Sunday, February 5, 2023
2/5/2023
In FY19, The Guidance Center (TGC) served 5,186 adults and children with serious mental health and substance use disorders, 1,141 of whom would not have received services without CCBHC-E funding. People who are uninsured/underinsured have access to services; Substance Use treatment and Supported Employment capacity increased; medication assisted treatment (MAT) was expanded to include opioid use disorders, and a zero-suicide initiative was launched. TGC proposes to further expand services and enhance zero-suicide efforts. We will serve 6,000 individuals in year 1, 6250 in year 2, and 8,686 unduplicated. CCBHC-E grant funds will be used to serve 2,800 consumers in year 1, 3,000 in year 2 and 4,137 unduplicated. TGC has been serving children with SED since 1958 and adults with SED, COD and SUD since 1964. TGC was certified as a CCBHC by the Michigan Department of Health and Human Services in 2016 when Michigan was a Planning Grant state and was awarded CCBHC-E funding in 2018 TGC’s service area includes 18 cities south of Detroit with a population of 348,262 and a poverty rate of 15.3%, higher than the U.S. rate of 12.7% (US Census Bureau QuickFacts, 2018). Communities are 81.4% White; 11.8% Black; 7.9% Latino; 1.6% Asian; and 0.3% Native American. The median age is 38 with 48.6% male and 51.4% female. An estimated 782 adults with SMI and 187 children with SED (969 total) are uninsured. Goals and Objectives for TGC’s CCBHC-E 2020-2022 project: 1. Ensure ongoing access to care by providing services to the uninsured: (a) Serve 310 uninsured or underinsured people in year 1; 350 in year 2 and (b) Increase # adults served in Supported Employment from 85 in FY19 to 140 in yr 1; 160 in yr 2. 2. Address opioid crisis by increasing SUD treatment capacity & expanding service array: (a) Add induction phase to MAT services for people with OUD by 10/1/2020; (b) Develop an intensive outpatient program to serve consumers with SUD/COD by 12/1/2020; (c) Hire 2 additional SUD therapists by 12/1/2020; (d) Hire 2 additional Peer Recovery Coaches by 1/1/2021; and (e) Serve 500 consumers with SUD and COD in year 1; serve 600 consumers in year 2. 3. Prevent suicides by increasing access to services and addressing specific sub-populations most at risk, including adolescents, veterans and LGBT adults and youth: (a) Hire 1 additional children’s intake therapist and 1 additional adult intake therapist by 12/1/2020; (b) Schedule same day or next day intake appointments for 100% of children and adults screened for services and found to have moderate suicide risk; (c) Provide immediate crisis intervention to 100% of children and adults screened for services and found to have high suicide risk; (d) Hire 1 peer support to serve LGBT adolescents & young adults by 1/1/2021; (e) Hire 1 veteran peer support by 1/1/2021; (f) Hire 2 additional hospital liaisons by 1/1/2021 to provide outreach at local psych. inpatient units; and (g) Create a clinical dashboard “watch list” tied to live EMR data by the end of grant year 1 and actively use the watch list for clinical care management.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
