“Centerstone Certified Community Behavioral Health Clinic – Kentucky” (C-CCBHC) will establish a CCBHC at Centerstone’s Bullitt County outpatient clinic, improving access to/quality of evidence-based community behavioral health and integrated primary care services for 7 north central Kentucky counties. C-CCBHC will serve an unduplicated 3,625 individuals (Y1: 2,500; Y2: 1,125) with serious mental illness (SMI), substance use disorders (SUD), co-occurring disorders (COD), and/or youth with serious emotional disturbance (SED).
C-CCBHC's catchment area (Bullitt, Henry, Jefferson, Oldham, Shelby, Spencer, and Trimble counties, Kentucky) is home to nearly 731,000 adults, comprising 48% male, 52% female, 79% white, 15% African American, and 3% Hispanic/Latino individuals. Approximately 8% of area adults are unemployed, 13% live below poverty, and 14% lack a high school diploma/equivalent. Nearly 11% of adults are Veterans. Approximately 228,000 are under age 18 in the catchment area and comprise 51% male, 49% female, 71% white, 21% African American, and 5% Hispanic/Latino individuals. Among this population, 22% experience poverty, and 6% of those ages 2-17 are not enrolled in school. Within the catchment area, 22% of adults experience any mental illness, 14% of children ages 2-17 have an emotional/behavioral/developmental condition(s), and 8% of adults and 4% of adolescents 12-17 have SUD. Among catchment area Bullitt clinic clients, 51% of adults experience SMI; 72% of children/adolescents, SED; and 34% of adults and 4% of children/adolescents, COD. Long-term and serious SUD (i.e., severe diagnoses) is expected among 40% of those with SUD. Without coordinated, whole person care options, the focus population is vulnerable to poor outcomes, at risk for higher rates of mortality, suicide, substance abuse, hospitalization, incarceration, and homelessness.
C-CCBHC will provide an array of integrated primary and behavioral health care services/interventions, including crisis care; mental health screening, assessment, and diagnosis; outpatient primary care screening/monitoring of key health indicators; patient- and family-centered, integrated treatment planning (including risk assessment and crisis planning); Medication Assisted Treatment and medication management; and comprehensive, trauma-informed, evidence-based, outpatient mental health and substance use services (therapy, Assertive Community Treatment, Assisted Outpatient Treatment, targeted case management, peer/community social support, telehealth, etc.). A partnering Centerstone clinic in the catchment area will ensure psychiatric rehabilitation services for CCBHC clients. Other project goals include enhanced infrastructure/capacity to provide coordinated care; increased access to/availability to a comprehensive scope of services; improved health status/outcomes for the focus population; and improved systems and consumer care. Project strategies support goal achievement and include conducting a full needs assessment to ensure certification within 4 months of award; expanding/enhancing existing multidisciplinary treatment teams; assembling an Advisory Work Group; collaborating with community providers to promote whole-person wellness and recovery; utilizing an experienced evaluation team; and applying a continuous quality improvement and sustainable approach to services. C-CCBHC’s goals will result in decreased mental health symptomatology by 45%; decreased substance use by 45%; 50% reported adherence to medication regimens; personalized treatment plans for 100%; and 80% consumer-reported satisfaction with their experience of care.