Lakewood Community Service Corporation CCBHC - Lakewood Community Services Corporation (LCSC) CCBHC will advance primary, behavioral health and substance abuse integration and use evidence-based practices to serve an unduplicated 610 individuals (Y1: 260; Y2: 350) using a holistic model of care coordination and wraparound services. Target population is Orthodox Jewish population in Lakewood, New Jersey with mental health conditions including serious mental illness, substance use disorders, including opioid use disorders, co-occurring disorders and/or youth with serious emotional disturbance. Veterans will also be served. The target population experiences health disparities, high rates of poverty, stigma, cultural and language barriers and lacks access to outpatient substance abuse and behavioral health care. Recent hate crimes targeting the community have contributed to an increased need for trauma services. The impact of COVID-19 has exacerbated the need for behavioral health services in this hard hit community.
LCSC CCBHC goals include: 1) Expanding access to services by increasing capacity of behavioral health services and integrating substance abuse and primary care screening 2) Improving quality of care and clinical outcomes by implementing risk stratification process and targeted case management program, implementing weekly team meetings and implementing evidence based practices including Screening, Brief Intervention and Referral to Treatment, Cognitive Behavioral Therapy, Cognitive Processing Therapy, Motivational Interviewing, MAT and Integrated Treatment for Co-occurring Disorders. Taken together, this will help decrease mental health symptoms by 45%, decrease substance use by 45% and achieve 50% compliance with medication. 3) Reduce total cost of care by increasing access to integrated care and using data to drive clinical decision making and quality improvement. This will contribute to sustainability by enabling the use of data to develop value based payment arrangements.
LCSC currently provides most of the required services (i.e. outpatient mental health, care coordination, screening/assessment, treatment planning, psychiatric rehab and peer supports, etc.). To meet all certification requirements by 4 months post-award, strategies include: 1) Refine policies and procedures/workflows to meet all CCBHC criteria 2) Add open access hours 3) Develop formal relationships with care settings including a DCO relationship for ACT 4) Train staff and implement EBPs 5) Implement crisis diversion program, reducing the need for more intense levels of care, 6) Complete regulatory process for NJ licensure to provide SUD services, including MAT, for patients with primary SUD diagnosis 7) Hire Nursing Director to provide health screening 8) Expand psychiatric availability by hiring Psychiatrist and PNP 9) Hire peers and psychiatric rehab providers 10) Expand Care Coordination program 11) Implement weekly team meetings 12) Refine existing HIT and use Data Dashboards to assist with clinical decision making, 13) Apply a continuous quality improvement approach 13)Expand awareness by conducting marketing and outreach campaign.