Saturday, April 12, 2025
4/12/2025
FY 2024 Behavioral Health Service Expansion - Chestnut Family Health Center (CFHC) serves Madison, St. Clair, and McLean counties in Illinois. This project aims to increase the number of patients receiving mental health, substance use, and MOUD services at in scope service sites. Based on findings from the National Survey on Drug Use and Health, 8,082 children and youth in the Madison and St. Clair counties have a serious emotional disturbance (SED) and 17,552 individuals have a serious mental illness (SMI). Nearly 9,000 people are estimated to have an SMI with a co-occurring substance use disorder. More than 32,000 people in the service region are estimated to have a substance use condition, and most are not receiving treatment. Based on regional findings from the National Survey on Drug Use and Health, approximately 32,621 people in Madison and St. Clair counties have a substance use disorder. The survey data shows that approximately 6,500 individuals received substance use services but more than 29,000 people need but do not receive substance use treatment. these estimates include those who received some treatment, indicated they needed more treatment. CFHC will utilize an advanced team-based care (aTBC) approach to promote comprehensive integrated care. aTBC supports care coordination to increase shared decision making and provide additional support and services before the patient leaves the appointment rather than addressing needs through referrals. Patients receiving aTBC will participate in screening, assessment, intervention, and linkage to ongoing primary care, mental health and/or substance use services depending on their need.Patients with co-occurring disorders will be linked to a co-occurring disorders (COD) clinician. In appointments using aTBC, a patient will meet with a mental health clinician alongside and immediately following the prescribing provider. The appointment will consist of screening for current involvement in mental health or substance use services, depression screening, suicide risk assessment, safety planning, brief treatment, and completion of the Protocol for Responding to and Assessing Patient’s Assets, Risks, and Experiences (PRAPARE) and psychosocial skill development. Patients screening positive and not otherwise receiving services for substance use will be linked to recovery coach, MAR provider and COD clinician for substance use treatment. Patients screening positive for depression or other mental health, or moderate and/or high suicide risk will be linked to clinician for mental health intervention. Those with social drivers of health needs will engage with clinicians for psychosocial skill development and services to reduce the need. CFHC staff will work collaboratively with substance use residential programs, local emergency departments and recovery coaches to assist individuals not already engaged in primary care, psychiatric, or MOUD services to ensure access and participation in these services, thereby increasing patients receiving both mental health and substance use services at the CFHC. CFHC staff will work collaboratively with community health navigators and certified application counselors to assist uninsured individuals in applying for insurance.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).