RMHS- CCBHC- PDI GRANT - The Community Care Network/Rutland Mental Health Services CCBHC will provide comprehensive, evidenced based behavioral health care to over 1,100 participants across 37 rural Vermont communities. Integrated services will address documented needs of sub-populations of focus, adults with substance use disorder (SUD), youth with serious emotional disturbance(SED), and rural older adults challenged by mental illness (SMI) and substance misuse. The CCBHC will be developed in year one of a four-year grant period, with attention to standardized CCBHC compliance criteria in areas of Staffing, Availability of Services, Care Coordination, Scope of Services, Quality and Other Reporting, and Organizational Authority, Governance and Accreditation. The Scope of services themselves is also standardized, with services to be delivered both directly by CCN/RMHS, and others in partnership with designated collaborating organizations, which include, Community Health, Rutland Regional Medical Center, Recovery House, Inc, Turning Point Center of Rutland, and Southwestern Vermont Council on Aging. The CCBHC will allow a range of evidence-based, comprehensive behavioral health services to be delivered to the regions population, to include: Crisis mental health services, including 24-hour mobile crisis teams, emergency crisis intervention services ,and crisis stabilization. Screening, assessment, and diagnosis, including risk assessment. Patient-centered treatment planning or similar processes, including risk assessment and planning. Outpatient mental health and substance use services. Outpatient primary care screening and monitoring of key health indicators and health risks (e.g., BMI, blood pressure, tobacco use, HIV/Viral Hepatitis). Targeted case management. Psychiatric rehabilitation services. Peer support, counselor services, and family supports. Intensive, community-based mental health for members of the armed forces and veterans. The new CCBHC will be staffed by a number of new positions strategic to the success of the initiative, including a Medical Director, Family Nurse Practitioner, Data Integration Specialist, Peer Service Coordinator, and Veteran Peer Services Coordinator. Key elements in the success of the initiative in improving the region's behavioral health indicators will include: a) Strategic collaboration including data integration with partner organizations; b) An extensive array of evidence-based practices with demonstrated clinical efficacy embedded within the CCBHC services plan; c) Attention to continuous quality improvement (CQI) of services, and d) Meaningful involvement of consumers and family members in their own care and broader governance of the CCBHC .
