Deschutes County Certified Community Behavioral Health Clinic Expansion - The Deschutes County Certified Community Behavioral Health Expansion Project will focus on increasing access to collaborative, integrated services for individuals with serious mental illness (SMI) or substance use disorders (SUD), including opioid disorders; children and adolescents with serious emotional disturbance (SED); and individuals with co-occurring disorders (COD) in Deschutes County, Oregon’s most rapidly-growing county. Along with the goal of increased access, the project’s other goals are: individuals served will experience improved behavioral and physical health and functioning; clients will receive person- and family-centered, trauma-informed care; all sources of available funding / support will be optimized in order to facilitate each client’s positive outcomes; and capacity of clinical competencies will be maximized in the behavioral health workforce. By July 1, 2020, the number of clients screened for any mental illness who then receive care at an integrated site will increase by 50%, up from 1,562 clients in 2017, to a total of 2,343 unduplicated clients served per year, resulting in a total of 4,686 unduplicated individuals receiving care during the two-year project term. Measurable objectives will be as follows:
• By September 1, 2020, 25% additional staff will be certified to provide SUD and COD services, up from the current baseline of 28, for a total of 35 certified staff.
• By September 1, 2020, there will be a 20% increase in the number of services provided to high risk clients with schizophrenia, schizoaffective, bipolar with psychotic features, and unspecified psychosis in rural communities, up from 222 services per quarter, to a total of 265 services per quarter.
• By September 1, 2020, 300 individuals having received 6 months or greater of service will show an average increase of 5 in their DLA–20 score.
• By September 1, 2020, 100 individuals with MDD, having received 6 months or greater of service, will show average decrease of 4 in PHQ-9 score.
• By September 1, 2020, 300 unduplicated individuals with diabetes served in integrated physical/behavioral health program show 6 months or greater of control as measured by A1C less than 8.
• By September 1, 2020, 300 unduplicated individuals with hypertension served in integrated physical/behavioral health program, will show 6 months or greater of hypertensive control measured by blood pressure less than 140/90 Health & Services Admin guideline (130/80 when HRSA guidelines are adjusted).
• 100% of eligible services will be billed to clients’ insurance, or Medicaid / Medicare, so that CCBHC grant funding can support medically necessary services not covered by other payers.