Hegira Health, Inc. Certified Community Behavioral Health Clinic - Abstract - Hegira Health, Inc. Certified Community Behavioral Health Center (HHI CCBHC):
Through community outreach, education, training, and use of evidence-based strategies (EBP), Hegira Health, Inc. (HHI) will expand integrated healthcare services and reduce suicide in Wayne County, Michigan. HHI will build on existing experience and services and improve screening, referral and coordination in the community to identify/treat mental health (MH) and/or substance abuse disorders (SUD), and primary care needs and to intervene appropriately. These goals will be accomplished by expanding capacity to deliver EBPs including Mental Health First Aid (MHFA) and Question Persuade Refer (QPR) to school personnel, human services staff, the faith community, parents, and youth to detect and appropriately respond to MH and/or SUD symptoms and concerns. The EBP Whole Health Action Management (WHAM) will be used by peers with lived experience to assist clients with establishing self-monitoring and practices to improve communication with physicians, decrease hospitalization and increase exercise and nutrition to produce better self-reported health. HHI refers to this initiative as the “HHI CCBHC” which includes recruitment and on-boarding, building service capacity, and enhancing screening and treatment. Some key include: 1) launching a trained CCBHC team within the first four months of award, 2) increasing integrated primary care services, 3) increasing capacity by expanding EBPs, 4) expanding suicide prevention training, screening, and treatment, and 5) implementing data-driven improvement practices. The catchment area for the project is Wayne County, Michigan. (population 1,761,382) inclusive of the City of Detroit (population 659,135). US Census data for 2019 reports 22.7% of residents live below the federal poverty level (FPL) compared to Michigan (14.2% FPL) and national averages (13.4% FPL). The racial profile of the County is 53.1% Caucasian, 39.1% African American, 5.7% Hispanic or Latino, and 2.0% “other” including Asian and Native American populations. (MLPP, 2018) Over 49% of families are single-parent and 30% have a High School diploma or less. Unemployment remains higher with 5.2% for Wayne County, 4.2% for Michigan, and 3.7% nationally. The top three service needs for Medicaid and uninsured residents were MH, SUD, and primary care. Suicide and overdose deaths increased over the last five years (CMHAA, 2019). Multiple Wayne County regions are designated as health and mental health shortage populations. (HRSA 2020) HHI CCBHC project will expand HHI’s service capacity as outlined with emphasis on outcome measurement and sustainability. HHI will: 1) provide integrated primary care services to 300 adults/50 youth in year 1 and 400 adults/100 youth in year 2; 2) expand enhanced screening to 1,500 adults/700 youth per year; and, 3) expand SUD services to 300 adults/100 youth per year; and 4) provide QPR training to 250 adults/50 youth in year 1 and 300 adults/100 youth in year 2.
