Certified community behavioral health clinic - gateway healthcare proposes to implement a certified community behavioral health clinic (ccbhc) serving pawtucket and central falls, rhode island to…

Certified community behavioral health clinic - gateway healthcare proposes to implement a certified community behavioral health clinic (ccbhc) serving pawtucket and central falls, rhode island to increase access to person- and family-centered integrated behavioral health services, particularly for communities facing health disparities and those of color. The project anticipates serving 1,450 unduplicated adults, adolescents and children. The populations of focus are: 1) individuals with serious mental illness (SMI); 2) individuals with substance use disorders (SUD); 3) children and adolescents with serious emotional disturbances (SED) experiencing trauma and/or eating disorders; 4) young adults with emerging psychosis, and 5) individuals experiencing a behavioral health crisis. The project has four primary goals: 1) to establish a fully operational ccbhc, providing the complete scope of ccbch services to all individuals eligible; 2) to implement evidence-based practices (ebps) appropriate and specific to each population served; 3) to establish partnerships with additional community providers and organizations to improve accessibility of services and care coordination for clients and reduce health disparities of racial, ethnic, lgbtq, and homeless populations; and, 4) to implement infrastructure enhancements to improve the overall quality and coordination of care. Key measurable objectives include: 1) implementation of six ebps with clients: motivational interviewing (MI), skills-based cognitive behavior therapy (CBT), coordinated specialty care (CSC), collaborative assessment & management of suicidality (cams), family-based therapy (FBT) and trauma focused-cognitive behavior therapy (TF-CBT); 2) establishment of formal multidisciplinary care coordination agreements necessary for project success; and 3) training of the workforce in the ebps related to the population each serves, with BI-annual monitoring to maintain 90% fidelity and at least 45 completing training in MI and CBT; 20 in cams, 6 in CSC, 5 in FBT, and 6 in TF-CBT. Strategies and interventions to meet these goals and objectives include: 1) providing the core ccbhc services: crisis mental health services; screening and assessments; patient-centered treatment planning; outpatient mental health and substance use services; outpatient clinic primary care screening; case management; psychiatric rehabilitation services; peer support, counselor services, and family supports; and community-based mental health for members of the armed forces. 2) expanding the number of clinicians in the state with both expertise and training in evidence-based programs for individuals with SMI, SUD, SED and other behavioral health crises. 3) strengthening care coordination among organizations that support specific populations, such as latinx, immigrants or military; primary care providers and fqhcs; emergency departments; schools; and housing agencies to support the overall well-being of individuals with behavioral health and/or substance use disorders. Over the course of the project, 1,450 individuals will be served through the ccbhc, as follows: year 1: 320; year 2: 355; year 3: 385; and year 4: 390.