Integrated Services of Kalamazoo’s (ISK) CCBHC 2022 project will address crisis and treatment needs of the population of focus (POF) and population of Black adult males experiencing disparity in access to crisis and treatment services. This project will increase Black males access to ISK’s crisis services and other Substance Use Disorder (SUD) treatment services to a level comparable to white individuals, decreasing disparities in overdose deaths.
Population of Focus: ISK’s CCBHC POF is Adults/Youth with Mental Health (MH) or Substance Use conditions (SUD) and/or crises, including Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED), and co-occurring MH and SUD (COD). Based on data sourced from demographics of CCBHC-eligible clients served in FY2021, population is 60.7% white, 27.3% Black, 5.6% Hispanic/Latino, 1.3% another single race, and 5.1% as multiracial. 21.4% are under age 18, 73.7% age 18-64 and 5.0% age 65+. Population is 47% female / 53% male, 4.1% gay/lesbian/bisexual/queer and 1.5% transgender/nonbinary for an unduplicated total of 5.0% self-identified as LGBTQ+. Insurance coverage data suggests low socioeconomic status (92.6% Medicaid and 5.2% uninsured).
Strategies/Interventions: ISK will provide required CCBHC services directly and through seven identified Designated Collaborating Organizations and will improve crisis Mental Health services and MH/SUD screening, assessment, and diagnosis services, and addressing disparities in accessing SUD treatment, by developing and implementing a Behavioral Health Urgent Care and Access Center. (UCAC). Evidence based practices include: Trauma Informed Care, Contingency Management (CM) and Motivational Interviewing (MI).
Goals/Objectives: Goal 1. Increase access to behavioral health services for POF. Objective 1a) Access to care available 24/7 through implementation of a behavioral health urgent care and access center (UCAC), providing crisis and access services to 500 individuals a year by end of project. Objective 1b) Community Health Worker capacity added to assist with SDOH, increasing access and service utilization for 250 clients. Objective 1c) Intensive Crisis Stabilization capacity added to provide follow up for 25% of people who experienced crises during the year.
Goal 2. Eliminate disparities in access to behavioral health services for Black males. Objective 2a) Outreach and engagement strategies will increase crisis response and treatment access for Black males by 15% over the course of the grant. Objective 2b) Crisis response and treatment access improved by workforce development and training for 100% of UCAC and MH/SUD treatment staff in TIC model focusing on poverty and racial trauma. Objective 2c) 2 CQI projects per year will be established to identify, monitor, and respond to service disparities in access, outcomes, and quality for Black males and all CCBHC enrollees.
Goal 3. Improve and maintain adherence to CCBHC Certification Criteria throughout the project period. Objective 3a) Improvements implemented in community needs assessment process to assure compliance and improve planning processes for 2024 reporting. Objective 3b) Achieve state benchmarks for 100% of the required CCBHC quality indicators utilizing the new EHR and clinical decision support tools. Objective 3c) Provide CCBHC required services to a total of 700 enrolled consumers by the end of the project. A total unduplicated count of 700 individuals will be enrolled in the project over 4 years Year 1: 150, Year 2: 200, Year 3: 200, Year 4: 150.