Community Health Network’s Community Fairbanks Behavioral Health CCBHC project will implement and launch a Certified Community Behavioral Health Clinic, meeting all certification requirements and able to provide the community with an all-inclusive range of substance use and mental health disorder services, especially those individuals with the most complex needs. The 2022 population estimate for Community Health Network’s (CHNw) North and East regions (served by the project’s Community Mental Health Center in Marion County, Indiana) is 823,206; 540,224(65.6%)are white non-Hispanic, 165,246 (20.1%)are Black non-Hispanic, and 59,124(7.2%) are Hispanic. The project sites are in the East region. East region households with incomes at or below $25,000 are 24% of all households. There are not sexual orientation and gender identify demographic data specific to the catchment area, but the U.S. Census Bureau Household Pulse Survey collects national sexual orientation and gender identity survey data and reports that, as of July 21-September 13, 2021, for those age 18+, 4.4% identity as bisexual, 3.3% as gay or lesbian, and 88.3% as straight; the remaining 4% identifies as “something else,” or “I don’t know.” Adults currently self-describe as 0.6% transgender, 50.5% female, 47.2% male and 1.7% as “none of these.” Based on Gallup, Williams Institute, and/or Census data specific to Indiana, 4.5% of adult Hoosiers are LGBTQ. This project’s population of focus for which the grant will address behavioral health disparities includes adults with serious mental illness (SMI), serious and persistent mental illness (SPMI), substance use disorders (SUD), and co-occurring disorders (COD), and children with serious emotional disturbance (SED). The total population to be served over the life of the project is 1,702 unduplicated individuals.
The project has four goals with objectives. The first goal is to plan, develop and implement accessible, comprehensive behavioral healthcare programs to CFBH’s communities that meet all CCBHC criteria. Objectives enumerate service launches within 6 and 12 months of award, to include Integrated Dual Diagnosis Treatment, forming a Patient Advisory Board and training current employees and new hires. The second goal is to plan, develop, and implement increased care efficacy through integrated care collaboration, coordination, and engagement, with objectives covering client access to primary care services, multi-disciplinary team support for clients, and services for current and past members of the armed forces. The third goal is to plan, develop and implement increased access to behavioral health services by meeting clients’ needs in the least restrictive environment. Its objectives set targets for targeted outreach support, reduction of state hospital admissions, and increase in clients receiving outpatient services. Goal 4 is to plan, develop and implement a process to track key disparities, health indicators, and referrals to PCPs. Objectives feature improved health indicators tracking and monitoring and the creation of a Disparities Impact Statement to reduce behavioral healthcare disparities and improve socially determined health needs.
Project strategies and interventions will be to achieve full compliance with the CCBHC Criteria Compliance Checklist, with requirements related to: staffing; availability and accessibility of services; care coordination; scope of services; quality and other reporting; and organizational authority, governance and accreditation.