Project Grant H79SM086763

PROPOSAL TO PRESERVE CCBHC-COMPATIBLE SERVICES WHILE EXPANDING INTO OUTPATIENT CARE - NETCARE CORPORATION'S (NETCARE'S) CCBHC PROJECT WILL SERVE 200 CLIENTS ANNUALLY AND OVER 4 YEARS WILL SERVE 520 UNDUPLICATED INDIVIDUALS WITH SMI/SED/SUD/COD WHO LIVE IN FRANKLIN COUNTY, OHIO. CLIENTS WILL RECEIVE COMPREHENSIVE, EVIDENCE-BASED BEHAVIORAL HEALTH (BH) AND PRIMARY CARE (PC) SERVICES. WITH CCBHC FUNDING, ENROLLMENT WILL FOCUS ON CLIENTS TRANSITIONING FROM CRISIS INTO ONGOING, EVIDENCE- AND TEAM-BASED OUTPATIENT TREATMENT. AS A SUBPOPULATION OF FOCUS, THE CCBHC WILL MONITOR ACCESS AND OUTCOMES DISPARITIES AMONG BLACK/AFRICAN AMERICAN INDIVIDUALS SERVED. NETCARE DELIVERS A ROBUST CRISIS CONTINUUM AS WELL AS ASSESSMENT, DIAGNOSTIC, AND TREATMENT SERVICES. NETCARE WILL ENSURE THAT ALL SERVICES ARE TRAUMA-INFORMED AND ACCESSIBLE TO VETERANS. NETCARE'S GOALS AND HIGHLIGHTED OBJECTIVES INCLUDE: (1) ENHANCE CCBHC GOVERNANCE AND OVERSEE CCBHC IMPLEMENTATION (OBJ.A: ESTABLISH A CCBHC ADVISORY BOARD. OBJ. B: ESTABLISH AN INTERDEPARTMENTAL STEERING COMMITTEE FOR IMPLEMENTING CCBHC STANDARDS.); (2) EXPAND AND ENHANCE TEAM-BASED OUTPATIENT SERVICES (OBJ. A: RECRUIT, HIRE, AND TRAIN A PROJECT DIRECTOR/CLINIC DIRECTOR, PSYCHIATRIC PRESCRIBER, NURSE CARE MANAGER, LICENSED BH CLINICIAN, AND BACHELOR'S-LEVEL CASE MANAGER. OBJ. B: NETCARE WILL PROVIDE ADDITIONAL EBP TRAINING AND FIDELITY MONITORING.); (3) ENHANCE CARE COORDINATION ACROSS CORE SERVICES, INCLUDING THE TRANSITION FROM CRISIS TO ONGOING OUTPATIENT SERVICES AND LINKAGE TO PC (OBJ. A: IMPLEMENT UNIVERSAL SCREENING FOR PC NEEDS, AND ALL CLIENTS WILL HAVE DESIGNATED PC PROVIDER WITHIN 30 DAYS OF ENROLLING IN OUTPATIENT SERVICES. OBJ. B: ALL OUTPATIENT TREATMENT CLIENTS WILL HAVE A DESIGNATED CASE MANAGER. OBJ. C: AMONG ALL CLIENTS DISCHARGED FROM THE CRISIS STABILIZATION UNIT (CSU), 75% WILL BE CONNECTED AND ENGAGED IN ONGOING BH OUTPATIENT SERVICES. OBJ. D: AMONG ALL CLIENTS DISCHARGED FROM THE CRISIS AND RESIDENTIAL SERVICES, 75% WILL BE CONNECTED AND ENGAGED IN ONGOING BH OUTPATIENT SERVICES); (4) INCREASE ACCESS TO TREATMENT SERVICES (OBJ. A: IMPLEMENT OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES WITH EXTENDED EVENING AND WEEKEND HOURS. OBJ. B: CLIENTS WILL HAVE THE CHOICE TO ATTEND APPOINTMENTS USING TELEHEALTH. OBJ. C: PARTICIPATE IN THE REGION'S 988 ROLLOUT); (5) INCREASE CAPACITY FOR OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES (OBJ. A: REFER AND ENROLL AT LEAST 16 NEW CCBHC CLIENTS PER MONTH INTO ONGOING OUTPATIENT TREATMENT. OBJ. B: IN YEAR 2, INCREASE THE NUMBER OF CLIENTS SERVED WITH OUTPATIENT SERVICES BY 33%. OBJ. C: IN YEAR 3, INCREASE THE NUMBER OF CLIENTS SERVED WITH OUTPATIENT SERVICES BY 25%.); (6) ENHANCE QUALITY CARE METRIC MONITORING AND POPULATION HEALTH MANAGEMENT PRACTICES (OBJ. A: FINALIZE METHODS FOR MONITORING AND REPORTING CLIENTS' USE OF RESTRICTIVE SETTINGS. OBJ B: QI TEAM WILL MONITOR AND REPORT ALL CCBHC-REQUIRED QUALITY CARE METRICS. OBJ. C: QI TEAM WILL REPORT ON QUALITY DATA ASSOCIATED WITH SUICIDE PREVENTION, HOSPITAL READMISSIONS, PSYCHOTROPIC SIDE EFFECTS, AND THE DELIVERY OF HEALTH AND WELLNESS SERVICES.); (7) DECREASE THE INCIDENCE OF TROUBLED NIGHTS/EVENTS (OBJ. A: CLIENTS WILL REPORT FEWER TROUBLED NIGHTS/EVENTS AFTER 6 MONTHS. OBJ. B: CLIENTS WILL REPORT IMPROVED PSYCHOSOCIAL FUNCTIONING AFTER 12 MONTHS.).