Ouachita Behavioral Health and Wellness [OBHAW], comprehensive behavioral health provider, will use CCBHC expansion funds to implement a Service Expansion Project, a recovery-oriented rural network of crisis outreach, integrated treatment, and health monitoring, ACT and recovery support with multiple contact points for adults, families, and children/youth with significant behavioral health needs in five rural counties in South Central Arkansas. The Project will serve adults with SMIO, COD, SUD, and OUD and children/youth with SED. The area has very high rates of opioid prescriptions and suicide, and rates of depression and diabetes are significantly higher than national rates. The total area population is 174,513, county populations range from 72-92% white, <1 to 24% African-American, and 3 to 7% Hispanic. Strategies and interventions include Mobile Crisis Outreach, an ACT Team, Outreach Case managers for care transitions, coordination of care with primary providers, clinical monitoring of chronic disease indicators multiple EBPs for the populations of focus, telehealth, use of Enhances Illness Management and Recovery tools and the MyStrengths mobile/internet platform. Project goals are: 1) Improve the capacity of rural Arkansas adults with SMI and COD and youth with SED to achieve recovery from behavioral disorders and community stability through a team-based, "no wrong door model" of comprehensive, integrated, evidence-based treatments; and 2) Persons with SMI, COD, SUD, or SED and chronic health conditions will improve self-management of co-occurring conditions and increase access to community support systems through the delivery of care coordination, Assertive Community Treatment, case management, and peer support. Objectives include: 90% of CCBHC clients and families involved in a face-to-face psychiatric or substance-related crisis incident will have at least 2 contacts with outreach staff in the week following the incident; 80% of children/youth with SED will demonstrate a 30% or greater reduction in traumatic stress symptoms, as measured by Trauma Symptom Checklist for Children; 70% of clients enrolled in integrated treatment for COD/SMI will demonstrate a 20% or better improvement in psychosocial functioning after a 6 months of enrollment; 50% of clients engaged in SUD and OUD treatment will indicate no past 30-day substance use related to the specific SUD after 6 months of outpatient treatment; 90% of enrolled CCBHC clients with chronic health conditions will have a care coordination plan with identified DCO primary care providers completed within 3 weeks of project enrollment; 95% of CCBHC clients with SMI or COD will receive clinical health monitoring by medically trained staff at 3-month intervals; 80% of persons with SMI and COD enrolled in ACT services will have received a weekly minimum of 90 minutes of face-toface contact with team members; 80% of clients linked with community support services will receive at least 2 contacts from case managers or peer support staff in community settings within 3 months of engagement. The project will enroll 415 new unduplicated adults and children/youth in Year 1, 620 in year 2 and 1035 for the Project.
