Wednesday, April 24, 2024
4/24/2024
Centerstone's Certified Community Behavioral Health Clinic (C-CCBHC) project will establish Centerstone's Alton Clinic as a CCBHC, improving access to/quality of community behavioral health services for 6 southern Illinois counties. C-CCBHC will advance primary-behavioral health integration and use evidence-based practices to serve an unduplicated 5,375 individuals (Y1:2,150; Y2: 3,225) with serious mental illness (SMI), substance use disorders (SUD), co-occurring disorders (COD), and/or youth with serious emotional disturbance (SED). C-CCBHC's service area (Calhoun, Greene, Jersey, Macoupin, Madison, and St. Clair counties, IL) is home to nearly 630,000 people. Of these, 16% (76,625) of adults experience any mental illness, 10% (14,415) of children ages 2-17 have an emotional/behavioral/developmental condition(s), and 8% (38,312) of adults and 5% (7,508) of adolescents 12-17 have SUD. Among those needing services, long-term and serious SUD (i.e., severe diagnoses), is expected among 74% of adults with SUD; SMI among 50% of adults; COD among 20% of adults and 1.5% of youth; and SED among 58% of children/adolescents. The catchment area fares worse than the state on premature mortality (399/100,000 vs. 320), overdose deaths (20 vs. 15), and preventable hospitalizations (64/1,000 vs. 55). Five catchment counties are HRSA-designated Medically Underserved Areas and Health Professional Shortage Areas in primary and dental health domains; 3 focus counties are HPSA in the mental health domain. Insufficient screening, assessment, and integrated treatment has caused about 45,975 area adults and 7,200 youth ages 8-15 with mental health diagnoses to go without treatment. An expected 6,800 adolescents and 35,200 adults need but have not received SUD treatment. An estimated 15,500 with SUD are vulnerable to associated physical health problems (e.g., heart disease, cancer), and the focus population’s 38,000 with SMI are expected to die up to 30 years earlier than the general population, largely due to preventable health risk factors. C-CCBHC will provide an array of integrated primary and behavioral health care services, including crisis care (e.g. 24/7 mobile crisis, walk-in clinics); mental health screening, assessment, and diagnosis; outpatient primary care screening/monitoring of key health indicators; patient-centered, integrated treatment planning (including risk assessment and crisis planning); MAT and medication management; and comprehensive, trauma-informed, evidence-based, outpatient mental health and substance use services (therapy, psychiatric rehabilitation, Assertive Community Treatment, peer/community social support, telehealth, etc.). The project’s designated collaborating organization (DCO), the Gateway Foundation, will provide treatment for substance use crises (e.g., ambulatory/medical detoxification). C-CCBHC’s evidence-based practices are numerous and include CBT, DBT, Motivational Interviewing, Integrated Dual Disorder Treatment, EMDR, A-CRA/CRA, Seeking Safety, and more. C-CCBHC’s goals include decreasing mental health symptomatology by 45%; decreasing substance use by 45%, achieving 50% reported compliance with medication; delivering personalized treatment plans for 100%, and achieving 80% consumer-reported satisfaction with their experience of care. Key C-CCBHC strategies include conducting a full needs assessment and meeting all CCBHC certification requirements by 4 months after 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 approach to drive improvements and sustainability efforts.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
