Project Title: FY25 Quality Improvement Fund- Transitions in Care for Justice-Involved Populations (QIF-TJI) (HRSA-25-005)
Applicant Organization Name: Peach Tree Healthcare
Grant Number: H80CS06629
Project Director Name: Greg Stone; (530) 741-6245; gstone@pickpeach.org
Peach Tree Healthcare (Peach Tree) is applying for funding under the Quality Improvement Fund - Transitions for Justice-Involved Populations (QIF-TJI) (HRSA-25-005) in the amount of $1,000,000 over a two-year period starting December 1, 2024 and ending November 30, 2026. Peach Tree was founded in 1991 and designated a Federally Qualified Health Center (FQHC) in 2006. Peach Tree serves patients at 10 fixed service delivery sites and two (2) mobile units in a service area that covers 20 ZIP codes, and spans five (5) counties in northern California: Butte, Colusa, Sacramento, Sutter, and Yuba. The proposed QIF-TJI program will provide transitions in care for individuals ages 18 and older within 90 days of release from incarceration in Yuba County’s Jail and the Tri-County Youth Detention Center.
Building capacity to better serve our community’s justice-involved populations was recently deemed a priority of focus by Peach Tree leadership. To date, Peach Tree provides behavioral health services with a therapist embedded in Yuba County Probation, and contracts with Yuba County Health and Human Services Department (YCHHSD) to provide BH and substance use disorder assessments and treatment. Additionally, Peach Tree is preparing to start as the In-Reach Provider for pre-release services at the Yuba County Jail and the Tri-County Youth Detention Center in October 2024.
For this initiative, Peach Tree will expand existing work within the Yuba County Jail and the Tri-County Youth Detention Center to pilot and evaluate a project that uses patient-centered, scalable, and sustainable evidence-based models of care to support transitions in care for JI-R individuals. Peach Tree has experience providing a wide range of services including: medical care, behavioral health and substance use services, Medication Assisted Treatment (MAT), case management, and other support services to adults and youth across the service area. Over the last four years, there has been an increased focus on expanding mild to moderate behavioral health, substance use, and wider-ranging MAT services; as well as Psychiatric medication support, evidence-based therapy interventions, and group therapy options. The proposed project will emphasize managing reducing risk of drug overdose, and addressing mental health and substance use disorder treatment. Additionally, Peach Tree will provide case management services and work closely with community partners to address housing insecurity, food insecurity, and other health-related social needs including employment support. In this way, the ability to provide integrated care within the organization will support a smooth transition across the pre-release and post-release spectrum.
Peach Tree will collect data to better inform an equity lens for the proposed project, enable continuous refinement to optimize patient care and outcomes, provide a robust understanding of the initiative’s impact, as well as plan for sustainability beyond the granting period. Moreover, Peach Tree is dedicated to utilizing patient input and continuous feedback in order to facilitate a clinical transformation effort reflective of patient experience and community engagement. Peach Tree will build on existing work in defining this distinct project to ensure it is scalable for other, similar health centers in order to best support care transitions, continuity of care, and address critical health and health-related social needs for JI-R individuals in Yuba County, California, and beyond.