Project Grant H79SM086880

LIBERTY RESOURCES CCBHC IMPROVEMENT AND ADVANCEMENT PROGRAM - LIBERTY RESOURCES, INC. (LRI) NCQA PCMH CERTIFIED AND CURRENT SAMHSA CCBHC/CMHC GRANTEE, PROPOSES IMPROVEMENT AND ENHANCEMENT OF OUR EXISTING CCBHC IN SYRACUSE (ONONDAGA CO) AND FULTON, (OSWEGO CO) NY. THIS WILL INCREASE SERVICE VOLUME, SERVING AN ADDITIONAL 502 CHILDREN/ADULTS ANNUALLY FOR A TOTAL OF 2,008 OVER 4 YEARS. THE LRI CCBHC-IA WILL TREAT ADULTS WITH SMI/SUD/OUD/COD; CHILDREN WITH SED; ADOLESCENTS AND TRANSITIONING YOUTH WITH SED/SUD/OUD/COD; AND ADULTS/CHILDREN/ADOLESCENTS WITH CO-MORBID CONDITIONS. THESE IMPOVERISHED REGIONS HAVE A COMBINED POPULATION OF 591,134. SYRACUSE NY RANKS THE 3RD HIGHEST CITY IN THE NATION FOR POVERTY, AT OVER 31% WITH RATES HIGHER AMONG ASIAN-47.3%,BLACK/AFRICAN AMERICAN-41% AND HISPANIC-45.1% RESIDENTS. OSWEGO CO IS AMONG THE TOP 10 NY COUNTIES WITH THE HIGHEST LEVELS OF POVERTY, 18.9%, INCLUDING 36.3% BELOW 200% FPL. LRI IS THE ONLY DESIGNATED REGIONAL CRISIS INTERVENTION PROVIDER IN CENTRAL NY. THIS REGION RANKS AMONGST THE HIGHEST IN NYS IN NEARLY ALL INDICATORS OF SUD CONDITIONS. OPIOID OVERDOSES KILLED 186 ONONDAGA CO RESIDENTS IN 2021. THIS REPRESENTS A 19% INCREASE OVER 2020. FATAL OVERDOSES IN THE COUNTY HAVE INCREASED MORE THAN 100% OVER THE LAST 6 YEARS. DESPITE THE HIGH NEED/DEMAND, OSWEGO/ONONDAGA BOTH ARE UNDERSERVED WITH LONG WAIT TIMES FOR TREATMENT, 6- 9 MONTHS. THE OSWEGO COUNTY SUICIDE RATE IS 17.3/100,000, TWICE THAT OF THE NYS RATE OF 8.0/100,000. DEPRESSION IS A LEADING CAUSE OF ED VISITS IN OSWEGO COUNTY. PER-CAPITA, OSWEGO HAS A HIGHER INCIDENCE OF MH CONDITIONS AND HIGHER ED USE FOR MH CONDITIONS THAN COMPARABLE NY COUNTIES. ADOLESCENTS AND TRANSITIONING YOUTH ARE AT GREATEST RISK FOR ED VISITS FOR MH ISSUES - 113.6 VISITS/100,000, WHICH IS HIGHER THAN NYS AT 90.6 VISITS/100,000. SCREENING, ASSESSMENT AND TREATMENT IS INSUFFICIENT FOR ALL POPULATIONS. OSWEGO COUNTY HAS WHOLE COUNTY MH PROFESSIONAL AND MEDICALLY UNDERSERVED AREA/POPULATION DESIGNATION, AND BOTH COUNTIES ARE PRIMARY HEALTH CARE MUA/P. LRI CCBHC-IA CULTURALLY COMPETENT WORKFORCE WILL TREAT OUR PATIENTS UTILIZING A VAST ARRAY OF EVIDENCE BASED PRACTICES THAT INCLUDE: MOTIVATIONAL INTERVIEWING; DIALECTICAL BEHAVIORAL THERAPY; COGNITIVE BEHAVIORAL THERAPY; TRAUMA INFORMED CARE; ZERO SUICIDE; CCPT; AND 12 STEP FACILITATION THERAPY, AS WELL AS OTHER EBPS. SOME OF THE GOALS/OBJECTIVES: GOAL-TREAT ADDITIONAL 2,008 INDIVIDUALS OVER THE COURSE OF THE PROGRAM; OBJECTIVE-CLINICAL SCREENING AND ASSESSMENT FOR SUD/MH OF 100% OF THOSE SERVED. GOAL-CONDUCT OUTREACH AND ACCESS TO THE UNDERSERVED COMMUNITIES; OBJECTIVES-COMPLETE DISPARITY STMT, CLAS TRAINING OF ALL STAFF, DEVELOP MOUS WITH ADDITIONAL SERVICE PROVIDERS. GOAL-SUPPORT RECOVERY FROM MH/SUD CHALLENGES; OBJECTIVE-REFER AND ENROLL IN CARE MGMT AND PEER SUPPORTS. GOAL-INCREASE USE OF EBP BY ALL STAFF; OBJECTIVE-UPON HIRE, ALL STAFF TRAINED IN EBP, WITH ANNUAL REFRESHER. GOAL-INCREASE ACCESS TO PC; OBJECTIVE-ASSESS ALL CLIENTS FOR PC NEED AND ENROLL IF NEEDED. GOAL-INVOLVE CLIENTS AND FAMILY IN CARE, INCLUDING INVOLVEMENT IN LRI CCBHC-IA ADVISORY BOARD; OBJECTIVE-TRAIN STAFF IN INVOLVING FAMILIES AND CAREGIVERS IN RECOVERY PROCESS, CONDUCT NA AND REPORT TO ADVISORY BOARD.