Tuesday, January 14, 2025
1/14/2025
Project Abstract: Kansas' PIPBHC Project The Kansas Department for Aging and Disability Services (KDADS) will partner with three cohorts of four Community Mental Health Centers (CMHCs) and/or Certified Community Behavioral Health Clinics (CCBHCs) to establish an integrated care framework to be rolled out across Kansas. This framework will be based on data-driven and measurement-based, person-centered care delivered through evidence-based practices (EBPs), assessments, or evidence-informed services to comprehensively serve Kansans with comorbid behavioral and physical health conditions under its PIPBHC program. In consultation with the Kansas Department of Health and Environment (KDHE) and the Association of Community Mental Health Centers in Kansas (ACMHCK), KDADS will select a cohort four providers every two years based on a variety of factors, including behavioral health population needs, level of collaborative/integrative care infrastructure, geographic diversity, and community commitment. All PIPBHC providers will be required to have achieved and maintained CCBHC certification through KDADS to be eligible for participation. Each provider organization will serve a distinct geographic area and will utilize thorough community needs assessments to identify target populations for inclusion in this grant. The main behavioral health conditions to be served include adults with serious mental illness (SMI), children with serious emotional disturbance (SED), persons with substance use disorders (SUD), and persons with cooccurring SMI and SUD. The Kansas PIPBHC project will serve 2,100 unduplicated individuals over the project period with an average of 350 people annually. Each provider service area will represent a high need for integrated care due to insufficient workforce, lack of health coverage, and prevalence of behavioral health issues. The need for these services span urban, rural, and frontier areas across Kansas, presenting a diverse set of challenges to implementing integrated care. Per the Health Resources and Services Administration, all 105 counties in Kansas experience some type of provider shortage, with the largest disparities in primary and dental care providers. In terms of mental health prevalence, a Mental Health America analysis found the collective averages per 100,000 population for people scoring severe depression, frequent suicidal ideation, and at risk for psychosis for the selected service areas are 121.1, 126.9, and 86.1, respectively, which are higher than the national averages at 102.0, 104.4, and 64.0, respectively. From a morbidity perspective, the age adjusted suicide rate per 100,000 was over five points higher than the national average at 19.4 vs. 14.1, respectively. A greater proportion of adults in the State are documented to have some form of obesity than the national average, with the highest impacts in rural and urban Kansas. The need for integrated services is exacerbated by the lack of legislatively enacted Medicaid expansion, compromising access to care and placing additional strain on safety net providers like CMHCs and primary care provider networks. Through the Kansas PIPBHC project, and implementing integrated care within 12 CMHCs/CCBHCs, KDADS aims to accomplish 1. Improve overall access to primary and behavioral health care by increasing access points and strengthening provider relationships 2. Reduce systemic disparities and stigmas surrounding behavioral health care by enhancing the integration of behavioral health into the primary care setting 3. Enhance continual quality improvement efforts using measurement-based care, outcomes measures, and Kansas’ CCBHC program 4. Improve care coordination between primary and behavioral health care to enhance the overall individual’s care journey
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).