Lapeer County Community Mental Health--Certified Community Behavioral Health Center (CCBHC) grant. Using CCBHC interventions to provide access and integration for complete wellness. - Lapeer County Community Mental Health (LCCMH) CCBHC proposes the use of CCBHC Planning, Development, and Implementation Grant funds to enhance services to Adults with Serious Mental Illness, Children with Serious Emotional Disturbance, and individuals with Substance Use Disorders. This population, many of whom have significant co-morbid physical health conditions, plus adults and children with mild-to-moderate mental health conditions who may be at risk for more serious behavioral health conditions, will be the population of focus for services delivered under this grant. LCCMH proposes to serve 890 individuals with grant funds over the next 4 years, with additional broad community and population impacts (Yr 1=100, Yr 2=185, Yr 3=265, Yr 4=340). Grant funds will be used to expand and enhance services to at-risk populations including individuals with co-morbid behavioral and physical health conditions, those who have experienced trauma, and those at risk for suicide. There is a considerable segment of the population of Lapeer County that is categorized as working poor , with 31% of households falling below the United Way ALICE (Assets Limited Income Constrained Employed) Threshold, which puts them at risk for poor health outcomes and limited access to care. A significant portion of individuals in the community are managing multiple chronic conditions and have complex behavioral health and physical health needs, which is an important focus of our proposed efforts under this grant. Many of these consumers suffer from preventable/treatable medical conditions such as cardiovascular and pulmonary disease as well as obesity, and/or other health risk behaviors. Program goals include: 1) Increase provision of evidence-practices, particularly focused on trauma, 2) Increase screening and follow up for specific health risk behaviors using SBIRT model and 3) Development of well-defined clinical pathways for Depression and Suicide Risk. Objectives include training 100% of Children's clinicians in Trauma-Focused CBT, Increasing the number of individuals receiving TF-CBT by 10% in year one and 20% each subsequent year, Using the AUDIT for screening for alcohol use, Training staff and implementing SBIRT, and using the PHQ9 and Columbia Suicide risk assessment in clinal pathways for Depression. Other project aims include enhancing our integrated healthcare approach through improving coordination with local primary care providers; expanding access and engagement methods to our substance use service array, increasing trauma-informed treatment practices; and implementing evidence-based interventions (EBP) to address the high prevalence of Depression, Bi-Polar Disorder, PTSD, and Substance Use in our community. LCCMH seeks to increase access to and availability pf high-quality services that are responsive to the needs of the community, using evidence-based practices (specifically, Dimensions: Well Body, Trauma-Focused CBT, and Illness management & Recovery) to address targeted needs. Either directly or through a partnering DCO, LCCMH will provide all nine CCBHC services. LCCMH will continue to meaningfully involve consumers and family members in their own care and the broader governance and oversight of the CCBHC, including the completion of a comprehensive Community Needs Assessment to inform future program design and enhancements.
