Capital area human services district?s (cahsd) certified community behavioral health clinic (ccbhc)-planning, development, and implementation (PDI) project - capital area human services district's…

Capital area human services district?s (cahsd) certified community behavioral health clinic (ccbhc)-planning, development, and implementation (PDI) project - capital area human services district's (cahsd) proposed certified community behavioral health clinic (ccbhc)-planning, development, and implementation (PDI) project will help meet treatment needs for people without health insurance who are experiencing mental illness and/or substance use problems. Cahsd's goal is to become a ccbhc that provides timely high quality consumer-centered integrated treatment services for people with serious emotional disturbance/serious mental illness, substance use disorder including opioid use, and CO-occurring mental and substance use disorders regardless of their ability to pay. The project focuses on the louisiana parish (county) of east baton rouge (EBR), which is the urban center of cahsd's seven-parish catchment area and has a total population of 453,301; 16.4% of residents are living in poverty, which is higher than the national 11.4% and 10.5% of persons under age 65 years do not have health insurance (https://WWW.census.GOV/quickfacts/fact/table/eastbatonrougeparishlouisiana, US/PST045221 accessed 4/21/2022). EBR's annual prevalence estimate of persons 18+ years with reported illicit drug use is 53,036 (11.70% state average), serious mental illness is 25,158 (5.55% state average), any mental illness is 96,009 (21.18% state average), and received mental health services is 76,517 (16.88% state average), suggesting that 19,492 persons did not receive services (2019-2020 samhsa nsduh. Https://WWW.samhsa.GOV/data/report/2019-2020-nsduh- state-prevalence-estimates published 12/29/2021). According to the EBR coroner's office, the number of orders of protective custody, issued to transport persons with behavioral problems to a treatment facility to protect them or others from physical harm, rose from 604 in 2012 to 1,056 in 2015 and has remained high at 1,143 in 2019 and 1,213 in 2020 (EBR parish coroner's office annual report 2015 & 2020. Https://WWW.ebrcoroner.COM/news accessed 4/22/2022). And, along with the increasing murder rate, the parish has experienced a disturbing trend of more deaths due to accidental overdose with 97 homicides versus 126 overdoses in 2019, 136 homicides versus 242 overdoses in 2020, and 170 homicides versus 300 overdoses in 2021 (https://WWW.ebrcoroner.COM/news accessed 4/22/2022). The cahsd ccbhc-PDI project will provide training and improve staff utilization of the seeking safety evidence based practice with participants who are experiencing mental health and/or substance use problems. The project intends to enroll 75 unduplicated individuals in ongoing care annually for a total of 300 unduplicated individuals over the 2022-2026 four-year grant period. Grant-funded roles and services include the project director, project evaluator/evaluation team, one licensed behavioral health professional to provide intensive services to active military and veterans, three case managers, three peer support specialists, an office manager, afterhours crisis mobile response, and 24/7 crisis stabilization services. Cahsd is requesting approximately $1 million annually in grant funding. The projected cost is $1,111.00 per participant per month in year one and tapers to $278.00 per participant per month in year four.