Certified Community Behavioral Clinic Expansion Grant - Abstract: Certified Community Behavioral Health Clinic – Talbert House (CCBHC-TH)
Talbert House seeks funds to establish a certified community behavioral health clinic
(CCBHC-TH) to increase access to and improve the quality of mental health and substance use disorder treatment in Hamilton County, OH, an urban county that does not have a CCBHC. CCBHC-TH will offer integrated behavioral health and primary care at two sites – the Walnut Hills and Western Hills clinics. Talbert House has the elements to establish a CCBHC but needs funding to address access issues and strengthen services. Primary gaps include no established CCBHC in the county; lack of workforce diversity; absence of key structures to support the integration of primary care into behavioral health services; and limited care coordination at the clinics and in hospital settings. Talbert House will establish CCBHC-TH to address these issues and will work with the National Council for Behavioral Health to ensure it meets certification requirements by 12/30/21. Once certified, CCBHC-TH will provide integrated services to 500 patients over 2 years – 125 in year 1 and 375 in year 2. Goals and objectives include: 1) Establish CCBHC-TH to increase access to integrated services via expanded community outreach and expansion of clinic hours; 2) Improve cultural and linguistic competence to improve service access to underrepresented groups, improve treatment engagement among racial-ethnic patients, and increase workforce development to build more culturally sensitive care; 3) Adopt evidence-based integration practices to include team-based care, integrated operational and clinical workflows, and integrated care training to increase access to primary care; 4) Expand care coordination at the clinics and two hospitals to improve health; and 5) Develop sustainability strategies to include re-enrollment in the state’s primary care program, development of a sustainability plan, and establishment of patient volume targets to grow clinic revenue. Key interventions include integrated behavioral health and primary care, care coordination, cognitive behavioral therapy, medication-assisted treatment, motivational interviewing, high fidelity wraparound, and assertive community treatment. The focus population is youth and adults, to include persons with serious mental illness, substance use disorders, youth with serious emotional disturbance, and persons with co-occurring disorders. 48% are White, 44% African American, and 3% Latinx/Hispanic. 51% are male. Average age is 37. Top diagnoses are trauma/stressor-related disorders, schizophrenia spectrum/psychotic disorders, and bipolar/related disorders. Talbert House has begun to build the infrastructure to support the CCBHC model of service delivery. It has a culture of innovation that thrives on the creation of new services to meet needs and has the administrative, clinical, and technological capacity to establish and implement a successful CCBHC in Hamilton County, OH. SAMHSA funding will provide the necessary financial support to achieve CCBHC certification at 2 sites and strengthen key components of the CCBHC model.
