Community Center for Integrated Health - Recovery Network of Programs, Inc. (RNP) and its three Designated Collaborating Organizations (DCOs)—the Child & Family Guidance Center, Inc. (CFGC); Greater Bridgeport Community Mental Health Center, Inc. (GBCMHC); and Optimus Health Care, Inc. (Optimus)—propose the RNP Certified Community Behavioral Health Clinic (CCBHC), which will expand access to quality treatment for substance use disorders (SUD), SUD prevention, serious mental illness (SMI), and co-occurring mental and substance use disorders (COD) by licensed providers. The RNP CCBHC will deliver its services to residents of Bridgeport, Connecticut, and the surrounding area. RNP will focus on serving men and women with COD, their partners who have COD, and their children who have been affected by their parent(s)’ illness(es). RNP’s innovation will be the creation of comprehensive and fully integrated primary care, SUD, SMI, and COD prevention and treatment services using artificial intelligence to facilitate population health management, effectively enabling RNP CCBHC to access the databases of all four Partners. Combined with RNP’s existing tele-health capacity, RNP and its partners will be able to more effectively collaborate on treatment planning and address crises and other untoward events together with all of the practitioners involved in a POF member’s treatment. Specifically, the RNP CCBHC will bring these services to 375 POF members in Year 1 and 425 in Year 2 (800 total). To reach that total, RNP and its DCOs anticipate screening 500 individuals each year who are not currently connected to treatment.
The goals of the proposed Project are as follows: expand the number of POF members that receive comprehensive SUD/SMI/COD treatment by 800 over the two-year project period, improve the efficacy of treatment and prevention services, reduce substance use among the POF, reduce the severity of symptoms and improve adherence and compliance with treatment, reduce relapses requiring hospitalization, increase the subjective sense of participants’ well-being, and improve their quality of life.
RNP’s CCBHC will focus outreach and engagement efforts on members of the POF that appear to have the most serious needs, or have reached the point where they are ready to make positive changes in their lives, but do not know where to turn. The proposed project will significantly reduce hospital admissions, length of stay, and emergency department (ED) visits by POF members over their use of inpatient and ED services in the prior year. The RNP CCBHC also anticipates working with child welfare to reduce out-of-home placements by helping POF members to be better parents. In addition, the project will result in fewer babies born with Neonatal Abstinence Syndrome and/or low birth weight. Finally, because of early intervention and improved adherence to treatment, RNP anticipates year-over-year improvements in these statistics within the two-year project period, as well as when measured against prior years. These outcomes are made possible by using the predictive power of the project’s software to plan interventions that are both timely and effective with the POF.