Chinatown Service Center (CSC) is seeking to expand our organization to establish the first CCBHC in California. CSC's proposed CCBHC site is located in Alhambra, at 320 S. Garfield Avenue. Our population of focus will be adults and children with a behavioral health diagnosis, including Severe Mental Illness, Severe Emotional Disturbance, and Substance Use Disorders.
Los Angeles (LA) County is organized eight Service Planning Areas (SPA); our proposed catchment area is SPA 3, also the location of our CCBHD site. In SPA 3, the primary racial groups are Hispanics (46.0%), followed by Asians (29.0%). Clinical characteristics of SPA 3 demonstrate the need for the CCBHC: a) 46.1% with SED/SMI did not utilize mental health services; b) 36.0% of adults who tried to access mental health, reported it was difficult to access care; c) the prevalence of Asians with SED/SMi is two to ten times higher than all other LA County SPAs; d)11.4% Medicaid enrolled individuals are estimated to have SED/SMI; e) 11.0% adults are at-risk for major depression; and f) 30.0% of those incarcerated in the LA County jail system have mental illness, nearly twice the U.S. estimate (16.9%).
CSC proposes to serve 10,500 unduplicated patients each year, with a total of 21,000 patients projected to be served over the two-year grant period. Based upon the demonstrated need for expanded behavioral health care in SPA 3, CSC has developed the following CCBHC program goals, which are in addition to and separate from other performance measures required by the CCBHC criteria. Program objectives include: 1) By the end of grant, conduct outreach within 8 locations to reach 150 SED youth, with 75% becoming CCBHC patients; 2) By the end of the grant, conduct outreach within 8 locations to reach 200 patients with SMI, with 75% becoming CCBHC patients; 3) Within 6 months, develop a resource guide addressing emotional and social support/resources with SPA 3, distribute 80,000 resource guides by the end of the grant; 4) By the end of the grant, provide depression screenings for 2,000 patients, referring positive screenings, with 75% of referrals yielding an appointment; 5) For each grant year, provide transportation to 300 patients, with 75% of patients receiving vouchers attending scheduled appointments; 6) For each grant year, conduct community outreach at 8 fairs or events to raise awareness of the CCBHD program, reaching 3,500 individuals by the end of the grant; 7) Within six months of award, provide cultural competency training to 90.0% of CSC providers and selected DCO and partner staff; and 8) By the end of the grant, identify 200 individuals with mental health or SUD disorders, previously incarcerated and/or soon to be released, and refer to CSC's CCBHC, with 75% of referrals yielding an appointment.
CSC is a long-established, multi-service agency with Federally Qualified Health Center (FQHC) designation; we already meet much of the criteria to become a CCBHC. Further, CSC has ample experience serving patients within the population of focus. We are confident that our proposed approach/timeline will allow for CCBHC certification within four months of award.