Improving Health Outcomes through Intensive Care Coordination of Physical, Behavioral and Substance Use Care - Development Centers works with approximately 6,000 behavioral health consumers on an annual basis. The 1,000 consumers to be served during the first year of funding, largely consist of low-income, uninsured, underserved or Medicaid enrolled individuals who are African American between the ages of 6 and 80 include those with a serious mental illness, children with a serious emotional disturbance and those with chronic substance use disorders. These are all individuals who have an identifiable SED, SMI and/or SUD diagnosis. These chronic, life-long illness are most often coupled with poverty, co-morbidity issues, history of trauma, unstable housing and under employment. This project will have a heavy emphasis on targeting veterans and the LGBTQIA population. Services will be provided in the northwest, west, and northcentral areas of Detroit, in addition to Highland Park and western Wayne County suburbs. Outreach through school-based initiatives, home based services and/or community engagement will also include areas throughout greater Detroit and Wayne County.
For those who seek services, treatment is often siloed into either behavioral health or physical health. Through this CCBHC funding opportunity, we will provide coordinated care to the un- and underinsured and underserved who will benefit from treatment, increase the number of those in treatment and better coordinate their care and services. Development Centers is the only CMH provider in our area, with the next closest provider located six miles away.
Our proposed program includes a focus on integrated care coordination and specialized SUD treatment to improve health outcomes for the SED, SUD and/or SMI population. We are expanding our current integrated care programming, located at two of our sites, to a second generation of increased collaboration that reflects integration of treatment plans, health promotion/education and introduces Nurse Navigators as part of a Care Team that uses open communication, outreach, team huddles and continuous follow-up to ensure effective coordination of behavioral and physical health treatment. Simultaneously, we are focusing on the SUD population and increasing our capacity to serve their needs through specialized staffing, services and education. All services will be housed within our McKenny Center, but intensive outreach and accessibility options will allow consumers at any of our locations to participate.
The goals of our project are: Provide CCBHC services to a minimum of 1,000 consumers during the first year of programming; Increase our capacity to improve health outcomes that contribute to lower life expectancy; Increase our capacity to serve individuals with a SUD diagnosis; Decrease hospitalization and/or ER usage by improved management of chronic conditions and Enhance consumer’s experience of care. Over the two years of the grant, we are proposing to serve 2,500 unduplicated consumers.
