TRI-county behavioral healthcare expanded ccbhc access - TRI-county behavioral health care, a safety net provider of behavioral health and housing to low-income underserved populations in 3 counties…

TRI-county behavioral healthcare expanded ccbhc access - TRI-county behavioral health care, a safety net provider of behavioral health and housing to low-income underserved populations in 3 counties at the periphery of the houston, texas metropolitan area, will establish a ccbhc to provide expanded access to treatment for adults with SMI and COD, increased rural SUD treatment, expanded MH care for children/youth with SED, including school-based services, and care coordination for chronic health issues. TRI-county [tcbhc] will add the capacity to provide services in spanish for the growing population of children and adults with limited english literacy. The project name is the TRI-county behavioral healthcare expanded ccbhc access. Total area population is over 768,551 persons in three counties. Poverty rates for these counties range from 10.3% to 24.4%. White population ranges from 54% to 63%, hispanic from 18% to 23%, and african american from 4.6% to 23%. Fifty-five percent of adults served have at least a GED, 27% are employed, 3.9% are homeless, and 45% report no income. The ccbhc needs assessment indicated that there is a high incidence of untreated mental illness and substance abuse, attributable to demand far exceeding resources, poor access to limited services, costs beyond the means of low-income clients, and stigma associated with seeking care. Four major project goals address the unmet need in the catchment area: 1) increase access to SUD treatment for rural consumers; 2) increase access to MH care for children/youth with SED, through expanded intake, expanded therapy and culturally and linguistically appropriate outpatient and school-based treatment; 3) increase access to therapy for adults with SMI and COD and culturally appropriate outpatient treatment and psychosocial interventions; 4) provide care coordination to improve health outcomes for the populations of focus. Objectives include: add IOP SUD groups in 3 rural sites; increase walk-in clinic days for children/youth and families impacted by SUD; add school-based MH services in rural schools with high proportions of spanish-speaking children/youth; eliminate past 30-day substance use for 30% of adults and youth in SUD treatment for 6 months; reduce symptoms of SED for 50% of children/youth by treatment completion; reduce depressive symptoms of 50% of adults with SMI/COD after treatment completion. In addition to adding MH and SUD treatment staff, some bilingual in spanish and english, the project will add a care coordination team consisting of a licensed vocational nurse, MH clinician, certified peer recovery specialist, a benefits specialist, and a data analyst. The evaluation will be conducted by SAE and associates (SAE) behavioral health evaluation (BHE), which has evaluated ccbhc projects and multiple samhsa initiatives. 150 adults and 167 children/youth will be served in year 1, 205 adults and 235 children/youth in year 2, with a total of 757 unduplicated clients served over the 2 project years.