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.