The Village requests $3,663,642 to implement “The CCBHC @ The Village: Enhancing Mental Health and Addiction Care Access and Quality for CT’s Capitol Region.” The project catchment area includes Hartford (state Capitol) and 5 surrounding towns with a collective population of 265,000 and will serve 900 unduplicated individuals in 3 priority populations. Populations are: 1) Child or adolescent Emergency Department psychiatric admissions; 2) Adults with substance or alcohol use disorders; and 3) Patients who exit treatment early. Project goals include: 1) Achieve and maintain CCBHC certification to increase access, quality, and availability of community mental health and substance use disorder treatment for individuals in Greater Hartford; 2) Decrease substance use/abuse through expanded access to EBP/treatment for underserved populations; 3) Reduce ED admissions and discharge delays for children and youth with psychiatric conditions; 4) Achieve greater equity, efficiency, continuity of care, and overall treatment outcomes; and 5) Reduce incidence of depression, anxiety, and substance use disorders in older adults. The project will serve an estimated 350 unduplicated individuals in year one, and 550 in year two.
The project will add 12.613 FTE staff positions, and build capacity to meet a subset of CCBHC requirements during months 1 to 4 of the project period. The proposed project will: a) enhance primary care integration and monitoring for adverse effects of medication through CCBHC-funded Care Coordinators, Case Managers, and Medical Assistants; b) enhance use of care coordination protocols and EHR integration with designated collaborating organizations (DCOs) connected to CCBHC priority populations; c) enhance psychiatric rehabilitation and social support opportunities (3.0 FTE Peer Recovery Specialists), and integrate these activities into existing comprehensive community recovery support offerings available at the Village and/or DCOs; d) enhance specialized services for Veterans (0.25 FTE Clinician); e) offer Assertive Community Treatment enhancements; f) better serve existing judicial/officials/court systems, child protective service agencies, and school systems through CCBHC expansions to priority populations; and g) introduce enhancements to methods for input from patients and family members. The project leadership team (and DCOs) will use data from the PQI Plan and evaluation to analyze costs and benefits, and to develop a road map for sustainability.
Project funding will support a full-time, independent evaluator. The formative evaluation activities will document capacity building milestones such as the development of DCO relationships, professional development training, data collection, and fidelity of EBP implementation. Annual evaluation reports will document implementation milestones, process measures (e.g., service utilization, reach across priority populations), clinical outcomes (e.g., treatment completion, follow-up), and lessons learned. Evaluation activities will align to support compliance with all grant reporting requirements to SAMHSA SPARS.