Fmrs ccbhc improvement initiative - the fmrs ccbhc-IA initiative enhances & improves the current fmrs ccbhc program in fayette, monroe, raleigh & summers counties in west virginia whose population…

Fmrs ccbhc improvement initiative - the fmrs ccbhc-IA initiative enhances & improves the current fmrs ccbhc program in fayette, monroe, raleigh & summers counties in west virginia whose population suffers from high rates of SUD & poor rates of mental/physical health, crisis, poor social health determinants & disparity group outcomes coupled with low health workforce capacity. The initiative serves 2,300 clients (500 in Y1, 550 in Y2, 600 in Y3 & 650 in Y4). Project goals (interventions/strategies) include: (1) increase access to and availability of high-quality services that are responsive to the needs of the community by improving the fmrs ccbhc program by (a) putting the ccbhc project director in place to lead the program & advisory board; (b) completing the needs assessment which generates the staffing, training & service plans; (c) implementing the needs assessment-driven staffing & service plans; and (d) updating the ccbhc attestation after each needs assessment. (2) support client recovery from mental health & SUD challenges via comprehensive community-based mental & SUD treatment/supports by improving agency core ccbhc criteria services by (a) continuing to provide all 9 core ccbhc services; (b) enhancing agency-wide crisis services by improving the agency ability to hire and retain a skilled workforce; (c) enhancing agency-wide screening, assessment, diagnosis & risk assessment services by improving the agency ability to hire and retain a skilled workforce; (d) enhancing agency-wide treatment/crisis planning & risk assessment services by improving the agency ability to hire and retain a skilled workforce; (e) enhancing agency-wide evidence-based outpatient mental health & SUD services by improving the agency ability to hire and retain a skilled workforce; (f) enhancing agency-wide integrated primary care services by improving the agency ability to hire and retain a skilled workforce; (g) enhancing agency-wide targeted case management services by improving the agency ability to hire and retain a skilled workforce; (h) enhancing agency-wide psychiatric rehabilitation services by improving the agency ability to hire and retain a skilled workforce; (i) enhancing agency-wide peer/counselor/family services by improving the agency ability to hire and retain a skilled workforce; and (j) enhancing agency-wide veterans services by improving the agency ability to hire and retain a skilled workforce. (3) use evidence-based practices that address community needs by implementing the needs assessment-driven training plan. (4) monitor client outcomes to measure ccbhc initiative service quality by (a) serving 2,300 clients; (b) monitoring screening/data outcomes; (c) clients experiencing significant improvement in noms mental health outcomes at 6-months; (d) 20% of clients improving in at least one physical health indicator by discharge; (e) clients reducing substance use by 10% at 6-month interview; (f) 80% of clients remaining in treatment for at least 6-months; (g) monitoring disparity group outcomes to ensure equal use/access/outcomes; and (h) implementing a social determinants of health screener. (5) expand infrastructure to improve ccbhc initiative service quality by (a) leveraging the needs assessment to identify opportunities to improve health information exchange & technology; (b) maintaining and expanding partnerships; (c) continuing to support the evaluation specialist position until sustained by the state ccbhc certification; and (d) creating & implementing a CQI plan. (6) involve clients and family members in their own care and in the broader governance of the fmrs ccbhc initiative by (a) engaging clients & family members in designing, providing, monitoring, evaluating the needs assessment; and (b) involving clients/family members in the design/evaluation of the annual client satisfaction survey. (7) sustain the fmrs ccbhc initiative by (a) working with the state to become a state certified ccbhc; & (b) creating a