Sunday, April 28, 2024
4/28/2024
The populations of focus (POF) include individuals with serious mental illnesses (SMI), serious emotional disturbances (SED), substance use disorder (SUD) and people with co-occurring substance use disorders (COD) residing in the Chestnut Health Systems (Chestnut) catchment area. By continuing to provide and improving access to SAMHSA CCBHC services, we expect to see a continued increase in the use of evidence-based practices (EBPs) that reduce risk, improve health, and engage people in meaningful steps toward recovery. The geographic catchment area for the project remains St. Clair and Madison counties in Illinois. Chestnut’s mission is, “Making a Difference: Improving Quality Of Life Through Excellence In Service.” To this end, we continue to improve our services and best practices to meet the needs of the communities we serve. The overarching goal of our project will be to maintain our SAMHSA CCBHC criteria, while we take the necessary steps to improve our CCBHC services. We will also maintain our existing federally qualified health center (FQHC) and community mental health center (CMHC) capacities to preserve our integration of services while sustaining our population health management capacities that include continuous quality improvement. Through this process, we will continue to provide greater access to evidence-based interventions that decrease crisis-related events, reduce risk of physical health problems associated with the POF and engage the POF in meaningful steps toward recovery. Please see the below chart for the number of additional unduplicated clients we will serve through this project. These clients will also be the unduplicated number entered into NOMS. Number of Unduplicated Individuals Served with Grant Funds Year One Year Two Year Three Year Four Total 200 200 200 200 800 By fulfilling the requirements of Chestnut’s 2020 CCBHC award, Chestnut met the criteria for SAMHSA CCBHC standards while increasing access to evidence-based interventions, thus reducing the negative consequences of behavioral health difficulties throughout Madison and St. Clair counties.We will use the following EBP’s for the project: 1. Illinois Medicaid Comprehensive Assessment of Needs and Strengths (IM+CANS); 2. Global Assessment of Individual Needs (GAIN); 3. Screening, Brief Intervention, and Referral to Treatment (SBIRT); 4. Patient Health Questionnaire-9 (PHQ-9); 5. Generalized Anxiety Disorder-7 (GAD-7); 6. Columbia Screening Tool (C-SSRS); 7. Daily Living Activities 20 (DLA-20); 8. Clinical Institute Withdrawal Assessment for Alcohol (CIWA-A); 9. Clinical Opiate Withdrawal Scale (COWS); 10. Motivational Interviewing (MI); 11. Housing First; 6. Permanent Supportive Housing (PSH); 12. Collaborative Care; 13. Individual Placement and Support (IPS); 14. Seeking Safety, 15. Community Reinforcement Approach (CRA), 16. Adolescent Community Reinforcement Approach (CRA); 17. Mental Health Frist Aid (MHFA); 18. Youth Mental Health First Aid (YMHFA); 19. Trauma-Focused Cognitive Behavior Therapy (TFCBT); 20. Cognitive Behavioral Intervention for Trauma in Schools (CBITS); 21. Assertive Community Treatment (ACT), 22. Harm Reduction, 23.Critical Time Intervention (CTI) and 24. Supported Education (SE). The EBPs listed above incorporate skills of effective assessment, engagement, and therapeutic alliance and have been successfully used with diverse populations. Each EBP has the ability to affect the identification, screening, assessment and/or treatment of SMI, SED, SUD, and COD, providing the tools needed to reduce the prevalence of SMI, SED, SUD, and COD; unemployment; poverty; and homelessness in the defined service area. Additionally, we have experienced success with each of the models listed. None of the EBPs listed will be altered in any manner. We are requesting $1,000,000 a year for the four year project totaling $4,000,000 for the entire project.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
