MLCC, a PA CCBHC & Expansion Grant awardee will further increase access and capacity & enhance and expand services to SUD, SMI through complex care coordination, partnerships & enhanced clinical teams - Through the CCBHC Expansion Grant Mercy Life Center Corporation (MLCC), a PA CCBHC awardee and a CCBHC Expansion Grant awardee will further increase access and capacity and enhance and expand services for individuals with SMI, SUD, SED and COD within Allegheny County PA, by utilizing collaborative partnerships, enhanced clinical treatment teams and complex care coordination. The proposed services include expansion and refinement of care management services resulting in increased linkage to all nine core services with a special emphasis on expanded coordination of and linkage to primary care screening and monitoring and increased access to psychiatric services through tele-health portals. The creation of a data driven quality measurement process will inform care. Expanding on a high fidelity CCBHC program, these proposed comprehensive population focused services 1) effectively screen, assess and coordinate care through a Complex Care Management Model, 2) provide increased access to MH, SUD & COD treatment, 3) institutes a safety net for community providers to coordinate and access care across systems, 4) provides access to telepsychiatry and teleconsultation services to address gaps in care related to readiness to engage, social disparities and provider shortage areas. Throughout the life of the grant 5000 individuals will be served. The project will utilize the Evidence-Based Practices Illness Management and Recovery (IMR), Motivational Interviewing (MI), Harm Reduction, and trauma informed approaches and interventions, in engaging and maintaining individuals in service. MLCC, building upon the CCBHC model, will expand capacity and sustain a program with the following objectives: (1) Outreach and engage individuals with mental health and substance use disorders and screen and enroll 600 individuals, (200) in YR1 and (400) in YR2 that are dually served in MLCC’s CCBHC and in MLCCs specialized primary care with 85% continued engagement beyond 6 months. (2) Increase the number of internal connections (linkage) to the nine core services a CCBHC participant, risk stratified as high risk has, by 10% year one and 30% over the life of the grant. On average 2 contacts per person, risk stratified as high risk, will be increased to 5 per person over the lifetime of the grant. This will impact 600 individuals, (200) in YR1 and (400) in YR2. (3) Linkage with community partners will increase by 10% year one and by 50% over the lifetime of the grant. On average 2 contacts per person with community partners will be increased to 4 per person over the lifetime of the grant. This will impact 600 individuals, (200) in YR1 and (400) in YR2. (4) Create a data driven quality measurement process to track, evaluate and inform utilization and effectiveness of EBPs as measured by reduction in tobacco use and obesity, stabilization of/reduction in psychiatric and SUD symptoms and improvement in quality of life. This will impact 5000 individuals over the life of the grant (2000) in year 1 and (3000) in year 2.
