PCMH CCBHC Expansion Program: Helping Families - Helping Communities - The Postgraduate Center for Mental Health (PCMH) proposed goal is to provide a comprehensive collection of services that creates 24/7/365 access, stabilizes people in crisis and affords the needed treatment, as well as recovery support services for those with AMI/SED, as well as the most complex health and social needs. Utilizing a SDOH platform, PCMH will integrate and improve mental health, address family dynamics and stress, as well as create a Family Recovery Support Systems Center. The population of focus is comprised of individual adults, families and veterans with diagnoses of SMI, DUDs, CODs, OUDs, integrated physical and behavioral health disorders and children five and above with SEDs, living in the Bronx, Brooklyn, Queens, and Manhattan boroughs. The NYC region has the highest percentage of adults that reported food insecurity (37%) and housing insecurity (52%) in the past 12 months, and who reported not receiving medical care because of cost (16%) in the past 12 months, as well as cigaretete smoking among those who reported poor mental health (28%). In NYC, obesity is epidemic, as over half of adult New Yorkers have overweight (34%) or obesity (22%). Recent studies (2019) have documented a "60% obesity rate in patients with schizophreniz or bipolar disorder. ...weight gain is not only caused by medications ... mental illness itself ... PTSD, depression..." (USC Nursing, 2019). Obesity...public school students in NYC is 20.4%...overweight, 17.6% (NYC Health, 2019. Objectives:
By December 10, 2020, PCMH will provide a comprehensive, coordinated and fully integrated collection of services for the population of focus.
By December 30, 2020, PCMH will provide 100% of all new clients with screenings, assessments and diagnoses, including risk assessments for SMI/SED, suicide & SUDs/OUDs.
By December 30, 2020, PCMH will provide 100% of clients with coordinated, integrated and comprehensive 24/7/35 access to behavioral health crisis services in its catchment area.
By December 30, 2020, 100% of PCMH staff will demonstrate competency in the following: risk assessment and suicide prevention and response protocols and crisis management.
By December 30, 2020, 30%; by December 30, 2021, 60%; and by December 30, 2022, 100% of PCMH's professional prescribing staff will be fully trained in MAT.
By December 30, 2020, PCMH will provide the required high-rick screening and referral for blood draw for HIV and Viral Hepatitis (A B and C) as well as monitoring to all new clients.
By October 30, 2020, PCMH will develop a behavioal health disparaities impact statement.
By March 1, 2021, 100% of PCMH clients will receive a SDOH assessment/resource referral.
By July 30, 2021 PCMH will establish a joint Family Recovery Support Systems Center and Social Determinants of Health Learning Collaborative.
By December 30, 2020, PCMH will initiate a Culture of Health and Wellness lifestyle behavioral modification program for all adults and children whose BMI exceeds 25plus.
PCMH proposes to serve 450 adults and 150 children (600) annually and a lifetime total of 1200.
