Ccbhc access to integrated behavioral health urgent care in ulster county - access: supports for living INC. (access) intends to provide ccbhc services to new york's ulster county through a behavioral…

Ccbhc access to integrated behavioral health urgent care in ulster county - access: supports for living INC. (access) intends to provide ccbhc services to new york's ulster county through a behavioral health/substance use disorder (SUD) urgent care (bhuc) model that can combine WALK0IN and telehealth same-day services with the full scope of ccbhc services, including same-day access to psychiatry, therapy, medication assisted treatment (mat), care management, peer services, nursing, and integrated physical health services. Access intends to serve those in poverty and uninsured and underinsured individuals in ulster county, focusing on the diverse subpopulations within the county. While the demographic make-up of the county is predominantly white, access already serves a higher percentage of individuals identifying as african american or hispanic. The population of focus also includes 11% of county residents who report poor mental health for two weeks or more over the last month and 13% of residents who did not seek care because of cost. In operating the bhuc, access intends to make care more accissible to all individuals in the county and remove some of the stigma of receiving mental health and SUD care. Individuals will be greeted in a "living room" type of experience, allowing someone to get comfortable with seeking care as the first step in care. Once the individual is comfortable, access provides the full spectrum of ccbhc services to meet the individual's needs including on-site psychiatric services and mat inductions, as indicated. Access also provides all of the routine and follow-up care a person may need to be successful in treatment. Further, access intends to address key social determinants of health by providing employment housing, and food security supports to individuals who need IT. In the first year of the project, access intends to serve 250 individuals, growing to 2, 250 individuals over the four-year life of the project.