Project Grant H79SM086744

EASTERSEALS MICHIGAN CCBHC MACOMB PDI GRANT - EASTERSEALS MICHIGAN CCBHC MACOMB GRANT [SM-22-002] WILL IMPROVE COMPREHENSIVE COORDINATED INTEGRATED BEHAVIORAL HEALTH CARE BY ESTABLISHING NEW PROGRAMS AND SERVICES IN MACOMB COUNTY, MI THROUGH MULTIDISCIPLINARY TEAM-BASED CARE AND PATHWAYS FOR PEOPLE IN CRISIS, DEPRESSION, USING SUBSTANCES OR TOBACCO, COMORBID CONDITIONS RELATED TO CHRONIC HEALTH CONDITIONS, AT HIGH RISK FOR SUICIDE, AND/OR TRAUMA. INVESTMENTS IN INFRASTRUCTURE WILL FACILITATE CARE COORDINATION, POPULATION HEALTH ANALYTICS AND MONITORING, INCREASED ACCESS AND ENGAGEMENT INTO SERVICES THROUGH TARGETED INTERVENTIONS TO ADDRESS HEALTH DISPARITIES AND SOCIAL DETERMINANTS OF HEALTH. EVIDENCE-BASED TREATMENT AND TRAINING, COUPLED WITH EXPANDED STAFF, WILL INCREASE COMMUNITY BEHAVIORAL HEALTH SERVICES TO 932 OVER FOUR YEARS (Y1 125, Y2 216, Y3 216, Y4 375). OUTREACH EFFORTS AND A NO WRONG DOOR APPROACH FOR INDIVIDUALS SEEKING SERVICES INCREASES THE VOLUME AND EFFECTIVENESS OF SCREENING, ASSESSMENT, AND CARE COORDINATION FOR COMPLEX, CO-MORBID CASES. POPULATIONS OF FOCUS ARE ADULTS, YOUTH, FAMILIES, AND ARMED SERVICES/VETERANS WHO ARE UNINSURED, AND/OR UNDERINSURED. ESM WILL BE FOCUSING ON SPECIAL POPULATIONS WITHIN SCHOOLS. PROJECT GOALS DERIVE FROM MACOMB COUNTY (MO) COMMUNITY NEEDS ASSESSMENTS AND TARGET VULNERABLE POPULATIONS INCLUDING YOUTH AT RISK FOR SUICIDE, DEPRESSION AND ANXIETY; ARMED SERVICES/VETERANS AND INDIVIDUALS AND FAMILIES WITH SUBSTANCE AND TOBACCO USE AND/OR TRAUMA. THE GOALS ARE: 1) INCREASE SERVICE CAPACITY AND ACCESS FOR CHILDREN, ADULTS AND VETERANS THROUGH WORKFORCE EXPANSION, SCREENING, AND OUTREACH ACTIVITIES. 2) REDUCE SUICIDES BY IMPLEMENTING ZERO SUICIDE CARE PATHWAY AND EVIDENCED BASED PRACTICES THAT ADDRESS TRAUMA, HIGH SUICIDE, AND DEPRESSION RISK. 3) IMPLEMENT COMPLEX CARE DELIVERY APPROACHES TO REDUCE HEALTH DISPARITIES BY EXPANDING CARE COORDINATION FOR INDIVIDUALS WITH COMPLEX COMORBID CONDITIONS. 4) IMPLEMENT CRISIS SERVICE DELIVERY SYSTEM FOCUSING ON A DECREASE OF UTILIZATION OF INPATIENT SERVICES BY INCREASING ACCESS TO CARE CENTERED AROUND REDUCED WAIT TIMES FOR ENGAGEMENT. 5) DECREASE YOUTH SUBSTANCE USE AND MENTAL HEALTH SYMPTOMS BY INCREASING YOUTH RESILIENCY IN THE COMMUNITY BY IMPLEMENTING EVIDENCED BASED PROGRAMS (EBPS. 6) ENHANCE BEHAVIORAL HEALTH, SUBSTANCE USE, AND TRAUMA SERVICES FOR ARMED SERVICES/VETERANS. MC CITIZENS IDENTIFY AS 83% CAUCASIAN, 13% AFRICAN AMERICAN, AND 4% ASIAN. FIVE PERCENT (5%) AS ARMED SERVICES/VETERANS AND TWO PERCENT (2%) IDENTIFY AS HISPANIC OR LATINO. MC IS 51% FEMALE AND 49% MALE. YOUTH ARE 21% OF THE POPULATION. MC HAS AN OVERALL 9% POVERTY RATE, CITIES SUCH AS WARREN AND ROSEVILLE HAVE POVERTY RATES ABOVE 13%. TOBACCO USERS ARE 30% OF THE POPULATION, WHICH IS NEARLY DOUBLE THE ADULT SMOKING RATE OF 18.7% FOR THE STATE OF MICHIGAN. IN 2020-21, 62% OF RESIDENTS REPORTED HAVING ANXIETY, DEPRESSION, AND OTHER MENTAL HEALTH DISORDERS. IN MC, OPIOID AND NARCOTIC MISUSE IS 35% OF THE POPULATION AND SUICIDE IS A RISK FOR 22%. ALMOST 20% (19.7%) OF ADULTS IN MC REPORTED THEY HAVE NOT RECEIVED THE TREATMENT THEY NEED DUE TO ACCESS BARRIERS WHICH INCLUDED NO INSURANCE AND LIMITED COVERAGE OF SERVICES, SHORTFALL IN MEDICAL PROVIDERS, AND A LACK OF AVAILABLE TREATMENT. ANTICIPATED OUTCOMES INCLUDE: ENHANCED OUTREACH, BY PHONE OR IN PERSON, TO 95% OF HIGH-RISK INDIVIDUALS, CLINICAL PATHWAYS FOR HIGH-RISK CONDITIONS THAT ARE CULTURALLY COMPETENT AND LINKED WITH HEALTH DISPARITY DATA, 11 BHC STAFF TRAINED IN EBP EMDR, MI, CBITS, ASIST, PET, TFCBT, STAR BH TIERED TRAINING, CLINICAL PATHWAYS FOR HIGH-RISK CONDITIONS THAT ARE CULTURALLY COMPETENT AND LINKED WITH HEALTH DISPARITY DATA, TEAM-BASED CARE MODEL TO SUPPORT CARE COORDINATION WITH PRIMARY CARE PARTNER, DIVERSION OF 15% INDIVIDUALS FROM HOSPITALIZATIONS, SCHOOL-BASED COLOCATION AND REFERRAL PATHWAYS WITH 3 MACOMB SCHOOL DISTRICTS TO SERVE UP TO 50 CHILDREN AND ADOLESCENTS WITH EBPS; AND 6 OUTRE