CCBHC - Amelia - Certified Community behavioral Health Clinic-Amelia (CCBHC-A)
CCBHC-A is a collaboration between Greater Cincinnati Behavioral Health Services (GCB), a regional behavioral health agency and 2 organizations-The HealthCare Connection, a Federally Qualified Health Center and GCB's primary care partner and Child Focus, Inc.- a licensed crisis services provider. This partnership will increase access to/improve the quality of community mental health and substance use disorder treatment in Clermont County, OH (CC), a rural, Appalachian county. GCB expanded to CC in 2014 to address health disparities in a county with limited services. It has elements to establish a CCBHC but needs funding to address access issues and strengthen services. Primary gaps include a mismatch between service demand and funding for uninsured clients; workforce shortages; limited access to crisis and youth mental health services; lack of integration between mental health/primary care and substance use disorder treatment; and insufficient care coordination. CCBHC-A will be established to address these issues. GCB meets most CCBHC requirements and will obtain technical assistance from the National Council for Behavioral Health to ensure it meets certification requirements by 12/30/2020. Once certified, CCBHC-A will provide integrated services to 1,000 new clients over 2 years-400 in year 1 and 600 in year 2. Goals/Objectives include: 1) Establish CCBHC-A to increase access to integrated services via certification and expansion of clinic hours; 2) Increase access to crisis services to reduce suicide via expansion of mobile crisis to 24/7, establishment of emergency crisis services, access to crisis support beds, and adoption of Critical Time Intervention; 3) Integrate SUD treatment to increase service access via workforce expansion, development of treatment protocols, and integration of a SUD module into the EHR; 4) Expand youth counseling and psychiatry to serve more children/adolescents; 5) Expand primary care and care coordination to improve health via workforce expansion, improvements in EHR population health, and development of a technology-based care coordination plan; and 6) Develop sustainability strategies to include participation in state-level crisis planning, development of a sustainability plan, and expansion of value-based contracts with managed care organizations. Key interventions include Critical Time Intervention, Medication-Assisted Treatment, Assertive Community Treatment, Cognitive Behavioral Therapy, and Integrated Dual Diagnosis Treatment. The focus population is youth and adults, to include persons with serious mental illness, substance use disorders, youth with serious emotional disturbance, and persons with co-occurring disorders. 94% are White; 54% female. Average age is 40. Top diagnoses are major depressive disorder and bi-polar disorder. 21% are uninsured. GCB spent 6 years building the infrastructure and services to establish the foundation for a CCBHC with the help of 2 SAMHSA grants. SAMHSA funding will allow GCB to finalize integration efforts and expand its workforce to meet the demands of a disparate population in a disparate region.
