Promesa, Inc. is seeking support for the establishment of a new CCBHC at its Camino Nuevo facility at 175 Central Avenue, Albany, NY 12206. The CCBHC will provide comprehensive, coordinated behavioral healthcare to those with serious mental illness (SMI) and/or substance use disorder (SUD), children with serious emotional disturbance, and those experiencing an SMI- or SUD-related crisis in the Albany region of New York State (NYS). The service area is predominantly white (81%), 43% of renter households are rent-burdened (spending 30% or more of income on rent), and median household income in the service area is lower than that of NYS as a whole. Eight of the 12 counties in the service area are HPSAs for primary care, six are HPSAs for mental healthcare, and five are HPSAs for dental care.
Promesa's Camino Nuevo site currently operates a NYS-licensed integrated outpatient services (IOS) program that provides substance use treatment, including medication assisted treatment (MAT) such as methadone, buprenorphine, and naltrexone; mental health services; and beginning August 2022 will operate a mobile medication unit equipped to dispense MAT. While the site currently offers robust substance use services, Promesa will use CCBHC funding to add 8.25 FTE staff to expand and bolster its mental health services.This includes 1.0 FTE Program Director, 1.0 FTE Intake Coordinator, 0.75 FTE RN, 2.0 FTE Case Managers, 1.0 FTE Counselor (LMSW), 1.0 FTE Psychiatric Rehabilitation Worker, 1.0 FTE Peer, and 0.5 FTE Psychiatrist. In addition, funding will be used for 0.5 FTE Senior Administrator/Project Director, 0.25 FTE Talent Development Specialist (for trainings), 0.5 FTE Director of Continuous Quality Improvement/Evaluator, and 0.5 FTE Data Analyst. When combined with Camino Nuevo's existing staff, the CCBHC will have a total of 37.75 FTE staff.
With these new hires, Promesa will be able to immediately implement seven of the nine core CCBHC services, including the direct provision of screening, assessment, and diagnosis, including risk assessment; patient- and family-centered treatment planning; outpatient mental health and substance use services; primary care services and monitoring of key health indicators and health risk; targeted case management; peer support, counselor services, and family supports; and mental healthcare for military personnel. Within the first six months of the program, Camino Nuevo will add crisis management services and psychiatric rehabilitation services to its offerings. In order to accomplish this goal, the facility will execute a contract with Promesa's existing Crisis Call Center, which provides a centralized number for service area residents and CCBHC consumers to call after hours. Crisis counselors triage the calls. If de-escalation over the phone cannot occur, a member of Camino Nuevo's crisis team will be dispatched to engage the client within 3 hours.Psychiatric rehabilitation services will also be established at the clinic through hiring and training a Psychiatric Rehabilitation Worker to provide medication education, self-management, community integration services, etc.
In order to most effectively serve Camino Nuevo's clients, Promesa will implement several evidence-based practices, including the Integrated Treatment for Co-occurring Disorders training (and subsequently earning the Integrated Mental Health and Addictions Treatment certificate), Motivational Interviewing (MI), Trauma-Informed Care (TIC), Peer & Family Support Specialists, MAT, Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Seeking Safety, and Stages of Care. Promesa aims to serve 150 unduplicated individuals per year, for a total of 600 throughout the lifetime of the project.