SMA Healthcare’s Certified Community Behavioral Health Clinic (CCBHC) will increase access to and improve the quality of community mental health and substance use disorder treatment in Volusia County, Florida. Access to a full continuum of service lines to treat addiction and serious mental illness is a well-documented, overwhelming need in the community. In response, SMA will enhance and expand its services to include the necessary staffing, availability and accessibility of services, care coordination, scope of services, quality and other reporting, and organizational authority required to operate as a CCBHC. The population of focus includes consumers with serious mental illness (SMI) or substance use disorders (SUD), including opioid use disorders; children and adolescents with serious emotional disturbance (SED) and individuals with co-occurring mental and substance disorders (COD).
CCBHC project goals include: expanded access to existing behavioral health services for the population of focus; implementation of new required CCBHC services, demonstrate improved consumer outcomes, and utilize community relationships to provide certain CCBHC services and improve care coordination. CCBHC will serve 765 individuals during Year 1 and 714 individuals Year 2 with an anticipated total of 1,183 unduplicated individuals by end of Year 2.
The CCBHC will provide a comprehensive set of integrated primary and behavioral health care services, including 24/7 mobile crisis and both voluntary and involuntary inpatient crisis stabilization; inpatient and outpatient detoxification; behavioral health screening, assessment, and diagnosis; outpatient primary care screening/monitoring of key health indicators; patient-centered, integrated treatment planning; medication assisted treatment; psychotropic medication management; and comprehensive, trauma-informed, evidence-based, outpatient mental health and substance use services including therapy, psychiatric rehabilitation, Assertive Community Treatment, and peer/community social support, provided in office and through telehealth.
The CCBHC’s designated collaborating organizations (DCO), including Halifax Health, Family Health Source, Mental Health America, Volusia County Schools, Florida Department of Juvenile Justice, Community Partnership for Children, Volusia-Flagler County Coalition for the Homeless, and the Daytona Beach Housing Authority will provide children’s inpatient crisis stabilization, veteran’s services, drop-in services and care coordination services as described in PAMA Section 223 (a)(2)(C).
CCBHC’s evidence-based practices include Motivational Interviewing, Cognitive Behavioral Therapy, Community Reinforcement Approach, Dialectical Behavior Therapy, and Eye Movement Desensitization and Reprocessing. Related evidence based program models to be utilized include : Peer Emergency Department Intervention, Feedback Informed Treatment, Integrated Dual Disorder Treatment, Medication Management, Medication Assisted Treatment, Assertive Community Treatment, Assisted Outpatient Treatment, Targeted Case Management, Seeking Safety, Wellness Recovery Action Plan, COR-12 for Opioid Use Disorder treatment, and Moral Reconation Therapy.
Program evaluation will be ongoing. Evaluation activities will ensure full and continuous compliance with the 162 criteria required for a CCBHC and designated collaborative organizations. CCBHC will also collect and report GPRA and NOMS data to SAMHSA. In addition, CCBHC will collect and report on the 21 data and quality measures described in the “Quality Measures and Other Reporting Requirements” found in Appendix A of the “Criteria for the Demonstration Program to Improve Community Mental Health Centers and to Establish CCBHC’s.”