Gandara ccbhc improvement project - gandara serves an average of 5000 individuals annually at its two adjoining outpatient clinics, where IT provides a full array of mental and behavioral health,…

Gandara ccbhc improvement project - gandara serves an average of 5000 individuals annually at its two adjoining outpatient clinics, where IT provides a full array of mental and behavioral health, addictions, care management and, samhsa funded, primary and behavioral health care and minority HIV-service integration programs. Current BH records at GCS OP clinics found 87% of clients have SMI or CO-occurring disorders and 13% have SUD. Ninety percent (90%) are hispanic or latino, 45% lack a high school or GED diploma, 28% are between ages 16-34 years 32% have CO-occurring SMI and SUD. Clients in this sample also have a high no-show rate, with 37% of reporting multiple treatment barriers, including lack of transportation, forgetting appointments, and anxiety in the waiting area. Nearly 25% of no-shows missed 3 or more appointments. These data demonstrate the need for new interventions and intensive services in order to retain clients in treatment and attain better health outcomes. Ccbhc activities will be based within gandaras clinical campus, comprised of two adjoining outpatient clinics, located at 2155 main street and 85 ST. George road in springfield. GC developed its cooperative care team (CCT) model, as part of its samhsa pcbhi and minority aids service integration (masi) grants, to provide integrated primary, mental health, and substance use disorder (SUD) services for individuals assessed with SMI, DD, SUD and chronic health conditions. The CCT at each clinic site includes a psychiatrist, nurse practitioner, licensed clinicians, medical assistants, care coordinator, case managers and health navigators, and peer recovery coaches. The ccbhc IA grant will enable the cooperative care team to increase its capacity and scope and to provide intensive levels of care including, 1. Enhanced physical health interventions including tobacco cessation certification, whole health action management training, and nurse led health education groups. 2. The provision of medication costs and CO-pay subsidies. 3. Enhanced psychiatric rehabilitation services including population and condition specific group opportunities. Goals include: improving the timely provision of behavioral health care services to the target population, improving engagement of and positive health outcomes for individuals served, and ensuring sustainable and integrated practices through program evaluation, qualitative and quantitative measurements and QI practices that ensure efficacy. Numbers served: YR1 250, YR2 350, YR 3 350, YR 4 250. Total 1200 individuals