The expansion grant funds South Arkansas Regional Health Center to become a Certified Community Behavioral Health Clinic to advance primary-behavioral health integration and use evidence-based practices to increase services to 300 individuals in south Arkansas. The target population is individuals with complex physical/behavioral health disorders, including opioid disorders, adult and juvenile court participants, veterans, and school age children.
SARHC serves 6 counties in the most southern region of Arkansas: Calhoun, Columbia, Dallas, Nevada, Ouachita, Union. The catchment area is extremely rural, and all counties are HRSA designated Health Professional Shortage Areas in the behavioral health and primary care domains. The largest county, Union, includes the city of El Dorado (pop. 17,982), a centralized hub where mental health and medical needs are sought and delivered. El Dorado is a HRSA designated High Needs Geographic Health Professional Shortage Area. In the past decade, declining industry has left much of the population without quality employment/insurance benefits and increased need for accessible integrated behavioral health services. The catchment area is approximately 64% White, 34% Black, and 2% Hispanic/other and has an overall poverty rate of 22.1% (range: 14.3% - 27.7%) nearly double, sometimes triple the national poverty rate. The target population is comprised of the following individuals in the 6 county catchment area: 1) children and adolescents (4-18) that are students in Union County public school systems in need of behavioral health treatment, including those with SED; 2) Individuals active in juvenile and adult court programs in Union County in need of assessment, case management, and SUD/COD treatment, including opioid disorders; 3) Active military members and veterans in need of integrated behavioral healthcare. Ultimately, the target population will consist of the following groups: On-campus clients, child clients in Union County public schools, ACT clients, juvenile and adult court clients, active military service members and veterans in need of primary and/or behavioral health care, and clients with SUD and COD living in the catchment area.
SARHC will become a CCBHC to advance primary and behavioral health care integration and use EBPs to increase services to 300 unduplicated additional clients (4+) in the target population (Y1: 125, Y2: 175). SARHC will increase treatment quality and capacity to the target population through the: (1) Certification of SARHC as a CCBHC (first 4 months of Y1), (2) Develop, train and deploy an ACT Team to provide crisis and immediate care to hospitals, jails and courts (Y1,Y2), (3) Physical enhancement of the campus location in El Dorado (Y1) and implementation of on-site integrated care for physical and behavioral health risks and needs (Y1,Y2), (4) Integrative care and EBP training (Y1,Y2) for all personnel involved in the treatment and care of the target population.