Project Grant H79SM086700

OHIOGUIDESTONE CLEVELAND, OHIO CCBHC PROJECT - THE OHIOGUIDESTONE CLEVELAND, OHIO CCBHC WILL EXPAND AND ENHANCE BEHAVIORAL HEALTH SERVICES FOR ADULTS WITH SMI, CHILDREN AND YOUTH WITH SED, AND YOUTH AND ADULTS WITH SUD/COD. OGS PROPOSES TO EXPAND ACCESS FOR TRANSITIONAL YOUTH AND HOMELESS EXPERIENCING SUD, COD CO-MORBID PHYSICAL HEALTH CONDITIONS, OR AN ELEVATED RISK OR NEED FOR CRISIS SERVICES IN THE CLEVELAND AREA OF CUYAHOGA COUNTY OHIO. OGS WILL ALSO EXPAND SERVICES FOR PREGNANT AND PARENTING WOMEN. THE OHIO STATE HEALTH IMPROVEMENT PLAN HAS DESIGNATED MATERNAL AND INFANT HEALTH AS A PRIORITY. THE OGS CUYAHOGA COUNTY CCBHC WILL SERVE 400 INDIVIDUALS IN YEAR ONE AND 600 IN YEAR 3 AND 4 RESPECTIVELY. THE NATIONAL SURVEY ON DRUG USE AND HEALTH, 2017-2018 AND AMERICAN COMMUNITY SURVEY, 2018 ESTIMATED 34,425 ADULTS 18 AND OLDER HAD SMI AND AN ESTIMATED 14,241 ADULTS HAD CO-OCCURRING MAJOR DEPRESSIVE EPISODE (MDE) AND SUD IN THE PAST YEAR IN THE PAST YEAR IN CUYAHOGA COUNTY, OH. WITHIN THE CATCHMENT AREA AN AVERAGE OF 11% UNEMPLOYMENT RATE AND 21.8% OF RESIDENTS LIVE AT LESS THAN 100% FPL (FEDERAL POVERTY LEVEL), THERE ARE 73,455 SINGLE PARENT HOUSEHOLDS AND 9,500 WOMEN WERE PREGNANT OR GAVE BIRTH IN THE PREVIOUS YEAR. THE DEMAND FOR HIGHLY RESPONSIVE COMMUNITY-BASED CARE IS HIGH, AND PER THE MOST RECENT CHNA, THERE ARE LIMITED SERVICES FOR MOTHERS WHO HAVE CHILDREN AND/OR WHO MAY BE PREGNANT. THE COORDINATED, INTEGRATED AND EVIDENCE-BASED LOCAL INTERVENTIONS CRITICAL TO EFFECTIVELY ENGAGING AND SUPPORTING TRANSITION AGE YOUTH WERE ALSO IDENTIFIED AS A SIGNIFICANT BARRIER IN CLEVELAND. ACCORDING TO THE UNITED WAY OF CLEVELAND 2019 NEEDS ASSESSMENT MORE THAN 1/3 OF PEOPLE WHO WERE HOMELESS IN CUYAHOGA COUNTY SUFFERED FROM CHRONIC SUBSTANCE USE DISORDER, AND MORE THAN A 1/3 SUFFERED FROM SMI. ADDITIONALLY, INDIVIDUALS SUFFERING FROM SMI CAN COST TAXPAYERS MORE THAN $40,000 PER YEAR WHILE HOMELESS. IN THE WAKE OF THE PANDEMIC, RATES OF HOMELESSNESS ARE RISING IN CLEVELAND. ADULTS, FAMILIES, AND YOUTH WHO ARE HOMELESS REQUIRE ACCESSIBLE, INTEGRATED, AND TRAUMA INFORMED CARE. OGS PROPOSES THE FOLLOWING GOALS SHOULD WE BE A CCBHC GRANT AWARDEE. GOAL 1: INCREASE CAPACITY AND TARGETED SERVICES TO FAMILIES AND CAREGIVERS IN THE TARGETED GEOGRAPHIC AREA. ESTIMATED 10 PERCENT OF PARTICIPANT SIBLINGS WHO ARE ELIGIBLE AND CHOOSE TO ENGAGE; 20 PERCENT CAREGIVERS OF PARTICIPANTS WHO ARE ELIGIBLE AND CHOOSE TO ENGAGE. GOAL 2: IMPROVE INTEGRATED REFERRALS AND CARE COORDINATION WITH PHYSICAL HEALTH PARTNERS TO ACHIEVE BETTER BH AND PHYSICAL HEALTH OUTCOMES FOR SED AND SMI POPULATION. GOAL 3: EXPAND SUBSTANCE USE AND CO-OCCURRING DISORDER TREATMENT FOR TRANSITIONAL AGE. GOAL 4: MONITOR AND INCREASE SERVICE DELIVERY OF CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDER DIAGNOSES AND CO-MORBID PHYSICAL HEALTH CONDITIONS OR AN ELEVATED RISK OR NEED FOR CRISIS SERVICES OR CHRONICALLY HOMELESS. GOAL 5: EXPAND INTERNAL CAPACITY AND ELEVATE STAFF COMPETENCY FOR BH SERVICES FOR UNDER RESOURCED PREGNANT OR PARENTING WOMEN TO POSITIVELY IMPACT HEALTH DISPARITIES.