Tuesday, April 29, 2025
4/29/2025
FY 2024 Behavioral Health Service Expansion - Founded in 1994 as Orange County Rescue Mission Health Services, and receiving designation as a Federally Qualified Health Center in 2009 through both 330(e) and (h) funding, Hurtt Family Health Clinic (HFHC) was established in Orange County, CA, to serve the medical needs of the area’s diverse and vulnerable populations. Serving the community at eight sites in Tustin, Santa Ana, and Anaheim – including two mobile clinics – HFHC provides culturally sensitive health services, following the Patient-Centered Medical Home model, which engages a “whole person approach” to healthcare and integrated/coordinated care that includes individualized treatment informed by social determinants of health. HFHC serves communities with the highest need and the lowest available resources. Our service area has been designated as a Health Professional Shortage Area, with two Medically Underserved Areas. HFHC is committed to addressing these gaps in services and continues to serve its patients, many of whom live below 200% of the Federal Poverty Guidelines. In 2023, HFHC treated 7,225 unduplicated patients with 38,074 visits of which 13,301 visits were for Behavioral Health Services and 1,418 for substance use services. HFHC’s focus patient population struggles with low socioeconomic status, unemployment, low levels of educational attainment, lack of health insurance coverage, and homelessness. HFHC’s service area includes more than 1 million residents (1,148,297), of which almost one-third (352,397) are low-income residents, according to HRSA’s UDS Mapper. Behavioral healthcare is a major issue among the service area’s low-income population. These residents are more likely to have had serious psychological distress in the past year, and more likely to have had moderate to severe impairment in their social life, family life, household chores, and work, as well as isolation. HFHC seeks to expand our current behavioral health and substance use services through enhanced integration to create a comprehensive program, using the whole-person model of care. The proposal will expand the existing services and add new psychiatric services to mothers of infants, pregnant women, children, adolescents, and families. The expanded program will add a program coordinator, one child psychiatrist, one substance use counselor, one addiction medicine provider, one outreach worker, and two Integrated Health Care Managers that will provide 3,000 behavioral health visits to 700 new patients and 1,000 substance use treatment visits to 300 new patients. All HFHC patients will be screened; and provided brief intervention, warm hand-off, and appropriate referral to treatment. Preventive behavioral health and substance use services will be addressed through staff education, staff training, outreach, universal social determinants of health screening, SBIRT screening, depression screening, community training, and harm reduction strategies. HFHC will ensure equitable access to care by improving and expanding telehealth services and increasing the level of service provision by adding direct, coordinated, and comprehensive services to patients with moderate to severe mental health impairments. This will be accomplished through enhancing established reciprocal relationships and seeking new impactful community partnerships. In addition, HFHC will explore becoming a Certified Community Behavioral Health Clinic. Funding from HRSA will support the expansion and intensity of services toward underserved women, children, youth, and those with moderate to severe conditions. Additionally, funding will improve equitable access to prevention, screening, high-quality treatment, community linkages, and referrals enhanced by telehealth services and the development of integrated, well-trained multi-disciplinary care teams.
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).