Thursday, November 21, 2024
11/21/2024
The Connecticut Department of Mental Health and Addiction Services (DMHAS), in partnership with primary care and behavioral health treatment providers in two Connecticut communities with large populations of underserved adults with co-morbid behavioral health and medical conditions, proposes to continue Promoting Integrated Care in Connecticut (PIC-CT) to fill major gaps both in the integration of behavioral health into primary care as well as the integration of primary care into behavioral health. We plan to engage 1500 individuals over the course of the 5-year grant period into primary care, behavioral ehalth care including medication assisted treatment, care coordination including nurse care management, and peer health navigation services for health promotion, referrals and support. Connecticut has considerable momentum to implement this project. We were recipients of PIPBHC funding in 2018 and utilized it to create PIC-CT, a program that has greatly improved the lives of individuals in three of our largest cities. For over eight years we have implemented and sustained the Behavioral Health Home model, authorized under Section 2703 of the Patient Protection and Affordable Care Act. This model served individuals with serious mental illness (SMI) and co-occurring disorders who have Medicaid and spend in excess of $10,000 in a calendar year, typically as a result of chronic, co-morbid medical conditions. The core services articulated in SAMHSA's NOFO perfectly align with Connecticut's CMS-approved State Plan Amendment for Health Homes. Lessons learned from BHH implementation will frame out best practices for this project. Two urban areas have been identified that have high rates of individuals who have high Medicaid spend, a behavioral health diagnosis, and are currently not being served by an integrated model of care: Bridgeport and Waterbury. Finally, the Commissioner of the Department of Mental Health and Addiction Services has made integrated care a central focus of the Department with regular conferences, trainings, and webinars dedicated to this critical issue. The overarching goal of the project is to increase access to integrated care for individuals with substance use, mental health, and/or co-occurring disorders with a special focus on increasing health literacy, promoting health behavior change, and increasing access to medication-assisted treatment. We will accomplish these goals by: 1) improving integrated care; 2) implementing evidenc-based practices in the context of integrated primary and behavioral health care; and 3) improving overall wellness and physical health status for individuals. Through this project, we anticipate incremental improvement in health outcome indicators, co-occurring mental health and substance use disorders, including tobacco use. This measurement will contribute to an improvement in the overall health of people with SMIs and substance use disorders by addressing the basic risk factors related to high morbidity and mortality rates of individuals with SMIs and substance use disorders. In addition, patients will have increased immediate access to care, reduction of health disparities, and increased services linkage through care coordination.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
