Saturday, November 23, 2024
11/23/2024
Centerstone Community Mental Health Clinic (C-CMHC) will support and restore the delivery of clinical services that were impacted by the pandemic and address the needs of individuals with serious emotional disturbance (SED), serious mental illness (SMI), and/or co-occurring SMI/SED and substance use disorders (COD). C-CMHC will serve 1,000 unduplicated individuals throughout 26 southeastern Indiana counties. C-CMHC's geographic catchment area comprises Bartholomew, Brown, Clark, Decatur, Delaware, Fayette, Greene, Henry, Jackson, Jefferson, Jennings, Johnson, Lawrence, Madison, Marion, Monroe, Morgan, Orange, Owen, Randolph, Ripley, Rush, Scott, Switzerland, Union, and Wayne counties, Indiana. Demographics of the estimated 172,700 in the focus population are expected to mirror those of the catchment area: 49% male, 51% female, 72% white, 14% Black/African American, and 6% Hispanic/Latino individuals. C-CMHC subpopulations with SMI/SED include approximately 4,420 Veterans; 12,500 adults from racial/ethnic minority populations; economically disadvantaged communities (e.g., 12,720 persons in poverty); and 3,880 criminal/juvenile justice-involved individuals. Among catchment area adults, roughly 92,000 are expected to have SMI, and approximately 23,900, COD. Nearly 48,500 catchment area adolescents (under age 17) are estimated to have a SED, and 8,100 children are expected to have major depressive episode (MDE) with severe impairment and co-occurring substance use disorder (SUD). C-CMHC strategies include strengthening the infrastructure necessary to provide HIPAA compliant telehealth capabilities and advancing resources to address the mental health needs of CMHC staff. C-CMHC will conduct trauma-informed screening/assessments, using results to develop/implement patient-centered individual treatment plans, including outpatient and recovery support services. C-CMHC’s evidence-based outpatient interventions will be suitable for SMI/SED/COD diagnoses (e.g., Cognitive Behavioral Therapy [CBT]; CBT for Psychosis; Dialectical Behavioral Therapy-Skills Training; Motivational Interviewing; Multidimensional Family Therapy), and will include interventions for suicide risk and/or crisis follow-up (CBT-Suicide Prevention, RELATE). Additional strategies/interventions include providing staff training; conducting outreach and developing referral pathways for vulnerable populations; enhancing/expanding the crisis care continuum, including crisis diversion; and offering reentry services. Project goals include: 1) Establish a project with mechanisms to support/restore the delivery of clinical services; 2) Enhance infrastructure to provide audio and audio-visual HIPAA compliant telehealth capabilities; 3) Increase access/availability of treatments of the focus population; 4) Expand staff/agency capacity to deliver care across the crisis continuum; 5) Develop/provide resources to address the mental health needs of CMHC staff; 6) Improve health outcomes for participants diagnosed with SED, SMI, and/or COD; and 7) Develop/disseminate a documented service model for statewide and national replication/adoption. Measurable outcomes include: train 50 agency staff mental health-related practices; contact 3,000 via outreach efforts; reduce past 30-day substance use by 60% among those with COD; reduce mental health symptomatology by 50%; reduce past 30-day systems involvement among 60% with criminal/juvenile justice histories; increase psychosocial wellbeing by 80%; and achieve 80% 6-month follow up rate. C-CMHC has secured commitments from partners dedicated to the project’s success, and who will serve as linkage/referral sources; provide recovery support services; and take part in project trainings, Advisory Council, and Evaluation activities.
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).
