HHI CCBHC-IA - Through community outreach, education, training, and use of evidence-based strategies (EBP), Hegira Health, Inc. (HHI) will expand integrated healthcare services for Transitional Age Youth (TAY) age 16-25 in Wayne County, Michigan. Funding for HHI’s CCBHC will be used to develop a comprehensive, timely, and coordinated community-based crisis response system for TAY battling mental health (MH) or substance use disorder (SUD), homeless or at-risk of homelessness, aging out of the child welfare or juvenile justice systems, transitions from higher levels of care, or experiencing their first psychotic episode in efforts to improve health outcomes and continuity of care, decrease repeated emergency department (ED) visits and hospitalization, and divert youth from arrests and detention. HHI will build on existing experience and services and improve screening, referral, and coordination in the community to identify/treat MH/SUD, and primary care needs and to intervene appropriately. These goals will be accomplished by expanding capacity to deliver EBPs including Motivational Interviewing, Trauma Focused Cognitive Behavioral Therapy, Collaborative Assessment and Management of Suicidality, and Medication Assisted Treatment. There will be a focus on increasing MH/SUD competency by providing trainings including providing Youth Mental Health First Aid (Y-MHFA) and Question Persuade Refer (QPR) to school personnel, human services staff, the faith community, parents, and youth to detect and appropriately respond to MH and/or SUD symptoms and concerns. HHI refers to this initiative as the “HHI CCBHC” which includes recruitment and onboarding, building service capacity, and enhancing screening and treatment. Some key objectives include: 1) launching a trained CCBHC team within the first four months of award, 2) improving care transitions and engagement with TAY, 3) increasing capacity by expanding EBPs, 4) increase MH and SUD competency in the community, and 5) implementing data-driven improvement practices. The catchment area for the project is Wayne County, Michigan. (Population 1,761,382) inclusive of the City of Detroit (population 659,135). 2019 US Census data reports 22.7% of Wayne County residents live below the federal poverty level (FPL) compared to state (14.2%) and national averages (13.4%). Over 49% of families are single-parent and 30% have a High School diploma or less. Unemployment is 5.2% in Wayne County, compared to 4.2% in Michigan, and 3.7% nationally. In Wayne County FY 20-21, 1,100 individual 16–18-year-old TAY received crisis services and 330 were hospitalized. HHI conducted 2,037 pre-admission crisis screenings (594 unique) for Wayne County TAY ages 18-25- with 702 flagged for suicidal crisis, 214 suicide attempts and 576 hospitalizations in 2021.The CCBHC project will expand HHI’s service capacity as outlined with emphasis on outcome measurement and sustainability. HHI will: 1) provide rapid response clinical services to TAY; and, 2) increase service capacity by 5% annually; and, 3) increase competency of MH/SUD in TAY with community trainings, outreach and health promotion activities.
