Project enhancing access to comprehensive healthcare 2.0 (each 2.0), a ccbhc in pomona, california, has been operated by healthright 360 (HR360)/prototypes since 2020

Our population of focus is perinatal women. Improvements and advancements proposed include concentrated efforts to improve in-reach/transition planning processes in our residential substance use disorder (SUD)/mental health (MH) treatment programs and our employment support services. Project each 2.0 targets perinatal women with a special focus on individuals with serious mental illness; individuals with SUD; children and adolescents with serious emotional disturbance; and individuals with CO-occurring substance use and mental health disorders. We are located in, and primarily serve clients from LOS angeles county. Our client population is racially diverse (approx. 55% hispanic/latinx, 23% white, 17% african american, 3% asian/ pacific islander). Prototypes' pomona campus houses outpatient SUD/MH services, including project each 2.0, as well as residential treatment and a continuum of supportive services for infants, children/youth, adults, and families. The most recent ccbhc needs assessment for project each was completed in august 2020 and identified a continued need for linguistically diverse services, especially in spanish; we have also heard through informal client feedback that transitioning from residential to outpatient treatment can prove particularly challenging for clients with limited english proficiency (LEP). This issue is addressed by proposed improvements to our in-reach and transition planning services for residential clients who will discharge to prototypes' outpatient program/ccbhc services. Additionally, many clients in our ccbhc advisory groups expressed desire for increased employment readiness support, which is also addressed through our proposed efforts to increase partnerships with local employment services organizations/ employers and to facilitate monthly employment readiness groups for clients. In addition to the improvements proposed, HR360/prototypes has already implemented and will continue to provide/enhance the nine core services required of ccbhcs. Project each 2.0 will serve 75 individuals in the first year, 150 individuals annually for years 2-4, and 525 individuals throughout the lifetime of the project. Goals and objectives are as follows. Goal #1: improve client retention during transition from residential to outpatient/ccbhc by enhancing in-reach and transition planning services. Objective #1.1: by month four (4), develop policies and procedures for in-reach and transition planning services for residential clients who will discharge to ccbhc. Objective #1.2: by month eight (8) of the grant period, develop and provide training materials for residential staff who will coordinate with project each 2.0 staff to provide in-reach and transition planning for residential clients. Goal #2: improve biopsychosocial health outcomes among our client population in our pomona outpatient program by providing ccbhc core services. Objective #2.1: facilitate a monthly employment readiness group for clients. Objective #2.2: every quarter of the grant period, create partnerships with at least one (1) local employment services organization/employer. Objective #2.3: 100% of clients will be screened for primary healthcare needs with a health questionnaire upon intake and referred to our partner clinic if need is indicated. Objective #2.4: 65% of clients will improve or maintain overall satisfaction with their health, as reported in the relevant noms field at intake, six months, and discharge. Objective #2.5: 65% of clients will improve or maintain their "social connectedness" ratings, as reported in the relevant noms field at intake, six months, and discharge. Objective #2.6: 90% of clients will not have been arrested within the past 30 days, as reported in the relevant noms