Community Care Services is applying for expanded CCBHC funding to increase access to coordinated primary care, behavioral health treatment and supportive services within Wayne County, MI. - The purpose of Community Care Services’ (CCS) proposed Certified Community Behavioral Health Clinic (CCBHC) expansion project is to (1) continue advancing whole-person, evidence-based care practices, and (2) increase access to coordinated, integrated, culturally responsive, and quality primary care, behavioral health (BH) treatment, and supportive services to a broader population of under or uninsured children, adolescents and adults living in Wayne County (WC), MI. WC BH organizations serve almost 70,000 clients, representing a disproportionately higher demand for BH services and has some of the highest self-reported rates of poor mental health than other counties in MI. WC also has high poverty rates, low employment rates, and an average income of less than $30K. These combined factors, known as the Social Determinants of Health, cause health disparities that can be mitigated through IBH and care coordination-one of CCS’s greatest unmet needs. CCS populations of focus are current clients lacking fully integrated, coordinated care, veterans, and racial and ethnic minorities. CCS will use CCBHC expansion funding to advance three primary goals: (1) reduce barriers to timely integrated behavioral health (IBH),including access to Medication Assisted Treatment within three days, primary care, and wrap-around supportive services in WC high need communities; (2) improve care coordination and post-acute care follow-up for clients; and (3) reduce health inequities among veterans, African Americans, Hispanics and the LGBTQIA+ community. Care coordination activities will emphasize wellness, screening, follow-up on health concerns, crisis stabilization, and post-acute care needs. Primary health care screening and monitoring services, including HIV and viral hepatitis will be provided in coordination on site by CCS. Ongoing primary care needs will be coordinated with an FQHC community partner. Additional enhancements include leveraging CCS’s trauma informed competency with its Designated Collaborating Organizations and community stakeholders and establishing an Advisory Council comprised of clients, family members, and other community advocates to obtain broader input and feedback on CCS expansion services, strategies and goals. CCS will demonstrate improved system performance in increasing access to services, engaging target populations and increasing treatment retention rates. Other focus areas include quality-focused data collection and reporting; supporting broader community reach through community-based staff; advancing data interoperability to improve care coordination between the Health Information Exchange and CCS’s electronic medical record platform, demonstrating program outcomes and impact, integrating quality improvement strategies system-wide, and engaging in risk-based contracts. CCS anticipates serving a total of 7,550 clients, of which 699are new clients, during the two-year grant period.
