CATCH (Creating Access To Crisis Help) Project - As Missouri's second largest Certified Community Behavioral Health Clinic (CCBHC), Burrell, Inc. is requesting $4,000,000 over two years to continue to expand its successful, cost effective CCBHC model that benefitted from CCBHC-E FY2018 funding. Burrell's CCBHC has improved access and quality of services, integrated primary care, and supportive human and social services. With this funding, an estimated 1,600 person will be served in an area whose population exceeds 890,000. All 17 counties are designated by DHHS as Mental Health and Primary Care Professional Shortage Areas, and 82% are designated as Medically Underserved Areas. Over 98,000 (11%) adults and children are without insurance in these counties and may not have access to healthcare services they need. The project will use evidence-based practices to expand access for individuals with: 1) serious mental illness; 2) substance use disorders, focusing on opioid disorders; 3) children and youth with serious emotional disturbances; and 4) individuals with co-occurring behavioral health disorders. Subpopulations such as those experiencing homelessness, the LGBTQ+ population, African American and Hispanic Communities will be targeted populations for services. Examples of services provided by the comprehensive system of care include: Crisis Mental Health Services; Screening, Assessment and diagnosis; Person Centered Treatment Planning; Outpatient Mental Health; SUD Treatment and Recovery; Health Screening. Monitoring; Case Management; Peer and Family Supports; Psychiatric Rehabilitation; Assertive Community Treatment; Home-Based Health; and, MAT (opioids). The project will place special emphasis on access to crisis help in a wide variety of locations (schools, emergency rooms, primary care facilities, home, etc.) Over the last two years, with help from FY2018 funding, Burrell has transformed access to care into an understandable, easy, stress free experience through extensive telehealth scheduling advances, workforce development and the opening of Burrell's Connection Center. Expected FY2020 outcomes include improvements in: number of individuals impacted, screened and assessed; number of types of services; individual diagnoses; physical and mental health; employment; substance use; housing; and, 21 additional SAMHSA CCBHC measures. Community and Congressional leaders strongly support the project due to compelling local behavioral health and SUD needs. In 2019, an estimated 925,000 Missouri adults over the age of 18 experienced some form of mental illness, of these, 226,000(24%) experienced an SMI that substantially limited their life activities (DMH,2019). SAMHSA NOMS data shows Missouri's incidence of co-occurring mental health/substance disorders is triple the national median for children (9% vs 3%), and more than double the national median for adults (57% vs. 22%). Opioid and SUD will be an area of focus because there is a strong connection between mental health and substance use, as evident in the regions co-occurring disorder rates. CARF accredited with over 1,600 staff, 26,000 persons served and $125 million annually in revenues, Burrell has over 42 years experience as a State designated CMHC. It is a current SAMHSA funding recipient (CCBHC-E, PBHCI, PATH, TREE, SOC) and is a SAMHSA Science and Service Award winner. Its staff have decades of experience in community based treatment along with management and oversight experience for continued CCBHC-E success.
