Project Grant H79SM087041

HOPE, HEALTH AND BALANCE - ABSTRACT: HOPE, HEALTH, AND BALANCE NOFO: CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC: IMPROVEMENT AND ADVANCEMENT GRANT FUNDING OPPORTUNITY: SM-22-012 APPLICANT: PORTER-STARKE SERVICES INC. AMOUNT REQUESTED YEAR 1: $997,783 PORTER-STARKE SERVICES (PSS) HAS HAD A CCBHC IN PORTER AND STARKE COUNTIES IN INDIANA SINCE 2020, WITH STATE CERTIFICATION OF STARKE COUNTY IN 2016. PORTER-STARKE SERVICES HAS MAINTAINED FULL COMPLIANCE WITH THE CCBHC COMPLIANCE CRITERIA WITH TARGET POPULATIONS OF SERIOUSLY MENTALLY ILL ADULTS (SMI), SERIOUSLY EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS (SED), SUBSTANCE USE DISORDER (SUD), OPIATE USE DISORDER (OUD), AND THOSE WITH CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDERS (COD) DURING THE CURRENT CCBHC GRANT PERIOD. PSS WILL SERVE A TOTAL ADDITIONAL NUMBER OF INDIVIDUALS OF 1,050 FOR THE PROJECT PERIOD. PSS DIRECTLY PROVIDES ALL NINE CORE CCBHC SERVICES. PSS WILL INCREASE SERVICES TO THE LGBTQ+ COMMUNITY WHO ARE AT HIGHER RISK FOR INTIMATE PARTNER VIOLENCE AND MENTAL HEALTH/ADDICTIONS AND ARE LESS APT TO RECEIVE CULTURALLY APPROPRIATE ASSESSMENT AND TREATMENT. BOTH PORTER AND STARKE COUNTIES ARE DESIGNATED MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS (HRSA 2021). BOTH COUNTIES HAVE HIGH RATES OF ADULT SMOKING (STARKE 23%, PORTER 21%), ADULT OBESITY (BOTH 33%), EXCESSIVE DRINKING (STARKE 17%, PORTER 21%), ALCOHOL IMPAIRED DEATHS (STARKE 29%, PORTER 18%), AND HAVE OPIOID DEATH RATES ABOVE THE STATE RATE (STARKE 42.4, PORTER 20.3). SUICIDES HAVE AVERAGED 28.6 FOR PORTER AND 3 FOR STARKE OVER THE PAST FIVE YEARS. APPROXIMATELY 188 (42% OF THE CAPACITY OF 449) OF JAIL INMATES IN PORTER COUNTY HAVE A MENTAL HEALTH AND/OR SUBSTANCE USE DIAGNOSIS. NUMBERS IN STARKE COUNTY ARE 42 OF A JAIL CAPACITY OF 108. NEEDS ASSESSMENTS INDICATE THE FOLLOWING ISSUES IN BOTH COUNTIES: ACCESS TO MENTAL HEALTH SERVICES, SUBSTANCE USE AND ABUSE, AND SUICIDE. TO IMPROVE THE CCBHC PROGRAM, PSS PROJECT GOALS INCLUDE: 1) DECREASE INAPPROPRIATE ADMISSIONS TO JAIL (N=100) AND EMERGENCY ROOMS (N=250), 2) FOR THE TARGET POPULATIONS, INCREASE RATES OF SCREENING FOR MENTAL HEALTH, ADDICTIONS, AND SOCIAL DETERMINANTS TO 75%, 3) INCREASE RATES OF APPROPRIATE MEDICAL/LABORATORY SCREENINGS FOR THE TARGET POPULATIONS TO 50%, 4) IMPROVE BEHAVIORAL HEALTH FUNCTIONING AS MEASURED BY STANDARDIZED ASSESSMENTS (CANS AND ANSA) IN AT LEAST ONE DOMAIN FOR 40% OF THE TARGET POPULATIONS, 5) INCREASE PARTICIPATION IN ADDICTIONS TREATMENT OR RELAPSE PREVENTION FOR THOSE WITH A DIAGNOSIS OF SUD, OUD, OR COD BY 50%, 6) DEVELOP COMMUNITY STRATEGIES AND RECOMMENDATIONS TO REDUCE OVERDOSE DEATHS THROUGH ACTIVE PARTICIPATION AND ATTENDANCE AT A MINIMUM OF 80% OF THE MEETINGS OF COUNTY-BASED FATALITY REVIEW COMMITTEES, 7) INCREASE FOLLOW-THROUGH WITH PRIMARY MEDICAL CARE AND COORDINATION OF CARE BETWEEN BEHAVIORAL HEALTH AND MEDICAL CARE BY 50% FOR THE TARGET POPULATIONS, 8) DECREASE AVOIDABLE CHRONIC ILLNESS BY IMPROVING SCORES ON MEDICAL SCREENINGS FOR 35% OF AT-RISK ENROLLED INDIVIDUALS, 9) INCREASE HIV AND VIRAL HEPATITIS SCREENINGS BY 50% OF THOSE AT RISK FOR HEPATITIS AND/OR HIV, 10) IMPROVE IDENTIFICATION OF LGBTQ+ INDIVIDUALS AND PROVIDE CULTURALLY RESPONSIVE AND APPROPRIATE MENTAL HEALTH AND SUBSTANCE USE SERVICES TO AT LEAST 50 LGBTQ+ INDIVIDUALS, AND 11) ESTABLISH AOT IN PORTER AND STARKE COUNTIES, WITH 6 AOT COURT ORDERS ANNUALLY.