Centerstone's Certified Community Behavioral Health Clinic (C-CCBHC) will support continued/expanded implementation of the agency’s CCBHC in Bloomington, Indiana, improving access to/quality of community behavioral health services for individuals with serious mental illness (SMI), substance use disorders (SUD), opioid use disorders (OUD), co-occurring disorders (COD), and/or youth with serious emotional disturbance (SED). C-CCBHC will serve 2,000 unduplicated clients from among the 6,100 served at the clinic yearly (Yrs 1-2: 1,000/yr).
C-CCBHC’s target population is expected to mirror those of the catchment area, comprising Bartholomew, Brown, Greene Lawrence, Monroe, Morgan, and Owen counties in Indiana. Children/adolescents will comprise 51% male, 49% female, 86% white, 2% African American, and 6% Hispanic/Latino individuals; adults will comprise 49% male, 51% female, 90% white, 2% African American, and 3% Hispanic/Latino individuals. Of the catchment area’s population of 409,000, nearly 17,125 adults have SMI; 83% did not receive mental health services. Roughly 24,060 catchment area adults have SUD; 12,046, COD; and 2,605, OUD. Of adults reporting illicit drug use, 29,112 needed but did not receive treatment. Roughly 8,349 catchment area children/adolescents meet criteria for SED, and 1,008 (ages 12-17) have SUD. An expected 8,300 area Vets have a mental health/SUD diagnosis, including 2,615 in rural areas, and about 1,250 have SMI. About 374 area Veterans with SMI are expected to also have PTSD. Since 2017, there have been 273 confirmed Hepatitis A cases. From 2016-2018, there were 168 Hepatitis B and 1,561 Hepatitis C catchment area cases. Roughly 9.3% of the area’s 433 persons with HIV were co-infected with Hepatitis C; 54% of those also reported injection drug use.
Immediately upon award, C-CCBHC will provide an array of integrated primary/behavioral health care services (e.g., crisis care; mental health screening, assessment, and diagnosis; primary care screening and monitoring of key health indicators; HIV/Viral Hepatitis screening; integrated treatment planning; Medication Assisted Treatment and medication management; and telehealth). Medical detoxification and vaccination services will be provided by project DCOs. C-CCBHC’s evidence-based interventions are numerous and include Cognitive Behavioral Therapy, Motivational Interviewing, Assertive Community treatment, Illness Management and Recovery, Integrated Dual Disorder Treatment, and more. C-CCBHC will accomplish the following goals: 1) Continue delivery of comprehensive community-based mental and substance use disorder services for the target population, meeting all CCBHC criteria; 2) Enhance infrastructure/capacity for a full continuum of coordinated care; 3) Ensure access to/availability of timely services for the target population; 4) Improve health status and outcomes for C-CCBHC consumers engaged in treatment; and 5) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery. To support these goals, C-CCBHC will achieve the following measurable objectives: Decrease mental health symptomatology by 45%; Decrease substance use by 45%; Achieve 50% reported compliance with medication; Deliver personalized treatment plans for 100%; and Achieve 80% consumer/family reported satisfaction with their experience of care. Key C-CCBHC strategies include expanding/enhancing access/services; convening the exiting Advisory Work Group; collaborating with community providers to promote whole-person wellness and recovery; utilizing an experienced evaluation team; and applying a continuous quality improvement approach to drive improvements and sustainability.