Four County Comprehensive Community Mental Health Center’s CCBHC project, Expanding North Central Indiana Access, Coordination, and Treatment (ENACT), will serve 4 rural counties in Indiana: Cass, Fulton, Miami, and Pulaski. Focus populations are adults with Serious Mental Illness, Substance Abuse Disorder, and Co-Occurring Disorders and youth with Severe Emotional Disturbance. Veterans and justice-involved individuals are priority populations.
ENACT will serve a total of 5,775 new unduplicated admissions over the 2-year period, 2750 in Year 1 and 3,025 in Year 2. Trauma-informed care, no wrong door, and suicide prevention is the contextual framework for ENACT and several EBPs, which will be delivered with fidelity, have been identified for populations to be served. For all consumers served, the overarching goal is to decreased symptomology, enhanced recovery, and increased functional outcomes in daily life, so consumers perceived improvement in their quality of life. Project goals and measurable objectives include the following:
Goal 1: Establish comprehensive community-based behavioral health services for the focus population that meets all CCBHC criteria.
• Establish an Advisory Work Group that will report to and inform the Board of Directors.
• Review/revise training and quality improvement plans as need to meet CCBHC requirement.
Goal 2: Increase timely access to behavioral health services in the 4C service area.
• Offer same day access intakes for 100% of service referrals.
• Attempt personal contact within 24 hours with consumers with behavioral health presentation released from the emergency departments and county jails.
• Establish mobile crisis teams to respond to 100% of consumers who require in-person contact in the community within 1 hour of contact by referring agency.
• Establish an intensive, community-based behavioral health program for veterans.
Goal 3: Increase effectiveness of behavioral health services in the 4C service area.
• Reduce readmission inpatient psychiatric admissions by 10% and 20% in years 1 and 2, respectively.
• Provide care coordination to 100% of high risk/high utilization consumers within 24 hours of identification.
• Expand peer support services to help coordinate services in the continuum of care.
• 80% of consumers will experience improved health outcomes through standardized tools that measure symptom reduction and improvement in daily functioning.
• 85% of consumers will rate satisfaction with services received as “high” or “very high”.