Centerstone's Certified Community Behavioral Health Clinic (C-CCBHC) project will establish Centerstone’s Bradenton clinic as a CCBHC, 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 clients from among the 6,100 served at the clinic yearly (Yr 1: 375; Yr 2: 625/yr).
C-CCBHC’s target population is expected to mirror those of the catchment area, comprising DeSoto, Hillsborough, Manatee, and Sarasota counties in Florida. Children/adolescents will comprise 51% male, 49% female, 45% white, 18% African American, and 31% Hispanic/Latino individuals; adults will comprise 48% male, 52% female, 64% white, 12% African American, and 20% Hispanic/Latino individuals. Of the catchment area’s population of 2,155,000, nearly 66,570 area adults have SMI; 88% did not receive mental health services. Nearly 114,020 area adults have SUD; 63,157 with COD; 13,656, OUD. Of adults with illicit drug use, 144,494 needed but did not receive specialized treatment. An estimated 44,820 area children/adolescents meet criteria for SED, and 6,420 (ages 12-17) have SUD. An expected 56,560 area Veterans have a mental health/SUD diagnosis, including 19,210 in rural areas. Among the estimated 7,810 Vets with SMI, 2,340 are expected to also have post-traumatic stress disorder. From 2016-2018, the area had 1,563 cases of Hepatitis B; 7,853, Hepatitis C; 1,164, HIV; and 196 deaths due to HIV/AIDS.
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 conducting a full needs assessment and meeting all CCBHC certification requirements by 4 months after award; expanding/enhancing existing multidisciplinary treatment teams; assembling an 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 efforts.