Mountain Comprehensive Care Center will implement the Eastern KY CCBHC-IA Project to improve access to community-based mental health and substance use disorder treatment, support, and 24/7 crisis services for the population of focus comprised of anyone across the lifespan, including those with SMI, SUD, COD, SED, and persons experiencing a mental health or SUD-related crisis, who need it, regardless of their ability to pay or place of residence as targeted to the geographical catchment area of Floyd, Johnson, Magoffin, Martin, Pike, Bourbon, Clark, Harrison, Letcher, and Perry counties in Kentucky, located in and adjacent to Appalachia.
Population: MCCC will serve persons of all ages in the targeted 10-county region of Floyd, Johnson, Magoffin, Martin, Pike, Bourbon, Clark, Harrison, Letcher, and Perry counties located in eastern Kentucky with mental, substance use, and co-occurring disorders, including those with the most serious and complex issues such as SMI, SUD, COD, SED and subpopulations that are rural, low-income, and identify as LGBTQ+, an increasing underserved group. The service area experiences significant economic disparities including high rates of poverty, unemployment, and basic need insecurity. Likewise, the population experiences high rates of trauma and mental health disorders with the region also among the highest rates in KY for overdose deaths, opioid prescriptions, and NAS with cultural stigma impacting the perceived need for care.
Interventions: MCCC will provide a comprehensive collection of services that is integrated, coordinated, person-centered, and provides the needed treatment and recovery support services for those with the most serious and complex mental and substance use disorders. MCCC will integrate additional services through agency and community resources to ensure a holistic approach that emphasizes recovery, wellness, trauma-informed care, and behavioral health and primary care integration with care coordination and case management. Key EBPs include Motivational Interviewing, Cognitive Behavioral Therapy, Trauma-Focused CBT, Solutions-Focused Brief Therapy, EMDR, Medication Assisted Treatment, and trauma-informed care.
Goals & Objectives: MCCC will serve 300 unduplicated persons in Year 1 and 400 annually in Years 2-4 for a total of 1,500 over the four-year project period. Goals are to: 1) Increase the health of persons of all ages with mental health and/or SUD (including serious/complex) in the targeted service area by expanding access to evidence-based community behavioral health care; 2) Improve stability by providing and/or coordinating access to comprehensive recovery support services; and 3) Improve the agency’s infrastructure to provide high-quality community behavioral health services by ensuring use of CCBHC criteria, consumer-input, and CQI. Objectives include: by the end of each year MCCC staff will have provided evidence-based outpatient behavioral healthcare so that 50% of clients of the targeted population served will show improvement in their mental health functioning and 60% will decrease use of alcohol and/or prescription, illicit or other harmful substances; provided and/or coordinated: housing resources so that 60% of clients of the targeted population served who are homeless or precariously housed will improve their housing status; wellness and recovery supports so that 60% will participate in some type of recovery and/or peer support service; and wraparound support services so that 50% will improve their education/employment status and/or access to benefits; and infrastructure supports to ensure compliance with CCBHC criteria and to meet quarterly with the Advisory Work Group to guide implementation, services, CQI and address the needs of subpopulations facing disparities. Morehead State University will conduct the evaluation and participate in the national evaluation, as required.