Friday, June 6, 2025
6/6/2025
Primary and Behavioral Health Care Integration - The Keys to Wellness clinic will provide integrated primary and behavioral health services for adults with Serious Mental Illness (SMI) and health care conditions, in two co-location sites in Monroe County, Florida. These demographics are reflective of those within the population of focus, clients of the Guidance/Care Center, (G/CC) a private, nonprofit 501(c)(3) community mental health and substance abuse agency which provides services to over 3,400 clients annually in its Marathon and Key Largo locations. Forty-six percent (46%) of these clients have a (SMI) and 80% of those also have a primary care condition. The most prevalent health indicators or conditions include 62% reported smoking, 16% have asthma or breathing problems, 12% have diabetes, 52% have high cholesterol, and 66% are overweight or obese. The rate of deaths from alcoholic liver disease in Monroe County is double that of the state at 10%, and deaths from Chronic Liver Disease and Cirrhosis are at 18.8%. The common sense approach in this project utilizes a combination of four Best Practices methodologies, IMPACT, Motivational Interviewing/ Motivational Enhancement Therapy, Team Solutions and Solutions for Wellness. The result will be an increase in the availability of and access to whole-person, integrated primary and behavioral healthcare in Monroe County and a reduction of physical and mental health symptoms of individuals using one of the G/CC sites as their medical home. The success will be measured by the number of individuals who identify G/CC as their medical home, successful implementation of an EHR system and use to submit prescriptions electronically, and percentage of clients who: 1) improve and maintain normal blood pressure; 2) establish and maintain a healthy BMI; 3) discontinue smoking; 4) reduce and maintain healthy fasting plasma glucose and HgbAlc levels, 5) reduce and maintain a health lipid profile; 6) adhere to prescribed medication.
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).