FY 2024 Behavioral Health Service Expansion - Applicant: HCC Network Address: 608 Missouri Street, Waverly, MO 64096 Grant Number: H80CS26561 Project Director: Amanda Arnold, Chief Operations Officer, 816-807-5795, amanda.arnold@hccnetwork.org HCC Network is requesting $1,100,000 ($600,000 year 1; $500,000 year 2) to support the work of the HCC Network Behavioral Health Service Expansion (BHSE). The project will focus on increasing access to behavioral health services through expanding mental health and substance use disorder services to the service area. The scope of the project includes approved service sites, services, providers, service area, and target population that is supported under the approved health center budget. HCC Network is a rural health network and federally qualified health center. Service Area/Populations to be Served. The HCC Network is in Carroll, Lafayette, Jackson, Ray, and Saline counties in West Central Missouri. The BHSE target service area covers the full service area. The target population will include the full patient population at HCC Network. HCC Network’s service area is generally divided into two regions which includes the rural region - Carroll, Lafayette, Ray, and Saline counties and the urban region – Jackson County. Description. HCC Network will use these funds to significantly expand behavioral health and SUD services provided in-house at HCC Network clinics. This expansion will increase access and quality of care by creating a “one-stop shop” integrated care for all services at HCC Network clinics. Needs to be addressed. In Missouri state fiscal year 2022, approximately 921 individuals in the four-county region received clinical services from the Division of Behavioral Health psychiatric program while 10,402 in Jackson County received clinical services. Most diagnoses were related to depression, anxiety and fear disorders, and trauma and stress related disorders. 33.2% of those receiving treatment also had a substance use disorder and 10.5% had a co-occurring developmental disability in the four-county region. For Jackson County, 39.7% of those receiving treatment also had a substance use disorder and 5.4% had a co-occurring developmental disability. The service area has Health Professional Shortage Area (HPSA) designations for mental health care in all counties. In Jackson County, 34.50% of the population live in an area affected by a mental health HPSA with 99.43% of the HPSA population being underserved. The four-county region has 75.80% of the population living in an area affected by a mental health HPSA with 83.86% of the HPSA population being underserved (US Census, 2018-22). The mental health provider ratio is 43.20 for the four-county region. This is significantly lower than state (124.66) and national (176.26) rates Jackson County has a ratio of 147.66 mental health providers in the county (CMS, April 2024). There were 202 deaths of despair in the four-county region which includes deaths from intentional self-harm, alcohol-related disease, and drug overdose from 2016-2020 for a rate of 44.8 per 100,000. Jackson County had 1,752 deaths of despair for a rate of 48.6 compared to state (54.1) and national (47.0) rates (CDC, 2016-20). According to the Missouri Department of Health and Senior Services Opioid dashboard, there were 80 drug overdose deaths (all substances) in the four-county area from 2017-2022. In Jackson County there were 1,134 overdose deaths (all substances) for the same years. How the project will increase the number of patients receiving mental health and SUD services including MOUD. Services will be increased through the addition of clinical staff, minor A&R to renovate clinic space to accommodate behavioral health/SUD patients including telehealth, upgrades to the electronic medical record to improve ease of data tracking and referral management while abiding by all HIPAA requirements, staff training, and community marketing and education.