Tuesday, May 6, 2025
5/6/2025
Community Alliance CCBHC - Community Alliance Rehabilitation Services (CA) CCBHC will ensure that people with SMI/SED/SUD/COD in Douglas and Sarpy counties in Nebraska have access to comprehensive behavioral health (BH) and primary care (PC) services. Through the CCBHC, CA will expand BH services to children, youth, and transition-age youth and provide greater access to SUD treatment and integrated PC and BH care for children, youth (C/Y), and adults. CA will enroll and serve 600 CCBHC clients: 200 in Year 1 and 400 in Year 2. A full array of evidence-based practices (EBPs) will help enrollees manage symptoms and attain greater independence, better health, and improved quality of life. All clients will receive CCBHC-required screenings and coordination with primary care. CA will provide access to intensive services for people with complex BH needs, including ACT, High-Fidelity Wraparound, IPS, Supported Education, NAVIGATE for first episode psychosis, Permanent Supportive Housing, intensive outpatient (IOP) services, MAT, and outreach to veterans and their families for EBPs and supports. Primary goals and objectives include: 1) Formally launch the CCBHC by Month 4: a) Within 90 days, recruit, hire, and train all project staff; b) Establish an advisory work group with at least 51% CCBHC enrollees and family members; c) Finalize DCO agreements. 2) Universally screen and monitor health: a) Screen and monitor health indicators for 100% of enrollees; b) Screen and monitor prevalence and risk of diabetes and metabolic syndrome for 100% of enrollees on psychotropic medications; c) Train SUD clinicians in SBIRT, motivational interviewing, and relapse prevention by Month 6. 3) Increase access to integrated PC/BH care: a) 100% of new C/Y clients with complex BH/PH needs will have PC provider appointment within 10 business days of enrollment; b) By Month 4, 75% of youth referred by DCOs will be enrolled in integrated PC/BH care. 4) Expand access to intensive services for clients with complex BH needs: a) Enhance ACT services to include integrated PC and outcomes tracking for 120 consumers; b) Refer 100% of eligible C/Y to Wraparound by Month 4. 5) Expand psychosocial rehabilitation services for C/Y: a) Serve and coordinate referrals for 150 C/Y by the end of Year 2; b) Train C/Y staff in EBPs by Month 6; c) Enroll and serve 25% more transition-age youth in the NAVIGATE program by Year 2. 6) Increase services to veterans: a) Serve 20% more veterans with SMI/SUD by Year 2; b) By Month 12, connect 100% of veterans with complex needs to intensive services. 7) Decrease health risk: 50% of enrollees with elevated health indicators will experience a clinical improvement after 12 months. 8) Increase SUD treatment access and decrease substance use: a) Refer 100% of enrollees who screen positive for tobacco use to intervention; b) 50% will participate in intervention within 30 days; c) Serve at least 40 IOP clients in Year 1 and 75 IOP clients in Year 2; d) 75% of clients assessed to benefit from MAT will be referred within 10 days; e) 30% of enrollees with SUDs will reduce substance use after 6 months and 50% will reduce use by 12 months.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).