Centerstone Community Mental Health Center (C-CMHC) will support and restore the delivery of clinical services impacted by the COVID-19 pandemic to effectively 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) in Tennessee (95 counties). C-CMHC will serve 1,000 unduplicated children (ages 0-17) and adults (ages 18+) (i.e., 500 annually).
C-CMHC’s focus population encompasses an anticipated 573,917 individuals with SED/SMI, including 102,740 adults with COD. Focus population demographics are expected to reflect Tennessee’s population, with 49% male, 51% female, 78% White, 17% Black, and 6% Hispanic/Latino. Of Tennessee’s households, 32% (831,130) are economically disadvantaged communities (i.e., did not earn enough to afford basic necessities [e.g., health care, food, housing]). C-CMHC will serve vulnerable subpopulations facing health disparities including Veterans racial/ethnic minorities, and low-income populations. C-CMHC will address the increased mental health needs related to COVID. From 2019-2020, Tennesseans’ anxiety increased from 8% to 35%, depression increased from 7% to 27%, and parental concern about their children’s anxiety rose from 14% to 22%.
C-CMHC will strengthen telehealth infrastructure to deliver a virtual outpatient clinic array, including trauma-informed screening/assessments and patient-centered individual treatment planning. Treatment plans will comprise evidence-based outpatient interventions suitable for SMI/SED/COD diagnoses (e.g., Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavior Therapy Skills Training, and Multidimensional Family Therapy), as well as recovery support services (e.g., case management). C-CMHC will advance resources to address the mental health needs of CMHC staff (e.g., Penn Resilience Program) and provide staff training (e.g., cultural competence, peer supports). Additional strategies/interventions include conducting outreach and developing referral pathways for vulnerable populations. C-CMHC goals are to support/restore clinical services for persons with SMI/SED/COD; enhance infrastructure to provide HIPAA compliant telehealth services; increase access to outpatient/clinical/recovery support services; develop/provide resources to address staffs’ mental health needs; improve clients’ health status/outcomes; and develop/disseminate a replicable service model. C-CMHC will achieve the following measurable objectives: conduct outreach/engagement among 3,000 individuals; expand linkages with 10 agencies; provide training for 50 staff; reduce mental health symptomatology by 50%; reduce past 30-day substance use by 60%; reduce past 30-day school absences by 30%; reduce 30-day criminal/juvenile justice involvement among 60% with histories; assist 100% of those in need with recovery supports; increase wellbeing and quality of life by 80%; ensure access to treatment and services for 100% of participants; achieve 80% participant satisfaction; and achieve an 80% 6-month follow up rate. C-CMHC has secured commitments from partners dedicated to the project’s success, and will collaborate with those key stakeholders (e.g., criminal justice, schools, social service agencies).