Project Grant H79SM086654

BIENESTAR CCBHC FOR LATINX/LGBTQ POPULATIONS OF EAST LOS ANGELES - PROJECT SUMMARY: BIENESTAR HUMAN SERVICES (BIENESTAR) IS APPLYING FOR CCBHC-PDI FUNDING AS THERE IS GREATER DEMAND FOR ACUTE BEHAVIORAL HEALTHCARE CARE IN EAST LOS ANGELES THAN CAN BE PROVIDED BY EXISTING RESOURCES. THIS SERVICE GAP, SPECIFICALLY FOR THE TREATMENT OF LOW-INCOME POPULATIONS WITH SMI, SED, SUD, AND/OR COD, CAN BE REDUCED WITH OUR PROPOSED CCBHC. GEOGRAPHIC CATCHMENT AREA: LOS ANGELES COUNTY'S SERVICE PLANNING AREA (SPA) 7. PROJECT NAME: BIENESTAR CCBHC FOR LATINX/LGBTQ POPULATIONS OF EAST LOS ANGELES POPULATIONS TO BE SERVED: LOW-INCOME LATINX LGBTQ RESIDENTS OF LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 7, INCLUDING PERSONS WITH SMI, SED, SUD, OR COD. SPA 7 HAS HIGHER RATES OF POVERTY, A LARGER PERCENT OF THE POPULATION THAT IS LATINX, AND A LARGER PERCENT OF THE POPULATION THAT IS LGBTQ THAN LOS ANGELES COUNTY AS A WHOLE. NUMBER TO BE SERVED: YEAR 1: 75; YEAR 2: 75; YEAR 3: 75 YEAR 4: 75; LIFE OF PROJECT: 300 PROJECT STRATEGIES/INTERVENTIONS: BIENESTAR WILL USE A COMBINATION OF SEVERAL EVIDENCE-BASED- INTERVENTIONS, INCLUDING COGNITIVE BEHAVIORAL THERAPY (CBT), EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR), MEDICATED-ASSISTED TREATMENT (MAT) AND MOTIVATIONAL INTERVIEWING (MI). THESE INTERVENTIONS AND SCREENINGS WILL BE PROVIDED IN ENGLISH AND SPANISH. PROJECT GOALS AND MEASURABLE OBJECTIVES: OUR GOALS INCLUDE A REDUCTION IN THE RISK FOR SUICIDE, PREVENTION OF DEATH BY SUICIDE; REDUCTION IN PROBLEM USE OF ALCOHOL AND/OR OPIATES; AND AN INCREASE IN ACCESS TO MH SERVICES, INCLUDING IMPROVING AWARENESS OF SERVICES. MEASURABLE OBJECTIVES ARE AS FOLLOWS: (1) FOR EACH YEAR, SCREEN 400 CLIENTS, USING THE COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS) AT CLINICA BIENESTAR AND THE CCBHC; (2) FOR EACH YEAR, THOSE ASSESSED TO BE AT-RISK FOR PSYCHOLOGICAL DISTRESS OR SUICIDE WILL BE REFERRED TO CCBHC FOR TREATMENT; 100% WILL DEVELOP A CRISIS PLAN; (3) FOR EACH GRANT YEAR, 65% OF CCBHC PATIENTS WILL HAVE REDUCED RISK FOR PSYCHOLOGICAL DISTRESS AND REDUCED RISK FOR SUICIDE BY IMPROVEMENTS IN K10 AND C-SSRS SCORES BETWEEN ASSESSMENTS; (4) FOR EACH YEAR, 100.0% OF THOSE SCREENED AT-RISK FOR SUD, WILL RECEIVE A REFERRAL FOR CCBHC SERVICES; OF THOSE REFERRED, 75% WILL YIELD AN ATTENDED APPOINTMENT; (5) FOR EACH YEAR, 65% OF CCBHC PATIENTS WITH PROBLEM ALCOHOL USE WILL HAVE REDUCED FREQUENCY OF USE AS DEMONSTRATED BY IMPROVEMENT BETWEEN ASSESSMENTS; (6) FOR EACH YEAR, 30% OF CCBHC PATIENTS DETERMINED TO HAVE PROBLEM USE OF OPIATES WILL HAVE REDUCED FREQUENCY OF USE AS DEMONSTRATED BY IMPROVEMENT BETWEEN ASSESSMENTS; (7) FOR EACH YEAR, SCREEN 400 CLIENTS, USING THE KESSLER PSYCHOLOGICAL DISTRESS SCALE (K10) AT CLINICA BIENESTAR AND THE CCBHC; (8) EACH YEAR, 100% OF CLIENTS WITH A HIGH-RISK K10 SCREENING, WILL BE PROVIDED A C-SSRS SCREENING AND REFERRAL TO THE CCBHC; (9) EACH YEAR, 100% OF CLIENTS WITH AN AT-RISK K10 SCREENING, WILL BE PROVIDED A REFERRAL FOR CCBHC SERVICES; OF THOSE REFERRED, 75% WILL YIELD AN ATTENDED APPOINTMENT; AND (10) FOR EACH YEAR, WE WILL REACH 500 INDIVIDUALS VIA SOCIAL MEDIA, REGARDING AVAILABILITY OF CCBHC SERVICES AND FOR LANGUAGE APPROPRIATE HEALTH EDUCATION.