Thursday, September 12, 2024
9/12/2024
NHCC proposes to enhance its existing BH, SUD and CCBHC services at the tobacco and nicotine free Valley Stream clinic, by creating a Comprehensive Crisis Stabilization Center (CCSC). The CCSC will offer walk-in services to all individuals, including adults, children, adolescents, and families, 24/7, 365 days per year that may be experiencing an acute BH or COD crisis or seeking immediate interventions regardless of their ability to pay or place of residence. The CCSC will accept community referrals and voluntary transport by law enforcement, EMS, and/or collaterals. For recipients who require higher levels of care, staff will assist them in accessing the next level of care. Recipients may receive services in the CCSC for up to 24 hours. The CCSC is based on an emerging model of crisis stabilization and assessment, Intensive Crisis Stabilization Centers. CCSC will be a community-inclusive crisis service providing immediate assessment and stabilization with rapid access to services for acute symptoms to assist in diversion from a higher level of care, including MAT, reducing a reliance on overburdened emergency rooms, inpatient and acute care services. As a community “store front”, CCSC will address barriers and stigma preventing individuals and families, especially those from minority and marginalized populations, from seeking such services. The majority of communities served by the clinic are diverse, with minority and historically marginalized individual as well as low income, underinsured, uninsured, undocumented and immigrants. The CCSC will utilize Outreach and Engagement Specialists to counter barriers to treatment. Goal 1: Immediately address and deescalate BH and COD crises, especially for individuals with SMI, SED and COD and 1st episodes by delivering immediate, comprehensive, multidisciplinary crisis stabilization services 24/7/365 in a community-based alternative to ER and inpatient services, with immediate referral and warm-handoff to community-based and other services to reduce further risk and promote sustained stability and recovery. Obj 1: By the end of year 1, the CCSC will demonstrate a 25% deferment in BH/COD ER and hospitalization services for individuals determined by the triage team to present with active/imminent crisis and emergency risk factors through culturally-aware, trauma-informed and evidence-based CCSC services including referral and warm hand-offs for continued care. By the end of years 2, 3 and 4, the % will increase to 40, 60 and 75%, respectively. Goal 2: Increase community and CBO awareness of and access to CCSC services, especially for individuals with SMI, SED and COD, with targeted outreach and engagement of minority, historically marginalized, underserved uninsured, underinsured, non-English speaking and immigrant populations, including those negatively impacted by the COVID-19 pandemic. Obj 2A: By the end of year 1, the CCSC will receive 25% of its recipients through community referrals via expansion/continued development of the CCBHC’s relationships with Nassau County health departments, hospitals, BH/SUD treatment centers, community-based health, primary care, social services organizations, advocacy groups, academic institutions, cultural and religious centers, insurance providers, courts, criminal justice, law enforcement. first responders, homeless services and VA services. The remainder of individuals served will be trough self-referral/walk-in. Obj 2B: By the end of year 1, the demographics of the individuals served by the CCSC will be represented by 35% minority, historically marginalized, underserved uninsured, underinsured, immigrant and non-English speaking individuals. This will include 10% for individuals receiving services in Spanish. For years 2, 3 and 4, the percentage of these target populations served will increase to 45%, 55% and 65%, respectively while those receiving services in Spanish will increase to 15%, 20% and 25%, respectively.
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).
