Community Care Alliance CCBHC Expansion - Community Care Alliance, Inc. (CCA) seeks to enhance and expand evidence based practices to individuals with behavioral disorders in the State of Rhode Island. With three collaborators—Newport County Community Mental Health Center (NCCMHC), Thrive Behavioral Health, and Tides Family Services, CCA will provide expanded and enhanced CCBHC services to 648 people in Rhode Island during the first year of the project. A total of 841 (unduplicated) people will be served over two years. The project will expand evidence based behavioral health practices to over 15,800 adults, children and families who currently do not have access to these services in the first year and over 16,600 over the two year grant period.
Covering an area of 1,214 square miles and a population of slightly over 1 million, (71% white (non-Hispanic), 16% Hispanic, 6% Black, and 7% Other, Rhode Island has high rates of adults with Serious Mental Illness (SMI), children with Serious Emotional Disturbances (SED), persons involved with substance use and opioid addiction, as well as high rates of behavioral disorders among our homeless population and people of color, who are experiencing increases in SMI, major depressive episodes among all age groups and increases in suicidal thoughts, plans and events rose among young adults
The project has three main goals: 1) implement a fully operational CCBHC, providing the complete scope of CCBHC services to individuals eligible for Medicaid as well as those who are uninsured or under insured within 4 months of funding. 2) Enhance existing CCBHC Services by expanding/initiating 7 evidence-based practices. EBPs targeted for expansion include: 1) Medication Treatment, Evaluation and Management (MedTeam); 2) Mental Health First Aid; 3) Motivational Interviewing; 4) Brief Cognitive Behavioral Therapy (CBT); 5) Dialectical Behavioral Therapy, 6) Assertive Community Treatment (ACT); 7) Enhanced Cognitive Behavioral Therapy (E-CBT). 3) Implement infrastructure enhancements to improve the overall quality and coordination of care. Additional workforce development and infrastructure improvements that will be implemented include: a) improvements that will support telehealth,, a recovery oriented, person-centered EHR that supports health improvement activities, provide clinical decision support (utilization management), electronically transmit prescriptions to the pharmacy, and send/receive common data set for all summary-of-care records, support transitions of care, and meet required privacy/security requirements, integration of our EHR with Mirah Measurement-Based Care portal based system to support clinical and organizational decision-making, and further training on evidence-based practices listed above and principles of cultural competence (CLAS standards), which will improve both the behavioral health and health outcomes of the people we serve. CCBHC funding will enable CCA and its partners to develop a trauma-competent, integrated system of care where person centered planning, and recovery-oriented care is the organizational norm.