Centerstone will enhance and improve the CCBHC in Alton, Illinois (C-CCBHC), supporting recovery from mental illness and/or substance use disorders (SUD) by providing access to a comprehensive range of high-quality behavioral health services (e.g., outreach, screening, assessment, treatment, care coordination, recovery supports), regardless of an individual’s residence or ability to pay. C-CCBHC will serve 1,900 unduplicated individuals (Y1: 400; Y2-4: 500/yr.).
C-CCBHC will serve individuals across the lifespan seeking care at Centerstone’s Alton CCBHC, including those with serious mental illness (SMI); SUD, including opioid use disorder (OUD); serious emotional disturbance (SED); co-occurring mental and substance disorders (COD); and/or experiencing a mental health (MH) or substance use (SU)-related crisis. Focus population demographics are expected to mirror those of the Illinois catchment area, comprising Calhoun, Greene, Macoupin, Madison, St. Clair, and Jersey counties. Those under age 17 are expected to comprise roughly 52% male; 48% female; 67% white; 19% African American; and 6% Hispanic/Latino individuals; and those ages 18+ comprise 48% male; 52% female; 76% white; 15.5% African American; and 3% Hispanic/Latino individuals. Of the area’s 470,964 adults, 6% are expected to have SMI; 17%, SUD; 2%, OUD; and 5%, co-occurring SUD/any mental illness. Of the 137,154 children/youth, 10% are expected to have SED; 4%, co-occurring SUD and major depressive episode; and 9% of youth ages 12-17, SUD.
Key C-CCBHC strategies include expanding access/availability of services responsive to community needs (e.g., crisis services; screening/assessment/diagnosis, including risk assessment; treatment/crisis planning; outpatient MH/SU services; primary care screening and health monitoring; targeted case management; psychiatric rehabilitation; peer and family supports; and community-based MH care for Armed Forces/Veteran populations); meaningfully involving service recipients/families in their care; and applying a continuous quality improvement (CQI) approach to drive improvements and sustainability. C-CCBHC will implement evidence-based interventions addressing service recipients’ behavioral health needs (e.g., Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavior Therapy, Illness Management and Recovery, Parent Management Training, Seeking Safety, MAT, Integrated Dual Disorders Treatment). C-CCBHC will accomplish the following goals: 1) Expand and improve delivery of comprehensive, integrated, coordinated and person-/family-centered community-based behavioral services; 2) Enhance infrastructure/capacity for a coordinated care continuum; 3) Increase access to/availability of timely services; 4) Implement a measurement-based care (MBC) process to ensure comprehensive, evidence-based services, supports, and practices; 5) Improve health status and outcomes for service recipients; and 6) Apply a CQI approach to drive outcome improvement and ensure ongoing service delivery. Planned improvements include expanded care coordination, enhanced crisis planning, increased workforce capacity, and enhanced infrastructure for data-driven care improvements/MBC efforts. The project will achieve the following measurable service recipient-related objectives: Decrease symptomatology among 45% with MH disorders and SU among 45% of those with SUD/OUD/COD; provide/offer ITPs for 100%, employment case management for 100% per ITPs, and follow-up to 100% receiving linkages/referrals to MH services/supports; improve housing stability among 80% who are homeless/marginally housed and physical health indicators among 75% of participating service recipients; achieve no past 30-day criminal justice system involvement among 60% with criminal justice histories, no past 30-day ER/hospitalizations among 60% with hospitalization histories, an 80% follow-up rate, and satisfaction of experience/care among 80% of service recipients/families.