Project Grant H79SM086625

LEWISTON CCBHC-PDI - PROJECT NAME: CHAS HEALTH LEWISTON CCBHC SUMMARY & POPULATION: CHAS HEALTH WILL PLAN, DEVELOP, AND IMPLEMENT A CCBHC IN LEWISTON, IDAHO TO SERVE THE LEWIS-CLARK VALLEY (LC VALLEY), WHICH INCLUDES NEZ PERCE COUNTY, IDAHO, AND CONTIGUOUS ASOTIN COUNTY, WASHINGTON. THE LC VALLEY IS HOME TO OVER 63,000 RESIDENTS. THE AREA HAS HIGH POVERTY RATES AND LIMITED ACCESS TO A RANGE OF HEALTHCARE SERVICES DUE TO ITS RELATIVE GEOGRAPHICAL ISOLATION. DATA REVEALS THAT THERE ARE NO RURAL HEALTH CENTERS OR OPIOID TREATMENT PROGRAMS IN THE LC VALLEY, AND THE ONLY HOSPITAL IN LEWISTON DISCONTINUED THE PROVISION OF OUTPATIENT MENTAL HEALTH SERVICES IN 2019. CHAS HEALTH PROVIDES THE LC VALLEY'S ONLY FQHC PRESENCE, WITH A PRIMARY CARE CLINIC IN LEWISTON AND A DENTAL CLINIC IN CLARKSTON IN ASOTIN COUNTY WASHINGTON. ONCE THE CLINIC IS LAUNCHED AND REACHES FULLY CAPACITY, THE LEWISTON CCBHC WILL SUPPORT 450 UNDERSERVED PATIENTS PER YEAR, INCLUDING HUNDREDS OF PATIENTS WITH SERIOUS MENTAL ILLNESS (SMI); CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); AND PATIENTS WITH SUBSTANCE USE DISORDERS (SUD) OR CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS (COD). GOAL 1: CREATE ONE OF THE FIRST CCBHCS IN IDAHO TO DELIVER HIGH-ACUITY BH SERVICES INTEGRATED WITH EXISTING PRIMARY MEDICAL CARE TO SERVE PATIENTS WITH SMI, SUD, SED, AND COD. OBJECTIVE 1A: BY MONTH 8 OF THE PROJECT PERIOD, THE CCBHC WILL BEGIN TO SERVE PATIENTS AND AT LEAST 50% OF THE CLINICAL STAFF IDENTIFIED IN THE STAFFING PLAN WILL BE HIRED. OBJECTIVE 1B: BY THE END OF THE FIRST YEAR, THE CCBHC WILL SERVE 175 PATIENTS, AND REACH 450 EACH YEAR THEREAFTER TO SUPPORT 1,525 UNDUPLICATED PATIENTS DURING THE 4-YEAR PROJECT PERIOD. GOAL 2: ESTABLISH AT LEAST 4 CARE COORDINATION AGREEMENTS WITH COMMUNITY PARTNERS TO ENSURE CCBHC PATIENTS HAVE CLEAR PATHWAYS TO ACHIEVE ACCESS TO THE SERVICES THEY NEED. OBJECTIVE 2A: BY MONTH 2 OF THE PROJECT PERIOD, CHAS HEALTH WILL COMPLETE A CCBHC NEEDS ASSESSMENT AND PURSUE ADDITIONAL CARE COORDINATION AGREEMENTS THAT ALIGN WITH PATIENT NEEDS. OBJECTIVE 2B: BY MONTH 4 OF THE PROJECT PERIOD, CHAS WILL FINALIZE A DCO MOU WITH RURAL CRISIS CENTER NETWORK (RCCN) FOR 24/7 PHONE AND IN-PERSON CRISIS RESPONSE WITH MOBILE SERVICES COORDINATED THROUGH THEIR RELATIONSHIP WITH IDAHO'S DEPARTMENT OF HEALTH AND WELFARE. STRATEGIES/INTERVENTIONS: CHAS WILL PROVIDE COMPREHENSIVE OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES, TARGETED TO MODERATE-TO-SEVERE BEHAVIORAL HEALTH NEEDS. PATIENTS WILL HAVE THE OPPORTUNITY TO DEVELOP SKILLS IN RELAPSE PREVENTION, COPING SKILL-DEVELOPMENT AND INTERPERSONAL RELATIONSHIPS. TREATMENT WILL INCLUDE AN EMPHASIS ON BUILDING STRONG SUPPORT NETWORKS TO PROMOTE SUSTAINED RECOVERY. EVIDENCE-BASED PRACTICES WILL INCLUDE PEER SUPPORT, MOTIVATIONAL INTERVIEWING, SBIRT, MEDICATION ASSISTED TREATMENT, HARM REDUCTION, CBT, RELAPSE PREVENTION PLANNING, PSYCHOEDUCATION, AND MORE. CHAS HAS THE ORGANIZATIONAL CAPACITY TO IMPLEMENT THIS PDI GRANT AND DELIVER THE SCOPE AND QUALITY OF SERVICES REQUIRED BY SAMHSA. CHAS HAS ALREADY LAUNCHED ONE CCBHC IN SPOKANE, WA WITH SAMSHA FUNDS AND WE MET OR EXCEEDED ALL CCBHC MILESTONES LISTED IN OUR ORIGINAL PROJECT PLAN. OUR CAPACITY TO PROVIDE TREATMENT FOR SMI, SED, SUDS, AND CODS IS EVIDENCED BY OUR TRACK RECORD TO DATE, WHICH SHOWS 100% OF CURRENT CCBHC PATIENTS MEET ONE OR MORE PRIORITY POPULATIONS. NOW CHAS AIMS TO BRING THE PROVEN CCBHC MODEL TO A NEW CATCHMENT AREA IN THE LC VALLEY WHERE WE HAVE ADMINISTERED PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES FOR OVER 15 YEARS.