FY 2024 Behavioral Health Service Expansion - Community Health Foundation of Puerto Rico, Inc. – H80CS33662 The Community Health Foundation of Puerto Rico, Inc. (CHFPR) is proposing to expand the mental health SUD/MOUD services available to the the 282,154 low-income residents, those living below 200% of the Federal Poverty Guidelines (FPG), who reside within the Territory of Puerto Rico’s municipalities including Bayamón, Cataño, Dorado, Guaynabo, Toa Baja, and Vega Alta (ZCTAs 00646, 00692, 00949, 00952, 00956, 00957, 00958, 00959, 00961, 00962, 00963, 00965, and 00971). CHFPR’s service area is in Northeastern Puerto Rico, just to the west of the Territory’s Capital of San Juan, See Figure 1. Located just to the west of the Capital City of San Juan, the service area is 133.1 square miles in size with 96.9% of the area located within an Opportunity Zone, 87% located within a MUA/MUP, and 35.3% located within a Health Professional Service Area (HPSA). The Proposed BHSE Program will also enable CHFPR to bring on our new partner, Universidad Central del Caribe, Fellowship in Addiction Medicine (Fellowship Program), to support our growing SUD/MOUD program. CHFPR proposes with the BHSE Program to expand our mental health, SUD, and MOUD services for our most vulnerable target populations with the least access to vital, and often, life-saving treatment. The health center will expand access to mental health and SUD treatment at the fixed clinic site three days per week for CHFPR’s current patients, Saturdays at the Anexo for new MAT patients, and onboard the Mobile Medical Clinic to provide integrated mental health, SUD, and MOUD treatment to new patients at partner sites throughout the service area. Mental Health To expand access for CHFPR’s service area target population and current patients to mental health services, CHFPR is expanding mental health Licensed Clinical Social Worker (LCSW) FTEs from 1.6 FTEs (2023 UDS) to 2.6 FTEs (2025 UDS). In addition, CHFPR will expand mental health Licensed Clinical Psychologists FTEs from 1.98 FTEs (2023 UDS) to 2.98 FTEs (2025 UDS). The additional staff will enable increased access to mental health services for an additional 300 patients annually starting in CY 2025, with 100 of these being SUD and 30 being MAT patients. Visits will be provided in person and via telehealth, as indicated for increased access and improved outcomes. SUD/MOUD Treatment CHFPR’s BHSE Program will provide new access to SUD/MOUD treatment through adding two MAT providers, expanding FTEs from 0.0 (2023 UDS) to 2.0 (2025 UDS). The MAT providers will expand access to NEW SUD/MOUD services in conjunction with MAT to 100 CHFPR patients annually through access at the health center, the Saturday Anexo Clinics, and onboard the Mobile Medical Clinic.
