Project Name: Siouxland Mental Health Services, Inc. – Woodbury County’s One Stop Shop
Siouxland Mental Health Services (SMHC) is Siouxland’s premier mental health center. With award, SMHC will be a fully-qualified CCBHC, integrating behavioral health navigation, Substance Use Disorder and Co-Occurring Disorder recovery services, engagement and outreach to consumers with 3+ Social Determinants of Health concerns, intensive military case management, intensive psychiatric rehabilitation, psychiatric nursing, and targeted case management for adults and children and adolescents into its range of services. The project will serve 350 additional consumers in Y1, 375 in Y2, 400 in Y3, and 450 in Y4 for a total of 1575.
Goals/Populations of Focus/Objectives
1. Expand provision of mental health services to youth with SED to reduce the impact of mental health symptoms, improve functioning, and reduce symptoms.
*Increase capacity of child and adolescent program by 50 in 2023 and to 60/yr by 2026.
*After 9 mo, depression severity decreases for 50% of youth with SED.
*After 6 mo, self-harming behaviors decreases for 35% of youth with SED.
2. Increase the number of adults with SMI consistently receiving targeted case management (TCM) services to help avoid/prevent unnecessary ED visits and enhance life outcomes.
*Adults with SMI receiving targeted case management or program outreach in 2023 increases by 50 and to 55/yr by 2026.
*In 2023, TCM or outreach visits/contacts with adults with SMI increase by 250 and to 300/yr by 2026.
*After 6 mo, depression severity decreases and 12 mo after, 10% decrease in ED visits by high utilizers
3. Provide immediate Psychiatric Urgent Care (PUC) assistance to Adults with SMI, SUD, or COD and youth with SED in crisis and then assist them in navigating physical/ behavioral health systems with a goal of recovery
*PUC visits rise by 50 in 2023 and to 75/yr by 2026.
*6 mo after PUC visit, 35% of consumers have treatment plans and consistently engage with care.
*After 9 mo, depression severity decreases by 50%
4. Provide Intensive Psychiatric Rehabilitation (IPR) services to adults with SMI to restore, improve, or maximize functioning, self-care, independence, and quality of life.
*In 2023, IPR serves 20 consumers and increase to 25/year by 2026.
*After 6 mo of IPR, 80% of participants in goal setting stage.
*After 12 mo, 80% of participants in goal achievement stage.
*After 18 mo, 80% of participants in goal keeping stage.
5. Provide integrated COD services using evidence-based treatments, to reduce substance abuse while improving behavioral health coping mechanisms for adults and youth with SUD (as determined by answering yes to 4+ questions SSI-AOD) and/or COD seeking ongoing support and recovery.
*In 2023, adults with SUD/COD treated with therapy or counseling increases by 80 and to 100/year by 2026.
*In 2023, adults with SUD or COD using medication-assisted treatment increases by 10 and to 25/year by 2026.
*After 9 mo, participants will answer “yes” to 45% fewer questions on the SSI-AOD.
6. SMHC engages with and provides targeted case management (TCM) to adults with SMI, SUD, or COD and youth with SED impacted by 3+ SDoH domains to remove barriers impacting treatment follow through and enhance consumer wellbeing.
*Provide TCM to 60 consumers with 3+ SDoH in 2023 and increase to 150/year by 2026.
*After 6 mo, 10% decrease in SDoH concerns
*After 12 mo, 20% decrease in SDoH concerns
7. Veterans and those presently serving who experience SMI, SUD, or COD work with Intensive Military Case Manager to provide intensive community-based services.
*In 2023, 25 veterans/current military personnel are served, increasing to 45/year by 2026
*After 6 mo, consumers connected with VA, Air Guard, or National Guard psych support
*After 9 mo, 35% decrease in depression severity, reduction in SDoH domain concerns, and reduction in alcohol and drug use.