The Northern Ohio Recovery Association (NORA) proposed NORA CCBHC (N-CCBHC) project will significantly expand capacity to serve residents of Cuyahoga County 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). NORA will qualify for certification as a CCBHC.
Grant funds will help NORA address the significant shortfall in capacity of Cuyahoga County’s behavioral health services delivery system to meet the needs of its most vulnerable citizens whose plight is exacerbated by their residence in one of the most economically distressed areas in the nation. NORA will use grant funds to address this situation by expanding its existing service array to include SMI services, as well as SED services targeted to different age levels: young children (ages 0-6), school age (ages 6-12), and adolescents (ages 12-17). The N-CCBHC project will serve 355 unduplicated individuals in Year 1 and 360 in year two. NORA will subcontract with the National Council for Behavioral Health for technical assistance to meet all CCBHC criteria by the 4th month subsequent to grant award. NORA will also contract with the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University (CWRU) to provide training in Assertive Community Treatment (ACT) to project staff to serve the SMI population. NORA will implement a continuum of age-specific developmentally appropriate EBPs for children/adolescents with SED. The Center for Innovative Practice (CIP), also housed at CWRU, will train project staff in Integrated Co-Occurring Treatment (ICT), to serve adolescents (ages 12-17). NORA will implement Alternatives for Families: A CBT to treat children, ages 6-12, , and Early Pathways will be delivered to children, ages 0 to 6. Serving as DCOs will be 1) FrontLine Service, which will provide crisis services and the VA Northeast Ohio Healthcare System, which will accept referrals of veterans for treatment. Project Goals are: 1) Achieve full compliance with CCBHC Standards; 2) Expand access to behavioral health services; 3) Fill in identified gaps in professional staff capacity to serve the needs of the target populations; 4) Expand programming to serve new treatment populations; 5) Provide care coordination for every individual/family assessed to benefit from this service; 6) Improve participants' mental health; 7) Decrease participants’ substance use, and 9) Foster participant satisfaction with their care.