CNS Healthcare CCBHC Expansion Grant Project:Increasing access and improving the quality of community behavioral health services to children and adults who are uninsured, underinsured, and underserved - CCBHC Expansion Project Abstract Summary: Utilizing the 2-year CCBHC funding, CNS Healthcare (CNS) provides comprehensive outpatient services to 3,000 children, adolescents, adults and older adults with Serious Mental Illness and Substance Use Disorders who are uninsured, underinsured, and underserved in Southeast Michigan. Additionally, services focus on outreach to Veterans, Native Americans, and LGBTQIA+ community. All strategies, interventions, goals, and measurable objectives meet criteria for the Medicare and Medicaid programs. CNS is a CARF International accredited health home, and a community mental health provider with over 25 years of experience of providing mental health and substance use services in Oakland and Wayne Counties, Michigan. Each year, CNS provides services to over 5,400 individuals, in 9 locations, including five outpatient clinics, two clubhouses, and two drop-in centers. CNS is a recipient of a SAMHSA Primary and Behavioral Healthcare Integration (PBHCI) grant (2015-2019) and has a co-located Federally Qualified Health Center (FQHC). CNS embraces the full implementation of consumerism, and ensure that individuals, we serve are involved in the design, delivery and evaluation of the mental health services. Additionally, CNS is home to an award-winning Anti-Stigma Team, composed of individuals with lived experience of mental illness and substance use disorders, who work locally and nationally, to educate the public. CNS has an active community outreach program, presenting to schools, places of worship, law enforcement, civic organizations, and the public. As CNS expand access to current Community Mental Health services, the agency will pursue the goals of advancing Medicaid Meaningful Use, and Medicare Merit-Based Incentive Payment System (MIPS) with the following Clinical Quality Measures (CQM): antidepressant medication management, suicide risk assessment, controlling high blood pressure, diabetes control and initiation of alcohol and drug dependence treatment, documentation of medications in the medical record, children and adolescent major depressive disorder, preventive care, screening and follow-up for clinical depression, Body Mass Index (BMI), tobacco use cessation intervention and weight assessment counseling for children and adolescents. The following services will be provided: screening assessment and diagnosis, patient centered treatment planning including risk assessment and crisis planning. In partnership with the state-sanctioned crisis center, CNS provides crisis services. Additionally, CNS provides outpatient primary care screening and monitoring of key indicators and health risks, clinical monitoring for adverse effects of medications including monitoring for metabolic syndrome, target case management, psychiatric rehabilitation services, clubhouses, peer support services, and assertive community treatment. Additionally, CNS will increase over baseline the provision of the following services medication assisted treatment, telemedicine/telehealth, evaluation and management, enhanced vital signs, health education, case management, peer support services, individual and group therapy.
