Friday, April 4, 2025
4/4/2025
Hillcrest Family Services CCBHC Project of Dubuque and Jackson Counties - Hillcrest Family Services proposes to develop a CCBHC project for Dubuque and Jackson Counties, Iowa for the purpose of increasing access to and improving the quality and coordination of community mental health and substance use disorder treatment. The populations of focus include adults with serious mental illness (SMI), youth with serious emotional disturbance (SED), individuals with substance use disorders (SUD), and individuals with co-occurring mental health and substance use disorders (COD). Specific focus areas include children up to age 17, African American, Native Hawaiian/Pacific Islander, and Hispanic/Latino populations, veterans, uninsured, underinsured, and underserved, individuals with commercial insurance but inability to pay, individuals and families living in poverty, and households without vehicle access. The proposed two-year project requests $2,000,000 per year to enhance and improve services to target populations for a total of at least 2,584 individuals over the span of the project. Evidence-based, comprehensive outpatient mental health and substance use services, including medication management (including medication-assisted treatment), a continuum of crisis services, intensive psychiatric rehabilitation, primary care services, ACT, peer and family supports, HIV/Hepatitis screening, and case management will be delivered with a person centered and family-centered focus. Hillcrest Family Services will leverage existing behavioral health services through community mental health centers in Dubuque and Jackson Counties. In FY 2019, Hillcrest provided services to 8,639 individuals including therapy, medication management, mobile crisis outreach, HIV and Hepatitis, crisis residential, intensive psychiatric rehabilitation, integrated health homes, peer support and assertive community treatment. When overlaying data from the National Association of Mental Health (NAMI) with census data from the targeted counties, it is estimated that there are 22,477 adults with SMI, 2671 children with SED, 14,918 with co-occurring mental health and substance use issues, 12,532 individuals living in poverty, 5,304 uninsured, and 7,795 veterans. Hillcrest Family Services will utilize evidence-based practices such as Dialectical Behavioral Therapy (DBT), Eye Movement Desensitization and Reprocessing Therapy (EMDR), Multidimensional Family Therapy (MFT), Theraplay, Motivational Interviewing, Acceptance and commitment Therapy, Trauma-Focused Cognitive Behavioral Therapy, Medication Assisted Treatment, ACT, and IPR to facilitate achieving the goals of the project. Major goals of the project include Goal 1: Decrease the unnecessary use of emergency resources by diverting participants with behavioral health conditions, SUD, or COD from ERs and/or Law Enforcement encounters by providing crisis response; Goal 2: Reduce hospital emergency department visits for individuals with SMI, SED, SUD and COD by improving management of chronic conditions and increasing care coordination with primary care; Goal 3: Reduce all causes of hospitalization readmissions by increasing follow-up after hospitalization for mental illness, SUD or COD. Goal 4: Increase comprehensive screening activities to identify individuals in need and to link to appropriate services and supports. Strategies that will support the achievement of goals include standardized screening and assessment, meeting all CCBHS certification requirements by 4 months post award, enhancing an existing advisory group, building additional infrastructure around electronic health record software, increasing capacity for population health data management, and further enhancement of continuous quality improvement methodologies to support and enhance the project.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).