Centerstone's CCBHC Improvement and Advancement in Indiana (C-CCBHCv2.0) project will improve and advance Centerstone's CCBHC in Bloomington, providing comprehensive, integrated, coordinated, and person-centered care to those with a mental or substance use disorder (SUD), including groups facing health disparities. C-CCBHCv2.0 will serve 2,000 unduplicated individuals (Y1-4: 500/yr.).
C-CCBHCv2.0 will serve any individual with a mental or substance use disorder seeking care at Centerstone’s Bloomington CCBHC, including those with serious mental illness (SMI); SUD, including opioid use disorder; children/adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health or substance use-related crisis. C-CCBHCv2.0’s focus population demographics are expected to mirror those in the Indiana catchment area, comprising Bartholomew, Brown, Jackson, Lawrence, Monroe, Morgan, and Owen counties. Those under age 17 are expected to comprise roughly 51.5% male; 48.5% female; 83% white; 2% African American; and 8% Hispanic/Latino individuals; and those ages 18+ comprise 49% male; 51% female; 89% white; 2% African American; and 3% Hispanic/Latino individuals. Of the area’s 339,575 adults, 7% are expected to have SMI; and of the 86,688 children/youth, 10% are expected to have SED. An estimated 15% of adults will have SUD and 1%, OUD; 6% of youth ages 12-17 have SUD. Nearly 7% of area adults have co-occurring SUD/any mental illness, and 3% of area youth have co-occurring SUD and major depressive episode.
C-CCBHCv2.0 will provide an array of high-quality integrated primary/behavioral health care services (e.g., crisis services; screening/assessment/diagnosis, including primary care and risk assessment; treatment/crisis planning; outpatient mental health/substance use services; Medication Assisted Treatment; targeted case management; peer and family supports; and intensive community-based mental health care for Armed Forces/Veteran populations). Key project strategies include expanding access/availability of services responsive to community needs; meaningful involvement of consumers/families in their care; and applying a continuous quality improvement (CQI) approach to drive improvements and sustainability. The project’s interventions address the full array of consumers’ behavioral health needs and include Cognitive Behavioral Therapy, Motivational Interviewing, Illness Management and Recovery, Integrated Dual Disorder Treatment, etc. C-CCBHCv2.0 will accomplish the following goals: 1) Expand and improve delivery of comprehensive, integrated, and person-centered community-based mental and SUD services; 2) Enhance infrastructure/capacity for a full continuum of coordinated care; 3) Increase access to/availability of timely services; 4) Implement a measurement-based care (MBC) process to ensure comprehensive, evidence-based services, supports, and practices for whole-person wellness and recovery; 5) Improve health status and outcomes for project consumers engaged in treatment; and 6) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery. Planned improvements include enhanced capacity for integrated care (e.g., advanced care coordination) and infrastructure for data-driven care improvements/MBC efforts. As a result of these goals/improvements, the project will achieve the following measurable consumer-related objectives: Decrease mental health symptomatology among 45%; decrease substance use among 45%; improve housing stability among 80%; deliver collaborative treatment plans for 100%; provide employment/education case management for 100% per treatment plans; reduce tobacco use among 30%; improve physical health indicators among 75%; offer linkage/referral follow-up to 100%; achieve 80% consumer/family reported satisfaction with their experience of care; and achieve 80% 6-month follow-up rate.