Project Grant H79SM083233

LIFEWAYS INTEGRATED HEALTH HUB: CCBHC EXPANSION PROGRAM - ABSTRACT LIFEWAYS, INC. WILL IMPROVE THE OVERALL HEALTH STATUS OF UN- OR UNDER-INSURED LIFEWAYS CHILDREN, VETERANS AND ANY CLIENT WITH SERIOUS AND PERSISTENT MENTAL ILLNESS (SPMI), SEVERE EMOTIONAL DISTURBANCE (SED), SUBSTANCE USE DISORDER (SUD) AND CHRONIC PHYSICAL CONDITIONS BY PROVIDING ON-SITE INTEGRATED HEALTH CARE IN LIFEWAYS' COMMUNITY MENTAL HEALTH CLINICS. LIFEWAYS' INTEGRATED HEALTH PROGRAM (IHP) WILL EXPAND CURRENT INTENSIVE AND SUBSTANCE USE EVIDENCE BASED BEHAVIORAL HEALTH PROGRAMS TO INCLUDE COORDINATED, ACCESSIBLE AND SEAMLESS ON-SITE PRIMARY CARE SERVICES. LIFEWAYS' INTENSIVE PROGRAM DELIVERS OUTPATIENT AND COMMUNITY SERVICES TO ADULTS AND YOUTH WITH SPMI OR SED THROUGH SERVICES SUCH AS, ASSERTIVE COMMUNITY TREATMENT (ACT), EARLY ASSESSMENT SUPPORT ALLIANCE (EASA), MOBILE AND 24-HOUR CRISIS CENTER SERVICES. LIFEWAYS SUBSTANCE USE PROGRAM DELIVERS OUTPATIENT, RESIDENTIAL AND TRANSITIONAL SERVICES FOR ADULTS WITH SUBSTANCE AND GAMBLING ADDICTIONS. SINCE 1964 LIFEWAYS HAS PROVIDED MENTAL HEALTH SERVICES TO THE RURAL COMMUNITIES OF EASTERN OREGON. AS THE DESIGNATED COMMUNITY MENTAL HEALTH PROVIDER (CMHP) FOR MALHEUR & UMATILLA COUNTIES, LIFEWAYS OFFERS A FULL CONTINUUM OF BEHAVIORAL HEALTH SERVICES INCLUDING COMMUNITY PREVENTION, SCHOOL-LOCATED SERVICES, OUTPATIENT CLINICS, PEER AND CRISIS SERVICES, TRANSITIONAL HOUSING AND PSYCHIATRIC HOSPITALS. LIFEWAYS' ESTABLISHMENT IN THE COMMUNITY AND EXPERIENCE WITH ITS MOST VULNERABLE MEMBERS PROVIDES AN IDEAL NEXUS FROM WHICH TO PROVIDE PRIMARY AND BEHAVIORAL HEALTH CARE BY EXPLICITLY REDEFINING LIFEWAYS AS A FULLY INTEGRATED AND TRANSFORMED CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC. LIFEWAYS SERVES OVER 21,000 CLIENTS REGARDLESS OF RACE, RELIGION, AGE, GEOGRAPHIC LOCATION OR SOCIO-ECONOMIC BACKGROUND. LIFEWAYS PROVIDES SERVICES IN LOCATIONS ACROSS THE TREASURE VALLEY WHICH ENCOMPASSES THE LARGEST TWO COUNTIES IN EASTERN OREGON AND EXPANDS INTO SOUTHWESTERN IDAHO. OF LIFEWAYS' 7,270 (35%) OF CLIENTS WITH SCHIZOPHRENIA, BIPOLAR DISORDER AND MAJOR DEPRESSIVE DISORDER, APPROXIMATELY 3,257 (45%) ALSO EXPERIENCE CHRONIC MEDICAL CONDITIONS INCLUDING, DIABETES, HYPERTENSION (HTN), OBESITY, HEP A, HEP B, HEP C AND HIV. BY ELIMINATING GAPS IN ACCESS TO COORDINATED, REAL-TIME, WHOLE-PERSON CARE, LIFEWAYS SEEKS TO PROVIDE CLIENTS INCREASED TOTAL HEALTH AND WELLNESS. THE CCBHC AWARD WILL SUPPORT LIFEWAYS' GOAL TO ACHIEVE SAMHSA'S LEVEL 6 INTEGRATION THROUGH PROVISION OF INTEGRATED SERVICES TO APPROXIMATELY 612 ADULTS AND YOUTH WITH SPMI, SED, SUD AND CHRONIC HEALTH DIAGNOSES BY: 1) INTEGRATING THE INTENSIVE, SUD AND PRIMARY CARE PROVIDERS INTO A UNIFIED TREATMENT TEAM IN THE SAME SHARED CLINICAL SPACE; 2) INTEGRATING FORMAL AND INFORMAL TEAM MEETINGS AND HUDDLES; 3) INTEGRATING TREATMENT PLANNING AND MONITORING THROUGH A SHARED WORKFLOW; 4) UTILIZING HEALTH INFORMATION TECHNOLOGIES TO ENHANCE INFORMATION SHARING, RESULTING IN A TRANSFORMED INTEGRATED PRACTICE. LIFEWAYS INTEGRATED HEALTH PROGRAM'S INTENDED OUTCOMES ENCOMPASS THE PROMOTION OF HEALTH EQUITY FOR PEOPLE WITH SPMI, SED, SUD AND CO-OCCURRING CHRONIC HEALTH CONDITIONS. OUTCOMES INCLUDE ELIMINATING HEALTH GAPS AND DISPARITIES, TARGETED AND PATIENT-CENTERED TREATMENT FOR BEHAVIORAL AND PHYSICAL HEALTH CONDITIONS, AND INCREASED ACCESS TO PREVENTION, TREATMENT, RECOVERY AND CRISIS SERVICES.