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CCBHC expansion and enhancement to improve access and quality of services for individuals with serious mental health concerns in the Portland Metro Area.

Award Number: H79SM083220
ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 05/01/2020
PERIOD OF PERFORMANCE END DATE: 04/30/2023

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CCBHC expansion and enhancement to improve access and quality of services for individuals with serious mental health concerns in the Portland Metro Area. - Population to be served - Cascadia Behavioral Healthcare (Cascadia) CCBHC-Expansion proposal focuses on the following populations in Multnomah and Clackamas Counties, Oregon: Adults and youth with serious mental illness (SMI); adults with mental health (MH), substance use disorders (SUD), and co-occurring MH and SUD diagnoses (COD); and children/ adolescents with MH, SUD, and COD. Project Goals - As the largest community behavioral health provider of services to individuals with serious mental illness (SMI) in Oregon, Cascadia proposes to expand access to integrated healthcare by adding primary care, wellness services, and care coordination to its existing behavioral health center in Clackamas County. Cascadia also proposes to build on recent success in significantly reducing emergency department (ED) utilization by conducting targeted identification, outreach, and interventions to address ED use. Strategies - Proposed strategies to meet these goals include: the addition of primary care, care coordination, and wellness services into Cascadia’s current array of behavioral health services offered at its Clackamas Health Center; and deployment of population health management and targeted evidence based prevention practices to reduce avoidable ED visits among the target population. Measurable objectives - Cascadia intends to achieve the following objectives through this CCBHC expansion project: 1) Provide 16 hours/week of integrated primary care by the end of Year 2; 2) Serve a minimum of 100 clients engaged in behavioral and physical health services by the end of Year 1, and 250 clients by the end of Year 2; 3) Provide physical health screenings to 75% of CCBHC clients; 4) Deliver a wellness curriculum focused on identified client needs, by offering at least 4 wellness activities/groups per year; 5) Train staff in fundamentals of integrated healthcare and population health by providing 2-4 hours of training per month over the first 90 days of operation, and quarterly trainings thereafter. In addition, Cascadia will: 1) Decrease the percentage of clients who utilize the ED at high rates, defined by 5 or more visits in a 12-month period, by 3% in Year 1 and 4% (overall) in Year 2; 2) Decrease rates of ED utilization by 7% over two years through targeted outreach and engagement, and ongoing population health management to monitor and direct intervention strategies; provide follow-up after ED discharge for 90% of clients within 48 business hours.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$204,298 )
2024	2021	CASCADIA HEALTH	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	000	2	12/4/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$204,298
														Subtotal = -$204,298

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	CASCADIA BEHAVIORAL HEALTHCARE, INC.	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	000	2	10/13/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2022	2021	CASCADIA BEHAVIORAL HEALTHCARE, INC.	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	001	2	4/20/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $1,286,157 )
2021	2021	CASCADIA BEHAVIORAL HEALTHCARE, INC.	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	001	2	4/30/2021	NON-COMPETING CONTINUATION	$1,286,157
2021	2020	CASCADIA BEHAVIORAL HEALTHCARE, INC.	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	000	1	10/14/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,286,157

Issue Date FY: 2020 ( Subtotal = $1,347,806 )
2020	2020	CASCADIA BEHAVIORAL HEALTHCARE, INC.	847 NE 19TH AVE STE 100	PORTLAND	OR	97232	MULTNOMAH	USA	Section 223 Demonstration Programs to Improve Community Mental Health Services	000	1	4/30/2020	NEW	$1,347,806
														Subtotal = $1,347,806

Grand Total All Awards = $2,429,666

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CCBHC expansion and enhancement to improve access and quality of services for individuals with serious mental health concerns in the Portland Metro Area.

Award Number: H79SM083220

ORGANIZATION: CENTER FOR MENTAL HEALTH SERVICES

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 05/01/2020

PERIOD OF PERFORMANCE END DATE: 04/30/2023

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