Rosecrance Jackson Recovery Centers Woodbury County CCBHC - PDI - Rosecrance Jackson’s CCBHC Planning, Development, and Implementation (PDI) initiative will seek to improve access to critical, community-based behavioral health (BH) care for individuals of all ages with mental (MH) conditions and substance use disorders (SUD) in Woodbury County, Iowa. Our CCBHC’s catchment area in Woodbury County is approximately 880 square miles on the western edge of Iowa, located in the Siouxland Region. We anticipate that our CCBHC client population will be 69.8% white, 9.5% American Indian or Alaskan Native, and 6.6% Black, and 6% will identify as Hispanic or Latino. Further, 56% will be male and 44% will be female, with less than 1% of clients being transgender. We expect 3.6% will identify as LGBTQ+. Most (90%) of our CCBHC clients will be over the age of 18, with only 10% being minors. The majority of clients (72%) will be Medicaid enrollees living at or below 133% of the Federal Poverty Line, and 25% of our CCBHC client population is expected to be experiencing homelessness. Based on their low access to BH care and complex, intersecting needs, we will seek to reduce disparities for two priority populations through our CCBHC program: 1) women with SUD who also have children, who we expect to represent about 20% of our CCBHC clients served; and 2) individuals of any age with BH needs and are involved with the Criminal Justice (CJ) system, which we expect to be about 40% of our CCBHC clients served. We will serve 1,700 individuals over the grant period, including 300 in Y1, 400 in Y2, and 500 in Ys 3 and 4, respectively. Through our CCBHC-PDI initiative, Rosecrance Jackson seeks to achieve the following: Goal 1: Build capacity to align with the newly revised CCBHC Criteria within one year of grant award, including: 1.A: Onboarding two clinicians, two case managers, two peer specialists, and a Medical Assistant to support our CCBHC services; 1.B: Attaining Chapter 24 accreditation from Iowa Department of Health and Human Services to deliver outpatient MH services; 1.C: Entering into a DCO agreement with Siouxland MH for CCBHC mobile crisis and specialty MH services; and 1.D: Completing an attestation illustrating how our CCBHC meets all criteria, as measured by program records. Goal 2: Increase access to integrated BH care for individuals who are involved with the CJ system, including: 2.A: Annually conducting six outreach and educational sessions with partners serving the CJ-involved population (e.g., probation, Dept. of Corrections, SUD and Juvenile courts), to educate them about our CCBHC; and 2.B: Establishing an agreement with the Woodbury County Sheriff’s Department to provide universal MH and SUD screening and connection to care for individuals being released from the County jail. Goal 3: Increase access to integrated BH care for individuals who are women with SUD, including 3.A: Annually conducting six outreach and educational sessions with partners serving women with SUD (e.g., hospitals, child welfare, housing provides, WIC), to educate them about our CCBHC; and 3.B: Establishing a partnership with Siouxland Community Health Center to provide training to their OBGYN and primary care providers to screen women for SUD and connect individuals to our CCBHC for care when risks are identified. Goal 4: Improve BH outcomes for Woodbury County residents living with BH needs served by our CCBHC, including: 4.A: Improving retention in our CCBHC services; 4.B: Offering overdose response training and Narcan to 100% of clients with OUD and their families to reduce risk of death from overdose; 4.C: Supporting clients to decrease their depression-related risks; and 4.D: Supporting clients to improve their overall quality of life.
