Samhsa FY 2022 certified community behavioral health clinic improvement and advancement - as a ccbhc-IA grant awardee, westchester jewish community services (wjcs) will expand and enhance outreach,…

Samhsa FY 2022 certified community behavioral health clinic improvement and advancement - as a ccbhc-IA grant awardee, westchester jewish community services (wjcs) will expand and enhance outreach, engagement, and integrated behavioral health and trauma treatment for individuals with substance use disorder (SUD) and youth ages 5-18 with BH conditions such as serious emotional disorder (SED) who have experienced trauma, with a particular focus on black and latinx communities and lgbtq+ youth. Wjcs' project goals are to: (1) increase the number of children and adolescents served, including black, latinx, and lgbtq+ youth; (2) increase the number of individuals with SUD or CO-occurring disorders (COD) served; (3) increase the number of clients screened for health-related social needs (hrsn); (4) train staff to implement ebps that address the needs of our populations of focus; (5) improve EBP fidelity maintenance QI process; and (6) enhance the inclusiveness of our services for lgbtq+, black, and latinx clients. We plan to address these goals by strategically and proactively outreaching and engaging youth through our school-based satellite clinics and center lane program for lgbtq+ youth and conducting a brief social-emotional wellness screening to increase referrals to our ccbhc clinics. We will also: (1) leverage our training infrastructure to increase the number of staff trained in encompass and community reinforcement and family training (craft) by 60%, ebps that focus on youth and adults with SUD or COD; (2) increase staff trained in lgbtq+ sensitivity by 90%; and (3) increase the share of staff who are black and latinx in both sites by 50% to ensure our staff are representative of the populations we are serving. We will improve our client assessment process by expanding our hrsn screening to all clients, assess for risk, and maintain a log of high-risk individuals to receive enhanced attention - we will increase the number of clients screened for hrsn by 50% over baseline in both sites by year 2 and by 75% over baseline by year 4. To improve EBP fidelity, we will enhance our utilization review process to review 25% of all client charts annually to check for appropriate assessments, quality of documentation, and ensure that we are providing the highest standard of care to our clients. We will also improve the process for maintenance of EBP fidelity by conducting an annual chart review on a random sample of 20% of clients receiving dialectical behavior therapy (DBT) to ensure fidelity to the model and by verifying that 85% of staff providing ebps such as DBT or TF-CBT have undergone intensive training and receive weekly supervision on the model. We will collaborate with sun river fqhc and mount vernon neighborhood health center to provide primary care services, including ongoing monitoring of health needs, vaccinations, HIV, and HEP screenings and care and to refer clients to our ccbhc sites when they identify individuals who need more support for their BH needs. We will also partner with the guidance center for act services and the human development services of westchester to provide social support opportunities. During the grant period, we will seek to increase the number of children/adolescents served by 25%, black, latinx, and lgbtq+ youth by 50%, and individuals with SUD or COD by 50%. The project will serve 350 unduplicated individuals in the first year of the project, 175 in each ccbhc site, and 1,400 individuals over the course of the project across both sites.