Centerstone's Certified Community Behavioral Health Clinic (C-CCBHC) will support continued/expanded implementation of Centerstone's CCBHC in Alton, Illinois, 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 1,000 unduplicated individuals from among the 5,900 that the clinic serves yearly (Yr 1 & 2: 500/yr).
C-CCBHC’s target population is expected to mirror those of the catchment area, comprising Calhoun, Greene, Jackson, Jersey, Macoupin, Madison, St. Clair, & Williamson counties in Illinois. Those ages 17 and under are expected to comprise 51% male, 49% female, 66% White, 19% African American, and 5% Hispanic/Latino individuals. Those 18+ are expected to comprise 48% male, 52% female, 80% white, 14% African American, and 3% Hispanic/Latino individuals. Of the catchment area’s population of 744,000, 4% (23,100) of adults are expected to have SMI, and 16,610 children/youth ages 6-18, SED. Roughly 8% (46,195) of adults and 4% of adolescents 12-17 have SUD, and 0.7% (4,042) of adults and 0.4% of adolescents 12-17 have OUD. An estimated 33% of the 63,518 area Veterans are expected to have a mental health diagnosis. An estimated 14,780 (64%) adults with SMI and 11,630 (70%) youth ages 12-17 with SED have not received appropriate supports. An estimated 36,300 adults and 5,370 adolescents with SUD remain untreated. Without integrated care, 23,860 individuals with COD are at increased risk of physical illness, homelessness, incarceration; 52,840 individuals with SUD are more vulnerable to heart disease and cancer; and those with SMI are expected to die up to 30 years prematurely.
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 and Hepatitis A/C vaccinations; integrated treatment planning; Medication Assisted Treatment and medication management; and telehealth). 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 updating a full needs assessment and meeting all CCBHC certification requirements immediately upon award; expanding/enhancing access/services; convening the 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.