Comprehensive life resources whole health ccbhc initiative - the comprehensive life resources (CLR) whole health integration ccbhc initiative will improve access to high-quality, evidence-based…

Comprehensive life resources whole health ccbhc initiative - the comprehensive life resources (CLR) whole health integration ccbhc initiative will improve access to high-quality, evidence-based behavioral health and primary care services for adults with serious mental illnesses (SMI) and youth with serious emotional disturbances (SED) living in pierce county, the second most-populous county in washington state. Through the samhsa ccbhc expansion grant funding mechanism, CLR will increase access to intensive behavioral health services for individuals with SMI or SED; strengthen CLR's capabilities to serve active-duty military personnel and/or veterans and their families; partner with community health care (CHC), a local federally qualified health center to provide primary medical care based in CLR's central clinical campus; and implement stride, an evidence-based lifestyle modification intervention designed to address risk factors for metabolic syndrome and subsequent cardiovascular disease for individuals prescribed second-generation antipsychotic medications. Goals and objectives for the proposed project include: 1) demonstrate and sustain CLR's compliance with ccbhc criteria for the entire range of behavioral, physical, and related health and support services through development of an internal oversight system for monitoring ongoing compliance with ccbhc criteria; full implementation of an assertive community treatment team for 100 individuals with SMI and functional impairment; add a third wraparound with intensive services (WISE) team to increase the number of youth with SED and functional impairment served from 20 to 30, and implement contracted services with the cohen veterans' network for additional military cultural competence training for CLR staff and payment options to facilitate active-duty military and/or veterans' access to needed behavioral health care; 2) fully realize the ccbhc vision/scope of services to integrate primary care by partnering with CHC to design and renovate space at CLR's central clinical campus to house a CHC primary care team which will increase the number of adults with SMI and youth with SED who have one or more primary care visit by 20%, amounting to an additional 128 CLR clients receiving primary care services; 3) implement the evidence-based stride intervention to prevent weight gain in a group of adults with SMI and weight-related health conditions who are taking a second-generation antipsychotic medication by training 10 CLR staff members as stride facilitators and orienting all clinical staff to the intervention; hiring a recreational therapist and two peer group leaders to develop and conduct social and recreational groups focused on healthy living, e.g., healthy cooking, exercise; and enroll at least 20 adult clients in the stride program with rolling enrollment to achieve ongoing groups of 20 new active participants and ensuring retention of at least 30 maintenance participants per 12-month intervention cycle.