FY 2024 Behavioral Health Service Expansion - ABSTRACT - NEIGHBORHOOD HEALTH - H80CS2446 Address: 6677 Richmond Highway, Alexandria, VA 22306 Contact: Basim Khan, MD, MPA, CEO, Ph 703-778-7157; bkhan@nhnva.org HRSA-24-078 BHSE Request: $600,000 Neighborhood Health (NH) has been advancing health equity for 27 years providing high-quality primary care to low-income, uninsured, and racially/ethnically diverse individuals at 15 clinics in Alexandria, Arlington, and Fairfax County. NH clinics are Joint Commission accredited and PCMH certified. Patient Profile: NH served 37,867 patients in 2023; 43% were uninsured; 43% on Medicaid; 98% were under 200% FP; 90% were people of color; 64% preferred to speak a language other than English. Service Area: NH target populations live in multiple pockets of poverty embedded in wealthy counties in our region. However, our patients experience significant health disparities and barriers to accessing care. For example, in two Alexandria census tracts the percent of residents at or below 100% FPL is 41.1% and 40.5%. Prevalence Rates for Northern Virginia Region 2 for 18-Year-old and Over Source American Community Survey 2022 Estimated with Any Mental Illness Estimated with Serious Mental Illness Low 292,306; High 379,056; Med 333,475 Low 53,784; High 85,008; Med 67,684 Barriers Examples: SUD community agencies during recent meetings, reported existing barriers that NH can address, such as: (1) Lack of primary care providers (PCPs) willing to prescribe SUD medications. (2) Limited/no PCP referral options for stabilized patients. And (3) A troubling increase in youth use of opioids and overdose, particularly among Spanish-speaking youth. Project Goal 1 Mental Health: Increase the number of patients receiving mental health services. MH Program: Offering MH services for over two decades, we currently provide on-site and telehealth MH services at 7 medical clinics; medical providers can seek consultation during a patient visit and while developing treatment plans. MH services include evidence-based approaches to address depression, perinatal and post-partum mood disorders, anxiety, trauma, adjustment disorders, impulse control, among other behaviors. Psychiatric medication management is also provided. But MH service needs far exceed our current capacity. MH Baseline: UDS 2023 - 2,030 patients. Patient Increase: Year 1 will serve 800 MH patients by adding 2FTEs MH Therapists and 1FTE Case Manager who will follow-up on patient missed appointments and support patients impacted by social determinants of health. Goal 2 SUD: Increase the number of patients receiving SUD services, including patients receiving treatment with MOUD. Baseline: UDS 2023 - 0 SUD. Patient Increase: Year 1 will serve 150 patients by hiring 1FTE Addiction Counselor, 1FTE Peer Specialist, 1FTE SUD Case Manager, and an SUD Program Manager who will facilitate patient scheduling and ensure referral pathways with community partners. NH Pediatric and Adult Medical Providers will be trained and treat patients with MOUD, addressing a serious community barrier to care. Our Community Partnership with 3 BH/SUD agencies, known in Virginia as Community Services Boards (CSBs), providing services to people with serious mental illness and SUD will be expanded. NH has been co-located at the Alexandria, Arlington, and Fairfax County CSBs providing medical care to patients with serious mental illness for 14 years, sharing medical records and workflows, which will facilitate our new SUD collaboration. Each CSB will contribute SUD resources and expertise, and patient referrals will go to and from us at various points in the patients’ continuum of care. Federal Funding Year 1: $600,000 requested. Staff sal/ben $540,036; $30,000 Minor/AR; & $29,964 Other/recruitment.
