Services for the Underserved’s (S:US) expansion to a Certified Community Behavioral Health Clinic will occur at our Comprehensive Treatment Institute (CTI) located at 177 E. 122nd Street in East Harlem with a satellite location at 1366 Inwood Avenue in the Highbridge area of the Bronx. These neighborhoods have some of the highest rates in NYC for serious mental illness, substance use disorder, and serious emotional disturbance; S:US has long served these individuals and will target them specifically for this project. The CCBHC expansion at CTI will be modeled after our current CCBHC in Brooklyn and will use EBPs such as Motivational Interviewing, Intentional Peer Support, and Medication Assisted Treatment to provide services including individual and group counseling for SUD, targeted case management, psychiatric evaluations and counseling, medical assessments and medication monitoring, and peer-led recovery and support groups for individuals with SMI, SUD, COD, or SED. We will provide these services to 600 individuals per year (1,200 over the two-year program). Our partner, Damian Family Care Clinics, will provide integrated medical care at S:US’ CTI program.
The majority of the people we serve (70%) are transitioning from hospitals, long-term residential treatment, and incarceration. Not only are they in need of clinical services to sustain and strengthen their recovery, they need comprehensive case management and peer support to successfully reintegrate into their communities. Based on current referrals to CTI, we estimate that 70% of consumers will be from Manhattan and 30% from the Bronx; about 70% will identify as male, 25% as female, and 5% as transgender; majority will identify as African American or Black (55%) and Latino or Hispanic (30%); 45% will not have a high school education, and 80-85% will be unemployed when they start services at S:US. Based on community statistics and current CTI consumer characteristics, we predict that 30% of individuals will have opioid use disorders.
The CCBHC expansion at CTI will be dually licensed and operational within four months of award. Program goals include: 1) Increasing access to and improve the quality of community behavioral health services in Manhattan and the Bronx. 2) Increase access to CCBHC services through comprehensive assessment for new consumers. 3) Increase staff capacity to provide culturally competent patient-centered services. 4) Integrate primary care and behavioral health care to improve health outcomes for individuals with SMI, SUD, COD, or SED. 5) Increase capacity for sustainable CCBHC services.