Project Grant H79SM087012

Award Date 9/30/22
Completion Date 9/29/26
Dollars Obligated $11M
Federal Grant Program
93.696
Assistance Type
Project Grant
Place of Performance
White Plains, NY 10605, USA

MENTAL HEALTH ASSOCIATION OF WESTCHESTER CERTIFIED BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT (CCBHC-IA) GRANT 2022 - THE MENTAL HEALTH ASSOCIATION OF WESTCHESTER (MHA) PROPOSED PROJECT IS THE "MENTAL HEALTH ASSOCIATION OF WESTCHESTER CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT (CCBHC-IA) GRANT 2022." THE PROJECT WILL SERVE UN-/UNDERINSURED INDIVIDUALS IN WESTCHESTER AND ROCKLAND COUNTIES, NY EXPERIENCING SERIOUS MENTAL ILLNESS, SUBSTANCE ABUSE DISORDERS (SUD), OR CO-OCCURRING MENTAL HEALTH (MH)/SUD; ACTIVE MILITARY PERSONNEL, VETERANS, AND MILITARY FAMILY MEMBERS WITH MH DISORDERS OR SUD; AND CHILDREN/ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE (SED). A PARTICULAR FOCUS IS TO ENHANCE SERVICES FOR THE POPULATION OF OUR SPANISH-SPEAKING/LATINX COMMUNITY MEMBERS, ADULTS OLDER THAN 65, AND INDIVIDUALS REQUIRING INTEGRATED MH/SUD AND PHYSICAL HEALTHCARE. THE COUNTIES HAVE SIGNIFICANT RACIAL/ETHNIC AND SOCIOECONOMIC DISPARITIES, INCLUDING A DISPROPORTIONALLY HIGHER POVERTY RATE AMONG LATINX INDIVIDUALS, AND ARE DESIGNATED AS MEDICAID MH PROFESSIONAL MEDICALLY UNDERSERVED POPULATIONS. THE COUNTIES ALSO HAVE GROWING POPULATIONS OF OLDER ADULTS, INCLUDING VETERANS, AGE 65 AND OLDER. THEY HAVE RISING LEVELS OF SUBSTANCE OVERDOSE AND SUICIDE ALONG WITH BARRIERS TO TREATMENT, INCLUDING A LACK OF CHILD MH SERVICES, A WORKFORCE SHORTAGE, LONG WAIT TIMES FOR SERVICES, AND POOR PUBLIC TRANSPORTATION. PROJECT GOALS: 1. ADDRESS BARRIERS TO CARE IN THE LATINX AND IMMIGRANT POPULATIONS THAT LEAD TO DISPARITIES IN OUTCOMES THROUGH INCREASING MHA'S TOTAL NUMBER OF BILINGUAL/BICULTURAL STAFF MEMBERS BY 10 AND THE NUMBER OF CLIENTS WHOSE PRIMARY LANGUAGE IS SPANISH BY 30% OVER COURSE OF THE GRANT. 2. BUILD CAPACITY TO SERVE THE AGING POPULATION IN OUR COMMUNITIES THROUGH TRAINING 10 MHA STAFF IN EVIDENCE-BASED PRACTICES FOR OLDER ADULTS, SUCH AS HOPES AND/OR COGNITIVE BEHAVIORAL SOCIAL SKILLS TRAINING (CBSST), AND INCREASING THE PERCENTAGE OF CLIENTS SERVED AGES 65 AND OLDER TO 15%. 3. IMPROVE DELIVERY OF INTEGRATED MENTAL HEALTH, SUD, AND PHYSICAL HEALTH SERVICES THROUGH ANNUALLY PROVIDING 720 TARGETED CASE MANAGEMENT SERVICES FOR CCBHC CLIENTS NOT ELIGIBLE FOR HEALTH HOME CARE MANAGEMENT; DECREASING BEHAVIORAL HEALTH RE-HOSPITALIZATION RATES WITHIN 30 DAYS BY 25%; ANNUALLY SCREENING AT LEAST 75% OF INDIVIDUALS WITH ONGOING ANTIPSYCHOTIC USE; PERFORMING A FOLLOW-UP OUTPATIENT BH EVALUATION WITHIN 7 DAYS FOR 75% OF CLIENTS DISCHARGED FROM A PSYCHIATRIC HOSPITAL; FACILITATING ANNUAL PRIMARY CARE SCREENING FOR 90% OF CLIENTS WITHIN 1 YEAR OF ENROLLMENT IN ANY MHA SERVICE; USING VALIDATED TOOLS TO ASSESS AT LEAST 600 UNDUPLICATED INDIVIDUALS SUSPECTED OF HAVING A SUD; INCREASING BY 50% THE NUMBER OF INDIVIDUALS RECEIVING ANY SUD TREATMENT SERVICES, AND ENGAGING AT LEAST 100 INDIVIDUALS PER YEAR IN ACTIVE MAT. STRATEGIES: CONDUCT TWO COMMUNITY HEALTH ASSESSMENTS DURING THE COURSE OF THE GRANT PERIOD; OPEN CO-LOCATED MH/SUD CLINIC WITH SUN RIVER HEALTH FQHC IN WHITE PLAINS; EXPAND PRS SERVICES BY OFFERING THEM TO ALL CLIENTS WITH SMI DECLINING PSYCHOTHERAPY; ENHANCE TCM SERVICES THROUGH HIRING/TRAINING MORE CASE MANAGERS AND INCREASING CLIENT TCM ENROLLMENT; EXPAND CLIENT AND FAMILY MEMBER FEEDBACK OPPORTUNITIES THROUGH FOCUS GROUPS IN ENGLISH AND SPANISH; EXPAND THE USE OF OUR LEARNING MANAGEMENT SYSTEM TO DELIVER TRAINING AND MONITOR FIDELITY TO EVIDENCE-BASED PRACTICES; LAUNCH A DATA LAKE TO SYNTHESIZE DATA; CONTINUOUSLY MONITOR CCBHC-IA ACTIVITIES TO ENSURE ONGOING COMPLIANCE.

Posted 9/23/22, 12:00 AM