Deschutes County Health Services Certified Community Behavioral Health Expansion Project - Deschutes County Health Services (DCHS) is the most rapidly growing county in Oregon, a CCBHC Planning Grant state. The DCHS Certified Community Behavioral Health Expansion Project will focus on increasing access to collaborative, integrated services for individuals with serious mental illness (SMI), substance use disorders (SUD) and Co-occurring disorders (COD), and children/youth with serious emotional disturbance (SED), with an additional focus on enhanced services to homeless, incarcerated, limited English proficiency (LEP) and rural members of the target population. Overarching project goals are: individuals served will experience improved behavioral and physical health and functioning and clinical competencies will be maximized in the behavioral health workforce. By August 29, 2022, the number of clients screened for any mental illness who then receive care at an integrated site will increase by 26%, for an annual increase of 870 additional participants and a two-year total of 1,740 additional, unduplicated individuals served. Additional measurable objectives are:
* By August 29, 2022, the number of homeless clients that receive services will increase by 25%, up from 209 clients in 2019, for a two-year increase of 104 clients and a two-year total of 520 homeless individuals served.
* By August 29, 2022, DCHS will increase # of individuals that receive follow up within seven (7) days of an ED visit for an SUD condition from 30% to 70%.
* By August 29, 2022, DCHS will increase # of individuals that receive follow up within seven (7) days of an ED visit for a MH condition from 72% to 85%.
* New Stabilization Center will help reduce ED utilization among DCHS clients by 10%.
* By August 29, 2022, 300 individuals having received 6 months or greater of service will show an average increase of 5 points in their Daily Living Activities (DLA)-20 score.
* By August 29, 2022, 70% of individuals with a diagnosis of depression, who score positive for depression on the PHQ-9, will show an average decrease of 4 in PHQ-9 score six months post entering services.
* By August 29, 2022, 90% of individuals served will have a primary care provider and 95% of individuals served, with a primary care provider will have at least one care coordination service involving their primary care provider documented in the clinical record.
* By December 31, 2020, 100% of staff responsible for treatment will receive training in language access best practices and interpretation and translation resources.
* By August 29, 2022, 100% of LEP clients will have client facing documents provided to them in their language.
* 100% of project clinical staff will receive training on EBPs for integrated care, including 80% clinical staff attendance to National Council on Behavioral Health Conference.