Ccbhc access to integrated behavioral health urgent care - through this project, title ccbhc access to integrated behavioral health urgent care, access: supports for living INC.'s (access) certified…

Ccbhc access to integrated behavioral health urgent care - through this project, title ccbhc access to integrated behavioral health urgent care, access: supports for living INC.'s (access) certified community behavioral health clinic (ccbhc) focuses on the population seeking urgent mental health and/or substance use disorder servies to create immediate access, and to avoid and resolve acute crises. The access catchment area is centered on orange county (OC), new york, and services the entire hudson valley region. According to the US census 2018, OC has 381,951 residents. Of the total population, 5% are veterans, 14% are 65 and older, and 25% are under 18. 24.4% of the OC population ages 5 and over speaks a language other than english. 12% of the OC residents meet the federal definition for poverty. According to the NYS office of mental health patient characteristics survey in 2015, of the more than 2500 total OC clients receiving services from programs licensed or funded by the NYS office of mental health (OMH), the most common diagnosis is schizophrenia and other psychotic disorders (30%) followed by depressive disorders (22%) and bipolar and related disorders (20%). Of the 2500 OMH clients in the county, 16% have an intellectual disability, are on the autism spectrum, or have another developmental disability; a quarter (25%) of all clients have CO-occurring disorders. Many clients experience physical health conditions as well as behavioral; 56% have at least one chronic medical condition. Access proposes to: (1) increase the capacity of access' ccbhc to provide urgent care to meet the immediate behavioral health (BH) needs of adults and children in OC, (2) increase and improve community-based engagement with individuals with BH needs, discharged from facilities in OC, (3) increase access' revenue source to sustain routine behavioral care for individuals with an urgent need after the grant term, and (4) utilizing existing resources, connect ccbhc urgent care clients to employment and vocational support. The agency will provide immediate, walk-in mental health and substance use services, including psychiatry, for adults and children, including crisis intervention and hospital diversion for thos in acute BH crisis, and transitions of care services for people discharged from inpatient BH care.