Project Grant H79SM086971

CCBHC-IMPROVEMENT AND ADVANCEMENT OF CO-OCCURRING DISORDER SERVICES. - RED ROCK BEHAVIORAL HEALTH SERVICES (RRBHS), A CERTIFIED CCBHC, WILL SERVE 550 UNDUPLICATED OKLAHOMA CLIENTS INCLUDING ADULTS WITH SERIOUS MENTAL ILLNESS (SMI); CHILDREN/ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED); CHILDREN/ADOLESCENTS, ADULTS, AND VETERANS WITH SUBSTANCE USE DISORDERS (SUD) AND OPIOID USE DISORDERS (OUD); AND ADOLESCENTS, ADULTS, AND VETERANS WITH CO-OCCURRING DISORDERS (COD) WHO RESIDE IN A 14-COUNTY CATCHMENT AREA (CA) AS THE POPULATION OF FOCUS (POF). OUR CLIENTS ARE DISPERSED ACROSS 13,329 SQUARE MILES, INCLUDING THE NORTHEAST QUADRANT OF OKLAHOMA CITY AS WELL AS 5 COUNTIES CLASSIFIED AS RURAL BY HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). 1,235,000 PEOPLE RESIDE IN OUR CATCHMENT AREA, AND NEARLY 82,745 ARE VETERANS. 62% IDENTIFY AS WHITE, 15% AS HISPANIC, 11% AS BLACK, 6% AS ASIAN, AND 6% AS NATIVE AMERICAN RESIDENTS ACCORDING TO 2020 U.S. CENSUS DATA. OKLAHOMA HAS THE SECOND-HIGHEST RATE OF UNINSURED RESIDENTS WITH 16.8% OF THE POPULATION UNDER 65 YEARS OF AGE LACKING HEALTH INSURANCE, AND HRSA CLASSIFIES 12 COUNTIES IN OUR CA AS MENTAL HEALTH SHORTAGE AREAS (MHSAS). BEFORE COVID-19, OKLAHOMA RANKED 2ND NATIONALLY IN PREVALENCE RATES OF SMI AND "ANY" MENTAL ILLNESS AMONG ADULTS, AND THE STATE'S SUICIDE RATE WAS 13TH NATIONALLY. THE OK DEPARTMENT OF HEALTH PREVALENCE AND INCIDENCE DATA INDICATE THAT 5% OF ADULTS' NEEDS MEET THE FEDERAL STANDARDS FOR SMI, ~11% OF ADULTS HAVE COD, AND THERE IS AN ESTIMATED GAP OF 83% TO 94% OF PERSONS NEEDING SERVICES FOR BEHAVIORAL HEALTH BUT NOT RECEIVING IT IN THE CA. RRBHS CCBHC WILL EXPAND ACCESS TO CARE FOR THE UNINSURED, DIAGNOSE COD ACCURATELY AND IN CONJUNCTION WITH EVIDENCE-BASED PRACTICES (EBPS) AND TREATMENT, AND PROVIDE COORDINATED CARE THAT ENABLES ONGOING ACCESS TO INTEGRATED CARE SERVICES TO INCREASE AVAILABILITY, EFFICIENCY, ENGAGEMENT, AND RETENTION IN INTEGRATED SMI, SED, SUD, COD, AND PRIMARY HEALTH CARE SERVICES. RRBHS CCBHC WILL UTILIZE EBPS THAT INCLUDE ADOLESCENT COMMUNITY REINFORCEMENT APPROACH, APPLIED SUICIDE INTERVENTION SKILLS TRAINING, COGNITIVE BEHAVIORAL THERAPY, COMMUNITY REINFORCEMENT APPROACH TO FAMILY TRAINING, COMPONENTS FOR ENHANCING CLINICAL EXPERIENCE AND REDUCING TRAUMA, CONTINGENCY MANAGEMENT, ENHANCED ILLNESS MANAGEMENT RECOVERY AND SEVERAL MORE.THE GOALS OF THE PROJECT ARE TO EXPAND ACCESS AND THE AVAILABILITY OF HIGH-QUALITY, INTEGRATED CCHBC SERVICES TO 550 INDIVIDUALS FOR SMI, SED, SUD, AND COD; DECREASE PREVALENCE OF SUBSTANCE MISUSE AND DRUG INDUCED DEATHS IN YOUTH AND ADULTS THROUGH INCREASED SCREENING AND ACCESS TO EVIDENCE-BASED TREATMENT FOR SUD AND COD; AND ENHANCE INFRASTRUCTURE TO INCREASE QUALITY OF CARE MONITORING AND PERFORMANCE IMPROVEMENTS INFORMED BY IDENTIFIED COMMUNITY NEEDS AND GAPS. MEASURABLE OBJECTIVES INCLUDE: (1) INCREASING TOTAL OF UNINSURED INDIVIDUALS SERVICED; (2) HIRING 6 ADDITIONAL STAFF TO INCREASE THE NUMBER OF CHILDREN/ADOLESCENTS, ADULTS, AND VETERANS WITH SED AND SUD SERVED; (3) EXPANDING CARE COORDINATION TRAINING TO STAFF TO ENSURE INTEGRATED SERVICES TO ALL CLIENTS; (4) UTILIZING THE CCISC MODEL TO ASSESS FOR COMPETENCY AND TRAINING STAFF WITH ONGOING COACHING FOR COD; (5) CROSS TRAINING STAFF FOR SUD AND MH SCREENING AND ASSESSMENT; (6) SCREENING 95% OF INDIVIDUALS FOR SUBSTANCE MISUSE; (7) IMPROVING PSYCHIATRIC REHABILITATION SERVICES FOR YOUTHS, ADULTS, AND VETERANS DIAGNOSED WITH COD; (8) IMPROVING TREATMENT OUTCOMES FOR CONSUMERS WITH COD; (9) DEVELOPING EFFECTIVE WORKFLOWS AND PROTOCOLS FOR SUD, MH, AND COD SCREENING, ASSESSMENT, AND TREATMENT; (10) IMPLEMENTING EHR ENHANCEMENTS TO FACILITATE INTEGRATED CARE COORDINATION; (11) INTEGRATING TRACKING AND RETROSPECTIVE ANALYSIS OF EBP IMPLEMENTATION IN EHR SYSTEM; AND (12) IMPROVING EHR TO FACILITATE CCBHC QUALITY METRICS REPORTING. WE ARE PROPOSING TO SERVE 100 IN YEAR 1, 125 IN YEAR 2, 150 IN YEAR 3 AND 175 IN YEAR 4 FOR A TOTAL OF 550 CLIENTS SER