Project Grant H79SM086686

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.