FY 2024 Behavioral Health Service Expansion - Project Abstract – Hidalgo Medical Services (H80CS00744) Purpose of Award. This award is to expand behavioral health services to high-need, at-risk population groups in rural Grant/Hidalgo Counties, in Southwestern New Mexico. The project will utilize a range of behavioral health evidence-based and culturally-rooted practices that represent a highly effective model. Project Priority Population Groups. In recent community needs assessments and reports, data and community feedback identified behavioral health challenges as a top concern (mental health, substance use, opioid use, incarceration). Identified priorities included improved access to care, with expanded, better integrated services. Specific population groups identified as in high need and at high risk include (1) people in crisis; (2) majority-minority people throughout the region; (3) justice-involved clients; (4) youth; and (5) older adults. These are a priority for HMS service expansion. We anticipate adding more than 1200 outreach and case management services. Summary of Project Specific Activities. HMS service expansion includes more coordinated and integrated behavioral health and wraparound services to the priority groups identified, through multiple sites, using an evidence-based promotora model for service delivery, which has been developed by Hispanic and Native peoples. It is an evidence-based, community-rooted model that is highly effective in reaching priority population groups with health-related social needs with services provided by trusted community members, or peers. They will be certified peer support workers (CPSWs), cross-trained as either community support workers (CSWs) or community health workers (CHWs), under the supervision of our Clinical Director. HMS will expand services in the following areas: (1) crisis response at Gila Regional Hospital; (2) expanded services closer to home for the majority-minority Hispanic and Native community members; (3) wraparound SAMHSA evidence-based sequential intercept model (SIM) behavioral health services for the justice-involved; (4) expanded outreach and case management services to youth, through the school-based health centers; and to (5) older adults through Senior Centers. Performance Goals (and Outcomes). Overarching goals are to (1) improve access to behavioral health care (more services offered at more sites, reduced waiting times; increased engagement through peer support); (2) reduce SUD- and OUD-related crises (reductions in numbers of ED, EMS, and urgent care visits; rapid stabilization; ongoing behavioral health engagement); (3) reduce law enforcement- and justice-related incidents and incarceration rates (reduction in arrests with law enforcement diversion; reduction in violations; improvements in recovery; improvement in recidivism rates); (4) meet personal goals (ongoing engagement with behavioral health team; stabilization through MAT/MAT MOUD as needed; improvement in meeting assessment-related goals; improvement in accessing resources and benefits; improvement in overall functioning). Beneficiaries. The primary beneficiaries of services are the target population groups identified: (1) people in crisis; (2) majority-minority people throughout the region; (3) justice-involved clients; (4) youth; and (5) older adults. Secondary beneficiaries include families, employers, and community groups with which people are involved. Additional secondary beneficiaries for the services include hospital, for reduced ED visits and hospitalization rates; law enforcement, for reductions in crisis-related arrests; and jails, for short-term crisis-related stays; (2) community organizations, and employers, which participate in richer, more supported cultures, which report a sense of marginalization; (3) law enforcement, courts, the detention center, and counties; (4) schools and youth-serving organizations; and (5) Senior Centers, healthcare and social service organizations serving the elderly.