Pathways holistic care program - pathways behavioral services plans to launch its ccbhc as the pathways holistic care program to augment our capacity to provide quality integrated care, care…

Pathways holistic care program - pathways behavioral services plans to launch its ccbhc as the pathways holistic care program to augment our capacity to provide quality integrated care, care coordination and connection to community and social supports for children and adults with MH and/or SUD in our current, 6 county, mostly rural catchment. In addition to enhancing our direct clinical services, care management, and integration of primary care, we will also intensify our outreach, engagement and support of community/social needs. Our remaining funding will enhance infrastructure to advance our sustainability through value-based arrangements. This includes investments in technology enhancements for data collection, reporting and care coordination enhancement; and integration of ncqa case management guidelines into our care management protocols. Our goals and objectives were borne out of significant service gaps and poor health outcomes in our region. Individuals in rural and lower-income areas are less likely to proactively seek MH care and have greater difficulty accessing MH care than their urban and suburban counterparts, and three of our counties are designated as MH professional shortage areas. There is a particular need to target services for children and adolescents. Iowa exceeds the national rate (18.8%) of youth who have seriously considered suicide at 21%, with our 6-county region averaging nearly 20%. The state integrated health home program only serves medicaid eligible clients with an axis i MH diagnosis and excludes those with SUD; and out of 99 counties in iowa, 3 of the 6 counties in our service area rank in the top 45 for substance abuse treatment admissions in the state. Our goals are to (1) enhance capacity to provide integrated primary care and BH services to all ccbhc clients; (2) increase the number of children/adolescents receiving comprehensive children's mental health and/or substance use services in our service area; (3) expand capacity to offer care coordination services to all who are referred to our ccbhc who require them; (4) improve access to community services that support social determinants of health. We plan to serve 700 unduplicated children and adolescents and 1,800 unduplicated adults in year 1 and an additional unduplicated 475 children/adolescents and 900 unduplicated adults in year 2.