FY 2024 Behavioral Health Service Expansion - Project Abstract - Fiscal Year 2024 Behavioral Health Service Expansion Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center Advocates for a Healthy Community, Inc. dba Jordan Valley Community Health Center has provided accessible and comprehensive healthcare services to low-income and medically underserved populations since opening as a federally qualified health center in 2002. Jordan Valley’s behavioral health model utilizes a multidisciplinary team of clinical and support staff to provide integrated mental health and substance use disorder (SUD) services across multiple service lines. Despite our highly integrated model of care, there is a marked need for expanded behavioral health services among Jordan Valley’s patient population and within our service area. The most recent National Survey on Drug Use and Health found that in the Southwest Missouri region, over 22% of adults experienced a mental health condition, and nearly 7% of individuals aged 12 and over experienced an SUD in the past year. The Missouri Department of Mental Health, SAMHSA, and CDC estimate that in Missouri, nearly 30% of adults with a mental health condition and 16% of individuals with SUD are unable to receive the treatments they need. Further, approximately 60% of Jordan Valley patients with a history of mental health and SUD diagnoses did not receive behavioral health services in 2023. Jordan Valley requests funding under the Fiscal Year 2024 Behavioral Health Service Expansion opportunity to support strategies that increase the number of individuals in our service area who access mental health and SUD services. Jordan Valley’s project plan includes activities that expand our mental health and SUD workforce, increase service access, and improve the quality and integration of behavioral health services across service lines. Our project will primarily expand adolescent and adult behavioral health services, prioritizing access for groups disproportionately impacted by mental health conditions and SUD. Workforce: Jordan Valley will recruit and hire new full-time employees (FTE) to support behavioral health service expansion. A virtual psychiatrist will provide medication management for mental health conditions and SUDs, eventually becoming a physician collaborator to expand Jordan Valley’s behavioral health team further. A psychologist will provide integrated individual and group therapy services. SUD intake coordinators will perform functions to increase SUD service access, quality, and integration. Access and Affordability: Jordan Valley will increase the number of primary care clinicians with an active DEA license across all clinic locations, expanding access to SUD services—including MOUD—through primary care. Additionally, SUD intake coordinators will conduct outreach to establish SUD referral pathways between Jordan Valley and community-based organizations. These FTEs will conduct SUD intakes to provide same-day access to treatment at our regional clinics. Jordan Valley will also explore opportunities to improve behavioral health access through virtual service expansion. Quality, Patient Care, Safety, and Integrated Services: Jordan Valley will develop and improve protocols and workflows for behavioral health screening, ensuring prompt linkage to care and continuity of behavioral health services for patients transitioning between service lines. Behavioral health education and networking opportunities will also be incorporated into the organization’s ongoing education schedule for patient-facing staff. With the expansion and development of our behavioral health teams, improvements to referral and screening protocols, and the establishment of community referral pathways, Jordan Valley expects to provide accessible, integrated behavioral health services to a minimum of 1,560 unduplicated new patients in the calendar year 2025.