PROJECT ABSTRACT SUMMARY
PROJECT NAME: FAMILY SERVICE LEAGUE (FSL) CCBHC-IA
Family Service League (FSL) proposes to help transform community behavioral health through the provision of comprehensive, trauma-informed, integrated, coordinated, and whole person-centered behavioral health care by expanding the Riverhead CCBHC. With CCBHC-IA funding, FSL endeavors to increase access to community-based MH and SUD treatment, as well as improved and advanced mobile crisis response services (24/7/365) for Suffolk County residents, irrespective of their ability to pay.
Population of focus: Adults, families, and veterans with diagnoses of serious mental illness (SMI), substance use disorders (SUD), opioid use disorders (OUD), co-occurring mental health and substance use disorders (COD), and integrated physical and behavioral health disorders, as well as children (5+) and adolescents with serious emotional disturbance (SED).
Geographic Catchment Area: Suffolk County, NY which covers 912 square miles. According to the US Census QuickFacts, July 1, 2021 (v2021), the socio-demographic data is as follows: Population estimate: 1,526,344; Language other than English spoken at home by ages 5+: 22.5%; Foreign-born: 15.3%; Veterans: 5%/59K. Age/Gender: 5.4% under 5 years; 21% under 18 years; 18% over 65 years; 51% female; and 49% male. Gender Identity (Adults): Male 48.3%; Female 48.8%; Transgender 0.2%; Other 1%; Missing 1.7%. Sexual Orientation/Adults: Heterosexual 85.4%; Gay/Lesbian 3.6%; Bisexual 5.3%; Other 2.2%; Refused 3.6%. Race/Ethnicity: White, alone (not Hispanic/Latino) – 67%; Black – 9%; Native American – 0.6%; Asian – 4%; and Hispanic/Latino – 20% (2 or more races counted twice). Education: High school graduate+, age 25+ years – 90.4%; Bachelor’s degree+, age 25+ years – 35.6%. Health: Under 65 + disability – 6.2%; under 65 & no insurance – 5.4%. Income: Per capita income $42,204; Poverty: 7.3%.
Catchment Area/Service Delivery Site: The Riverhead CCBHC is located within a HRSA designated Primary Care and Mental Health (MH) Health Professionals Shortage Area (HPSA, 2019) and a Medically Underserved Area/Population (MUA/P) for Mental Health (MH) in the North & South Forks (HRSA, 2020). Although Riverhead is the project’s hub and the locus of Article 31, 32 licensed clinics (mental health and addictive disorder, respectively), all of FSL’s health facilities will be utilized, including DASH (Diagnostic, Assessment and Stabilization Hub). Disparities: Riverhead is an urban to rural, impoverished, Agri-area with lower educational attainment, higher rates of chronic medical conditions e.g., diabetes, obesity, and high prevalence rates of SMI. This has translated to increased rates of mental health and substance use emergency department visits (LIHC, CHNA 2019-21). For example, in August 2021, “overdose calls to 911 went non-stop for three days until six residents succumbed to fentanyl laced cocaine.” (New York Times, August 31, 2021). Goal: Sustain previous CCBHC Expansion Grant gains and reduce reliance on unnecessary high cost, acute-care or criminal justice involvement by providing a continuum of crisis responsive behavioral health care that is coordinated, evidence-based, whole person-centered, trauma-informed, addresses the social determinants of health (SDoH) and needs of the community through the provision of wrap around, culturally, and linguistically appropriate services (CLAS). Goal: Expand Mobile Crisis Services to include a Crisis Intervention Team (CIT) focused on supporting the recovery of high utilizers of crisis response service referrals from law enforcement. These referrals represent individuals who OD on opioids, have a behavioral health disorder, and a historical, as well as disproportionate interface with law enforcement. Over the course of the grant, 700 adults will be served, and 200 children, total 900. Annually 225, 175 adults and 50 children.
