formalize relationships with local hospitals to provide next-day care after hospital discharge following naloxone administration and suboxone induction; and partner with the federally qualified health centers (FQHCs), local veterans' health facilities, and schools to increase the number of individuals with coordinated care plans.