Saturday, May 4, 2024
5/4/2024
Centerstone will plan, develop, and implement a new CCBHC in Tullahoma, Tennessee (C-CCBHC), to provide comprehensive, integrated, coordinated, person-centered behavioral health care; improve access to community-based mental health and substance use disorder treatment; and support 24/7 crisis services, regardless of an individual’s ability to pay or place of residence. C-CCBHC will serve 700 unduplicated individuals (Y1: 80; Y2: 150; Y3-4: 235/yr.). C-CCBHC will serve any individual with a mental or substance use disorder who seeks care at Centerstone’s Tullahoma CCBHC, including those with serious mental illness (SMI); substance use disorder (SUD), including opioid use disorder; children and adolescents with serious emotional disturbance (SED); individuals with co-occurring mental and substance disorders (COD); and individuals experiencing a mental health or substance use-related crisis. C-CCBHC’s focus population demographics are expected to mirror area individuals and current clinic clients: 84% White; 10% Black; 6% Hispanic/Latino, with roughly 50% male and 50% female. Of the area’s roughly 146,950 adults, 23% are expected to have AMI; 5.5%, SMI; 17%, SUD; 2%, OUD; and 8%, COD. Among the 44,080 youth, 20% are expected to have major depressive episode; 5%, SUD; and 3%, COD. Key C-CCBHC strategies include increasing access/availability of services responsive to community needs (e.g., crisis services; screening/assessment/diagnosis, including risk assessment; treatment/crisis planning; outpatient mental health/substance use services; primary care screening and health monitoring; targeted case management; psychiatric rehabilitation; peer and family supports; and community-based mental health care for Armed Forces/Veteran populations); meaningfully involving service recipients/families in their care; and applying a continuous quality improvement (CQI) approach. C-CCBHC will integrate SAMHSA’s TIP 59: Improving Cultural Competence and 57: Trauma-Informed Care in Behavioral Health to implement evidence-based interventions addressing the full array service recipients’ behavioral health needs (e.g., Cognitive Behavioral Therapy, Motivational Interviewing, Dialectical Behavior Therapy, Assertive Community Treatment, Multi-Systemic Therapy, Parent Management Training, Seeking Safety, Hazelden’s Co-Occurring Disorders Program, MAT, Illness Management and Recovery, and DIMENSIONS). C-CCBHC will accomplish the following goals: 1) Establish comprehensive, integrated, coordinated, and person-centered community-based services via the CCBHC; 2) Enhance infrastructure/capacity for a full continuum of quality/inclusive coordinated care; 3) Increase access to/availability of timely/high quality services; 4) Implement a measurement-based care process to ensure a comprehensive scope of evidence-based services/supports; 5) Improve health status/outcomes for treatment service recipients across the lifespan; and 6) Apply a CQI approach to drive systems, improve the quality of services, and ensure ongoing service delivery. As a result of these goals/improvements, the project will achieve the following measurable service recipient-related objectives: Decrease symptomatology among 45% with mental health disorders; decrease substance use among 45% of those with SUD/OUD/COD; provide ITPs for 100% of service recipients; improve housing stability among 80% who are homeless/marginally housed; provide 100% with employment case management services per ITPs; improve health indicators among 75% of participating service recipients; reduce past 30-day tobacco use by 30% among tobacco cessation activity participants; achieve no past 30-day criminal justice system involvement among 60% with criminal justice histories; achieve no past 30-day ER/hospitalizations among 60% of service recipients with hospitalization histories; achieve/maintain an 80% follow-up rate; and achieve satisfaction of experience/care among 80% of service recipients/families.
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).
