Integrated Services of Kalamazoo’s CCBHC 2020 will build on the success of the certified CCBHC, improving the health of individuals in Kalamazoo county while advancing integration of behavioral health and physical health care, increasing use of evidence-based practices and expanding capacity, access and availability to high quality care.
Target Population: The CCBHC population of focus is Adults with Serious Mental Illness, Adults with Substance Use Disorders, Children/Adolescents with Serious Emotional Disturbance, and Youth/Adults with co-occurring Mental Health and Substance Use Disorders. Kalamazoo County’s population is 259,830 with 79% White, 12% Black/African American, 0.5% American Indian and 5% Hispanic/Latino. Gender makeup is 49% male and 51% female; 3.8% LGBTQ and 0.6% Transgender. The CCBHC population is more diverse than the general population (65.3% white, 29.5% black/African American, 5.2% other, and 4.7% Hispanic/Latino) and a higher proportion of males (55.4%).
Strategies/Interventions: ISK will provide required CCBHC services directly and through four identified Designated Collaborating Organizations. Evidence based practices include: Integrated Treatment for Co-occurring Disorders and Cognitive Behavioral Therapy – Suicide Prevention.
Goals/Objectives: Goal 1. Increase access to behavioral health services. 1a) Treatment capacity will increase to provide services to 1000 individuals enrolled in CCBHC. 1b) Community Health Worker capacity will be added to provide direct assistance with Social Determinants of Health to increase access and service utilization for 500 clients. 1c) Access to care will be available within 24 hours of request as a result of Same Day Access processes. Goal 2. Deliver comprehensive, coordinated care providing access to evidence-based interventions for individuals with complex needs. 2a) Care coordination will be provided for enrolled individuals. 2b) Treatment outcomes for individuals with co-occurring disorders will be improved by training 100% of treatment staff in an evidence based co-occurring model. 2c) Treatment response for suicide risk will be improved by training 100% of treatment staff in suicide prevention EBPs. Goal 3. Deliver integrated care for behavioral health and physical health risks and needs. 3a) All enrolled individuals will receive primary care screening and monitoring of health indicators and risks. 3b) Care Pathways will be developed and implemented for individuals with high behavioral and primary care risks. 3c) Screening for HIV and Hep A, B, and C and immunizations will be provided for enrollees.
This project will serve 500 individuals Year 1 and 500 individuals Year 2 for a total of 1000 unduplicated individuals by end of Year 2.