Starting Point Behavioral Healthcare CCBHC Planning, Development, and Implementation Project - Starting Point Behavioral Healthcare’s Certified Community Behavioral Health Clinic (SPBH-CCBHC) project will establish a CCBHC in Fernandina Beach, Florida, improving access to person and family centered high quality of community behavioral health services that incorporate primary health screening and monitoring for individuals with serious mental illness (SMI), substance use disorders (SUD), opioid use disorders (OUD), co-occurring disorders (COD), and youth with serious emotional disturbance (SED). SPBH-CCBHC will serve 1,000 unduplicated individuals across the 4-year grant period (100 YR-1, 200 YR, 2, 300 YR-3, and 400 YR-4) It is anticipated that some participants may also be involved with the criminal justice system or child welfare. Nassau County is a rural/resort community with a population of 94,003 encompassing 726 square miles, the northeastern most county in Florida. The population of Fernandina Beach is 14,964 individuals 12.48% live in poverty. The selected location of the SPBH-CCBHC is in census tract 501.01, the lowest income area of the county, highest in health disparities, with limited access to public transportation
The SPBH- CCBHC Project will develop a robust treatment program utilizing the following evidence-based/evidence-informed practices shown to be effective with the target population; Principles of Community Engagement, Same Day Access, OWL Health Measurement Based Care, Trauma-Informed Resilience-Oriented Care, Cognitive Behavioral Therapy (CBT), Daily Living Activities 20, Motivational Interviewing (MI), and Interactive Journaling. The project will integrate primary health screening and monitoring, care coordination, case management, and peer support services to ensure a holistic treatment approach. There are six goals associated with this project: 1) To improve behavioral healthcare for individuals across the lifespan by increasing access and engagement with a trauma and culturally informed service model that incorporates a full continuum of services; to include psychiatric care, counseling, peer support, case management, care coordination, and psychosocial rehabilitation to with SUD, SMI, SED and COD in Nassau County and operate under the Federal CCBHC criteria; 2) Providing access to high-quality mental health and SUD services to the target population in Nassau County; with particular focus on groups facing health disparities, as identified in the community needs assessment in the population of focus; 3) An Advisory Committee with a minimum of 51% persons in recovery will coordinate treatment/systems linkages, monitor project goals, objectives, and outcomes, and implement a collective impact initiative.; 4) Establish a positive recovery community in Northeast Florida that meaningfully involves consumers and family members in their own care and the broader governance of the community., 5) Strengthen and sustain the infrastructure necessary to continue to uphold the CCBHC model beyond this period of grant funding.; and 6) Develop a plan for staffing, training, and delivery of all required services, including care coordination, language accessibility, and use of evidence-based practices. A comprehensive evaluation team will be led by Health-Tech Consultants (HTC) with over 40 years of experience. The evaluation team will conduct the performance assessment which will focus on planning, development and implementation; process and outcome components including achievement of project goals, objectives, and activities, project sustainability planning and the Trauma-Informed Cultural Linguistic Appropriate Service delivery. Throughout the 4-year grant period, the Project Director will meet with the evaluation team and Advisory Committee once per month to assess project development, service capacity as well as problem solve any barriers/challenges and identify service gaps or changes in need for the population. Project staff will participate in Outreach Committee meetings and activities in the area.