Southeast Healthcare proposes to offer expanded and enhanced integrated primary and behavioral healthcare services through Certified Community Behavioral Health Clinic (CCBHC) funding, building on our framework developed through two previous SAMHSA-funded Primary and Behavioral Healthcare Integration grants. Services will be delivered across eight Ohio counties located in central and eastern Ohio: Belmont, Harrison, Monroe (Appalachian counties), Tuscarawas and Carroll (Amish influence, rural and semi-urban); Delaware and Morrow (wealth and rural poverty); and Franklin (large urban with homeless). The population of focus is low-income individuals with severe and persistent mental illness (SPMI), and/or substance use disorders, including individuals who are dually diagnosed with co-occurring disorders. A high percentage of clients served by SE are persons experiencing homelessness. SE also serves youth with serious emotional disturbance. Other clients served by SE include underserved individuals with challenging social determinants of health who fall into the general mental health/SUD outpatient population but require a higher level of support.
SE will provide all 16 required CCBHC services directly. SE is a dual community behavioral health center/federally qualified health center, and we have provided integrated primary and behavioral healthcare services for many years. SE’s CCBHC project will focus on expanding access to high-quality, evidence-based community behavioral health and substance use disorder services, in addition to integration with primary care and recovery supports. Expanded and integrated care management services between our BH treatment teams and programs and primary care (as well as with other providers) will be a central component of the project.
Project goals include the following: Goal 1: Expand access to integrated physical and behavioral healthcare services by a) enrolling unlinked clients in primary care, b) implementing more comprehensive behavioral and physical healthcare screening activities and care coordination protocols, c) increasing referrals to specialty care, d) ensuring clients have access to resources (e.g., health insurance) needed to access services necessary for attaining and monitoring their physical, mental and emotional well-being, and e) ensuring a high level of client satisfaction; Goal 2: Decrease hospital and emergency department (ED) utilization by a) enhancing care coordination and care management across settings and providers, and b) by refining targeted case management education and protocols for working with high service utilizers of hospital emergency departments; Goal 3: Reduce suicide completion rates a) increasing awareness and availability of, and access to crisis management and suicide-prevention services, and b) implementing new clinical protocols for screening, assessment, diagnosis and ongoing risk management. The program will serve 2,000 unduplicated additional clients in total (1,000 during year 1 of the project and 1,000 during year 2).