Promesa, Inc., a New York State (NYS)-designated CCBHC (Bronx), endeavors to service individuals with serious mental illness (SMI) or severe substance use disorder (SUD), children and adolescents with serious emotional disturbance (SED), and those with co-occurring mental, substance use, and/or physical health disorders, or experiencing a SMI or SUD-related crisis in the Kings County (Brooklyn), New York City (NYC) service area through the SAMSHA CCBHC - Planning, Development, and Implementation grant opportunity. As a leader within the mental health and substance provider space in NYC, and as an affiliate of the Acacia Network, Promesa has made strides in contending against the increased prevalence of mental health and substance use disorders, particularly in Brooklyn, NY. Brooklyn is home to 2,576,771 residents, and 63.6% of the population identify as people of color (POC). 35.6% of Brooklyn residents are foreign born and nearly half of its population speaks a language other than English (44.5%), which can be a barrier to accessing treatment (14.2% of Brooklyn residents have limited English ability). Considering these barriers and more, there is a high prevalence of substance use and mental health conditions among the target population and often these conditions go undiagnosed and untreated.
Through this funding, Promesa will 1) hire additional leadership, clinical, and supportive services staff to expand access; 2) implement comprehensive assessment utilizing validated screening and assessment tools, inclusive of those for adverse childhood experiences (ACEs), suicide risk, and behavioral health disorders, as indicated; 3) develop tailored service and treatment plans; and 4) introduce crisis and psychiatric rehabilitation services; 5) provide a range of evidence-based prevention and treatment services that address a combination of immediate and long-term needs. Promesa will continue to provide direct outpatient mental health and substance use treatment services, leveraging its current programs and community partnerships to recruit consumers; and commit to developing further linkages with entities such as the Veteran Administration and other primary health care and behavioral health care organizations in close proximity to Promesa's Carlos Pagan Health Center.
Over the four-year program, Promesa will achieve the following:
- Hire an additional 9.0 FTE staff to increase availability, access to, and coordination of integrated, evidence-based mental health and substance use care, including crisis and psychiatric rehabilitation services, at the clinic and through the mobile unit.
- 100% of clinical staff will have earned their certificate in Integrated Mental Health and Addictions Treatment Training (IMHATT).
- Increase initiation and engagement in treatment by 25% among enrolled clients (from baseline).
- Reduce the time between screening and treatment initiation among enrolled clients by 25% (from baseline).
- Complete a comprehensive intake and integrated treatment plan development process with 100% of consumers served.
- Increase the number of consumers initiated on medication-assisted treatment (MAT) by 20% (from baseline).
- Reduce symptoms of anxiety and/or depression among enrolled clients by 15% (from baseline).
The program will enroll 150 consumers in each program year (Years 1 - 4), for a total of 600 consumers over the life of the program.