The uthealth homeless outpatient mental health expansion services (uthealth homes) program - the overarching goal of the uthealth homeless outpatient mental health expansion services (uthealth…

The uthealth homeless outpatient mental health expansion services (uthealth homes) program - the overarching goal of the uthealth homeless outpatient mental health expansion services (uthealth homes) program is to promote long-term mental health recovery, reduce substance use, and ensure access to all needed services, benefits, supports, and permanent housing for people experiencing homelessness (PEH) with SMI or COD (SMI/COD). To accomplish this goal, uthealth homes will enroll and deliver services for 500 unduplicated PEH with SMI/COD (80 PY1; 105 PYS2-5) through the following program activities tailored to individual patient needs and preferences through a shared decision making (SDM) process: (1) assertive outreach; (2) screening and referral; (3) trauma-informed, culturally responsive, person-centered, evidence-based, behavioral health treatment using motivational interviewing (MI), cognitive behavioral therapy (CBT), and seeking safety; (4) case management delivered by community health workers to address social determinants of health (sdoh) and link participants to all needed benefits, resources and primary care; (5) peer support; and (6) coordinated access assessments and coordination of housing and services that support sustainable permanent housing in collaboration and consultation with medical care providers. Additionally, uthealth homes will train 410 service providers on the behavioral health guide for implementing the national clas standards improve behavioral health outcomes and achieve equity within the COC. The program is housed within the university of texas health science center at houston (uthealth) louis a. Faillace, MD, department of psychiatry and behavioral sciences at mcgovern medical school. Community partners include: uthealth harris county psychiatric center, uthealth houston emergency opioid engagement system (heroes) program; bread of life, INC., temenos CDC, avenue 360 fqhc, the harris center for mental health and IDD (lmha), open door mission, sharpen recovery housing, and the coalition for homeless of houston/harris county (HUD COC). The goals of the program are to: goal 1: increase the availability of outpatient behavioral health (BH) treatment for PEH with SMI/COD by screening, assessing and delivering appropriate BH services through the uthealth homes program; goal 2: decrease mental health symptom severity and the incidence and level of substance use and promote recovery for PEH with SMI/COD by providing comprehensive evidence-based BH treatment; goal 3: improve the physical health status of PEH with SMI/COD through primary care linkage/coordination; goal 4: address sdoh through linkages and case management to meet all benefit/resources needs; goal 5: provide clas training to advance health equity and improve service quality within the COC. Measurable objectives include the number of participants enrolled in BH treatment per year, significantly decreased mental health symptoms, substance use, and psychiatric hospitalizations, improved mental health recovery and medication adherence, percentages of participants assisted with applying for and accessing all needed benefits and resources and linked with permanent housing, and the number of service providers trained, knowledge gained and skills used. All participants will be offered BH treatment, case management, and assessed for and linked with permanent housing using harm reduction principles and practices.