Van Buren Community Mental Health Certified Behavioral Health Clinic (VBCMH-CCBHC) - Van Buren Community Mental Health Certified Community Behavioral Health Clinic will provide CCBHC services to adults with Serious Mental Illness, children with Serious Emotional Disturbance, individuals with Substance Use Disorders, and adults and children with mild-to-moderate mental health conditions who may be at risk for more serious behavioral health conditions. Grant funds will be used to: Provide all CCBHC services; enhance infrastructure and capacity for improved care coordination for those at risk for poor health outcomes; Increase provision of evidence-based practices due to high rates of PTSD, Depression, Anxiety, and suicide; and Increase screening and follow-up for specific health risk behaviors including alcohol and tobacco. Under this grant, VBCMH proposes to serve 585 individuals with grant funds over the next 4 years, with additional broad community and population impacts (Year 1=180, Year 2=125, Year 3=135, Year 4=145). Van Buren County is a rural county in southwest Michigan with a population of 75,692. Per the 2020 US Census population estimates, over 13% of people in the county live in poverty. The racial and ethnic composition of the county is 81.2% white, non-Hispanic, 3.8 % Black or African American, 1.2% American Indian or Alaskan Native and less than 1% Asian, Native Hawaiian or Other Pacific Islander. 2.8% of the population identifies as two or more races. 12.3% of the county population is Hispanic. Of the 2,500 individuals served by VBCMH in FY22, 49% were female, 48% were male. 2% identified with one of the following: agender, androgynous, bigender, questioning, fluid, non-binary, or transgender. 8.2% of VBCMH service recipients identify as gay, lesbian, bisexual or another sexual orientation other than heterosexual. 23.1% of county residents are under the age of 18 and 18.7% are over the age of 65. In FY22, 26.9% of individuals served by VBCMH were under the age of 18 and 9.4% were aged 65 and older. 80% of the individuals served by VBCMH are at or below the poverty line. Based on internal data, while VBCMH has seen an increase in the number of veterans served each year, (up 61% from FY20 to FY22), This represents only a small percentage of the Van Buren County's veteran population (6% of the civilian population 18+). Specific program objectives include: 1) Increase provision of TF-CBT by 20% in year 1 and an additional 10% each subsequent year 2) Increase number of staff trained in Seeking Safety and Motivational Interviewing 3) Increase screening and follow up for specific health risk behaviors including alcohol (50% in year one, increasing by 5% each subsequent year) and tobacco use (60% in year 1, increasing by 10% each subsequent year), 4) Implementation of an EMR module to track external referrals to providers (50% year 1, increasing by 5% each subsequent year, 5) Increase percentage of individuals connected to a primary care provider (40% in year 1, increasing by 5% each subsequent year, and 6) Increase screening for social drivers of health (SDoH), 40% post implementation followed by an additional 10% each subsequent grant year. VBCMH CCBHC seeks to increase access to and availability of high-quality services that are responsive to the needs of the community, using evidence-based practices including Trauma-Focused CBT, Motivational Interviewing, Seeking Safety, Screening, Brief Intervention, Referral and Treatment (SBIRT) and Question, Persuade, Refer (QPR) to address targeted community needs and risk factors. VBCMH will continue to build on the foundations of person-centered/family-centered supports and services that are recovery-oriented, trauma-informed, and equity-based, involving those with lived experience in all aspects of the CCBHC. During the grant period, VBCMH will partner with the community to complete a comprehensive Community Needs Assessment to inform future program design and enhancements, staffing, and clinical practices.
