BestCare Jefferson CCBHC Project Abstract
We meet complex client needs providing a full continuum of services across our organization ranging from outpatient, to intensive outpatient, to substance use disorder residential treatment, to brief mental health crisis stabilization and intervention in a respite setting, detoxification/ withdrawal management, and medication assisted treatment for opioid use disorders. Our Jefferson County CMHP has developed unique programming to fill gaps such as our Brooks Crisis Respite facility, in response to an identified regional gap in brief crisis respite treatment, and placement of behavioral health staff in the St. Charles Medical Center Emergency Department in the Madras Hospital, and have plans to develop a mental health treatment home. We address complex needs of individuals from cradle to grave, through the provision of 24/7 Mobile Crisis, Assertive Community Treatment, (ACT) and more recently are developing Intensive In-Home Behavioral Health Treatment. (IIBHT), and seek to strengthen the framework of services we have been able to develop by attaining CCBHC status. Our catchment area includes the Confederated Tribes of Warm Springs, rural agricultural and ranching communities, more geographically isolated frontier areas, and individuals from many different Spanish-speaking ethnicities, who traditionally have cultural barriers to admitting to the need for behavioral health services. People from Native American and Latino cultures are numerous and underserved in the areas where we operate, especially tribal members that are Veterans. Socioeconomically, many experience extreme poverty, especially those from the most rural and frontier areas. There is a high rate of opioid dependence, overdose and death, severe medical conditions co-occurring with mental health and substance use disorders. Homelessness and housing insecurity are prevalent across the area, especially for those with severe substance use disorder and severe and persistent mental illness. We strive to provide personalized, client and family centered planning and culturally responsive, trauma sensitive treatment to all we serve, integrating peer support provided by those with lived experience to bring hope and model recovery. Obtaining CCBHC funding will allow us to expand our most intensive services, provide rapid access to mental health counseling and psychiatric care, bring on nursing staff to conduct screenings, and address findings by coordinating care with our local FQHC, and conduct more robust outreach to tribal members and Veterans that are underserved.