Expansion and Continuation of Certified Community Behavioral Health Clinic (CCBHC) Services - Horizon Health Services (HHS) with its affiliate, Horizon Village (HV), proposes to expand and enhance its Certified Community Behavioral Health Clinic (CCBHC) services to persons with serious mental illness (SMI), substance use disorders (SUD), children/adolescents with serious emotional disturbance (SED), and persons with co-occurring disorders (COD) through several initiatives targeted to improve patient engagement, care access and treatment outcomes.
HHS is committed to providing services to the indigent and those with SMI or SUD, including opioids. 74% of our more than 15,000 patients are uninsured or on Medicaid. HHS is a recipient of a CCBHC Expansion Grant (SM-18-019). We have successfully implemented the full range of the required treatment services, and have conformed to all required services, activities and reporting. Our intent is to continue the operation of our CCBHC due to the ongoing prevalence of SMI and SUD in our region, and to build on our comprehensive service model, which includes inpatient detoxification and intensive residential rehabilitation treatment programs that go beyond the CCBHC requirements, to serve an expanded market need. This will be accomplished through: implementing HIV and Viral Hepatitis screening; applying our telepractice capacity to serve patients with treatment access challenges including residents of two (2) additional underserved counties - our patients shared with medical practices; increasing the number of clinicians with the capacity to serve persons with co-occurring disorders; improving patient adherence to psychotropic medications and medical screening and linkage to medical care; reducing wait time for initial appointments; expanding our vocational/educational rehabilitation programs; and implementing processes to avert crises for at-risk patients in transitions between levels of care and who are pregnant/post-partum. We will measure our performance on a range of treatment engagement/outcome measures including: access time and attendance of initial appointments for all patients (including post-inpatient), psychiatric services and Medication Assisted Treatment; cardiovascular disease and diabetes screening and care linkage; patient adherence to anti-psychotic and anti-depressant medications; and hospitalization, re-hospitalizations and emergency room visits.
As indicated, our main focus is to increase our CCBHC participation, care coordination and patient access/engagement. We intend to expand the number of clients served annually across all age categories, and anticipate serving annually an additional 1,476 (10% increase) unserved patients by the end of the contract period. Our current patients reside largely in northern Erie, Niagara and Genesee Counties in Western NY, and we plan to make our services available to the 170,029 residents of Orleans and Chautauqua Counties through our telepractice initiative.