Sanford Health Certified Community Behavioral Health Clinic - This project will establish the Sanford Health Certified Community Behavioral Health Clinic which will primarily serve the populations of Region II in North Central Minnesota, home to nearly 81,000 people. The primary goals of this project are to establish a Certified Community Behavioral Health Clinic in North Central Minnesota, improve our care coordination, decrease the number of inpatient placements outside of our region, and fully integrate Behavioral Health into our health system. We expect to reach 2,300 unduplicated individuals in year one and 2,500 in year two for a total of 4,800 throughout the entire grant period. Through this project we will meet the following objectives: Increase growth and stability of our mobile crisis team; complete an ambulatory withdrawal management unit; develop a person/family centered care coordination team; establish a mandatory treatment/discharge planning process throughout our continuum of care; transition all CCBHC services lines to our Health System’s EHR, Epic; and reduce the number of patients referred to inpatient psychiatric hospitals.
The target population resides in the counties of Beltrami, Clearwater, Hubbard and Lake of the Woods in North Central Minnesota. Beltrami County has a significant American Indian population, located in central vicinity to three Indian Reservations: Red Lake, White Earth and Leech Lake which accounts for nearly 22% of American Indians residing in the County, compared to the national average of 1.3%. Beltrami County has the highest out of home placement rate among all MN counties, with 11% of all youth in the county placed out of the home in 2017. In 2018, there were 884 admission in Beltrami County with the highest population of those admission being American Indian (70%) and second being White (25.5%). The needs assessment also indicates the number one condition surrounding admission to treatment is a condition of probation/parole at 35.1%
Beltrami County, and the surrounding area, is facing the challenge of creating a financially stable continuum of mental health services at a time when costly residential interventions are increasing. Through fully integrating Behavioral Health into our larger Health System, using the CCBHC Model, we will allow for the seamless provision of healthcare and serve the whole person. Integrating service programs and quality care coordination as well as improving access to all CCBHC required services will allow for improved ability to provide local service supports and family support and to help patients move to each level of care with the support they need. Services that will be provided through this grant include: crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services, and crisis stabilization; screening, assessment, and diagnosis, including risk assessment; patient-centered treatment planning; comprehensive outpatient mental health and substance use services; case management; psychiatric rehabilitation services; social support opportunities; and clinical monitoring.
