Funding support from SAMHSA through CCBHC Expansion Grant will allow Western Arkansas Counseling & Guidance Center, a private, non-profit CMHC providing services for over 48 years, to become a Certified Community Behavioral Health Clinic to advance primary-behavioral health integration, meet service gap needs and use evidence-based practices to increase services to 2,000 new children and adults in 6 Arkansas counties with mental and/or behavioral health disorders, including opioid disorders. (Y1: 900; Y2: 1,100).
The catchment area is the 6 most western counties in Arkansas: Crawford, Franklin, Logan, Polk, Scott, and Sebastian. The majority of the geographic area is extremely rural with the urbanization concentrated in Fort Smith. The 6 counties are HRSA-designated Medically Underserved Areas and Health Professional Shortage Areas in primary and behavioral health domains. The target population: children (0+) with Serious Emotional Disturbance (SED) and persons of all ages who have or are at risk for: 1) Serious Mental Illness (SMI) 2) Substance Use Disorders (SUD), including opioid disorders 3) Co-occurring mental health and SUD (COD). WACGC serves 8087 current active clients. The catchment area is approximately 83% White, 14% Hispanic, 7% Black or African American, 5% Asian, and 2% Native American.
Funding issues in Arkansas have resulted in recent closures of behavioral health agencies, 3 in our direct service area. WACGC provides the only comprehensive behavioral healthcare system in the western region. The community has identified the need to provide seamless integrated care to persons at risk/or justice involved who are in a cycle of jail, crisis, or treatment. At risk/or youth in detention centers receive no services when detained. The entire population with SMI, SUD, SED, COD, and other complex issues such as trauma, foster care, LGBTQ, or Veteran status will all benefit from access to integrated care on one campus with telemed capabilities.
Goal 1: Raise the standard of care by meeting all CCBHC criteria (first 4 mths YI). Objective 1.1: Expand the scope of services; staffing; accessibility; and care coordination Goal 2: Increase the provision and scope of services offered by 25% to the target population. Objective 2.1: Enhance the workforce to persons at-risk or detained with behavioral health and/or SUD. 2.2: Provide additional EBP training, including SUD treatment, to all clinical staff involved in the care of the target population. 2.3: Multidisciplinary Treatment teams, law enforcement, medical providers, and other pertinent stakeholders will work with identified clients within the community setting, to implement Assertive Community Treatment (ACT). 2.4: Develop and implement a vaping/smoking cessation outdoor challenge program for youth Goal 3: Increase availability and timely access to integrated care to the target populations across the lifespan Objective 3.1: Enhance the workforce and office space for integrated care and care coordination 3.2: Provide staff with training on integrated care for persons with behavioral health and/or COD issues using the SAMHSA four quadrant integration model. 3.3: Create a mobile mental health team that will take mental health services to the target population through the use of an adapted recreational vehicle.