CarePlus NJ: Certified Community Behavioral Health Clinic Improvement and Advancement - CarePlus New Jersey (CPNJ) provides integrated Behavioral Health (BH) treatment and related services to adults and children in Bergen County, NJ. It will expand services to include additional integrated primary and specialty health care to 700 individuals over 4 years with BH needs including adults who are not securely connected to primary care and children/adolescents (5-17) with serious emotional disturbance (SED) and/or substance use disorder (SUD). Project goals and objectives are as follows: Goal 1: To improve outcomes of BH services through better integration with primary care and specialty health care for children/adolescents (5-17) with SED and/or SUD, and adults with SMI, SUD and/or COD who are not securely connected to healthcare and a general population including active military and veterans in the CA. Objective 1.1: In year 1, hire 1.5 FTE Masters-level Licensed Therapists (MLTs) and a 1.0 FTE Family Nurse Practitioner (FNP), Credentialing Specialist, Clinical Supervisor, Administrative Support, and Outreach and Training Specialist trained in project evidence-based practices (EBPs) who will provide consistent contact to 100% of individuals served. Objective 1.2: Targeted case management will be provided to 100% of individuals served to streamline coordination between BH and physical health services provided by CPNJ directly and by linkage to other providers. Objective 1.3: By month 12 of year 1, Clinical Staff (Clinical Supervisor, MLT, FNP) will screen 250 individuals utilizing validated instruments; facilitate clinical assessment for 75% of those screened; assist 100% of those assessed in developing an individual recovery plan that outlines services, benchmarks and responsible staff; and accompany each individual through the care planning and service delivery, especially transitions with 80% of individuals retained in treatment after 6 months. Objective 1.4: In year 1, an Outreach and Training Specialist will expand effective coordination of healthcare with external providers as evidenced by participant tracking and provide training to at least 100 school-based and psychiatric rehabilitation providers on integrating BH and primary care. Objective 1.5: Over 4 years, provide training on integrated care to 200 individuals including internal and external providers. Objective 1.6: In year 1, add 1 active-duty military or veteran, and 1 physical health provider, to CPNJ’s Consumer Advisory Workgroup. Objective 1.7: Within 6 months, CPNJ will submit to SAMHSA an attestation that it has met the CCBHC Certification Criteria. Objective 1.8: Within 1 year, enhance CPNJ’s electronic health record system (EHR) to include a module for integrated primary and specialty health care services. Objective 1.9: Within 1 year, CPNJ will create new partnerships with at least 70 specialty medical providers including neurologists, cardiologists, and/or nutritionists. Objective 1.10: In year 1, reduce appointment no-shows by 20% by adding appointment tracking to CPNJ’s EHR. Objective 1.11: Within 6 months, and updated during months 6-12 of year 3, complete a Community Needs Assessment and year 1, develop a detailed Sustainability Plan. For over 45 years, CPNJ has provided integrated mental healthcare, substance abuse treatment and primary care in Northern New Jersey. CPNJ serves approximately 14,000 adults and children annually through 80 programs. CPNJ is accredited by The Joint Commission and currently licensed by the NJ Department of Health for primary care services, and NJ Department of Mental Health and Addiction Services for partial care, outpatient, residential, intensive outpatient mental health care, ambulatory detox, intensive outpatient care, standard outpatient substance abuse treatment and co-occurring treatment services. CPNJ is a mature CCBHC.
