The WellSpace Health (WSH) Certified Community Behavioral Health Clinic (CCBHC) project brings accessible behavioral health equity to the vulnerable population of Sacramento County. There is a shortage of behavioral health professionals in the Sacramento area, whose population is 1.6 million (2019). The number of licensed mental health professionals per 100,000 population follows: 3.7 Licensed Professional Clinical Counselors; 57 Licensed Clinical Social Workers; 76 Marriage and Family Therapists; 0.3 Psychiatric Nurses; 15 psychiatrists; and 35 Psychologists. Certified substance use disorders counselors are also in high demand.
During the year 2021, WSH provided medical and behavioral health care services to 125,000 people through over 400,000 visits. Ninety-two percent of WSH’s patients live near or below 100% of the federal poverty level, all are below 200%. Twenty-seven thousand six-hundred one (27,601) patients are Hispanic or Latino/a, eleven thousand three-hundred eighty-one (11,381) patients are Black/African American, eleven thousand twenty-five (11,025) patients are Asian, and six-hundred thirty-six (636) are indigenous peoples. Four thousand three-hundred five (4,305; 3%) patients experience homelessness. Nearly twelve thousand (12,000; 10%) patients remain uninsured.
Recovery orientation is founded on a culture of hope and strengths with a holistic and personalized approach to care. Where appropriate, WSH seeks to include family, caregivers, support networks and significant others in care and maintains a recovery orientation as foundational to all of its services, be they health or behavioral health. WSH’s comprehensive behavioral health co-occurring continuum enshrines a recovery-oriented care model including a broad spectrum of mental health and substance use disorder treatment and prevention services.
To promote access to care throughout the care delivery process, WSH Community Health Centers include integrated behavioral health and are embedded in local neighborhoods throughout the greater Sacramento region, with additional regional Behavioral Health-focused centers providing service hubs in the north, central, and south regions. Each point of care within the co-occurring continuum is client-directed and coordinated with a care team to ensure both clinically sound care and recovery support in an ever less restrictive environment.
WSH’s continuum allows for less restrictive environments based on intensity of care based on ‘dosage’ and physical level of care as well as staffing including an team inclusive of persons with lived experience, recognizing clients often feel most comfortable engaging with staff who have ‘walked the same or similar walk.’ WSH actively recruits from the communities it serves and its own client / patient populations to ensure its staff reflects the community culturally, ethnically/racially, and through lived experience.
While being a large regional health and behavioral health provider, ‘braiding’ funding still allows for funding silos. WSH’s goal of truly integrated care across of regional system of care is only possible as a CCNBH). To this end, CCBHC project goals are: CCBHC certification; comprehensive outreach, screening, assessment, treatment, and recovery-oriented care; recovery from mental illness and SUD delivered by care that is unencumbered by current ‘siloed’ funding public and grant-funded revenue streams; bringing health service equity to all people. The goals will be measured by the annual UDS report on clinical results, patient visits, and chart notes on recovery. WellSpace projects to serve 2,900 unduplicated clients during year one and a progressive five percent increase in the subsequent years, capping at 12,500 due to facility space and staffing.