Project Grant H79SM088876

GCBHS-CCBHC IA - AMELIA - GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES (GCB) WILL ENHANCE ITS CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IN AMELIA, OHIO (CCBHC-A) TO EXPAND ACCESS TO BEHAVIORAL HEALTH TREATMENT TO SUPPORT RECOVERY IN CLERMONT COUNTY, OHIO. CCBHC-A WAS ESTABLISHED IN 2020 WITH SAMHSA FUNDS AND MEETS ATTESTATION REQUIREMENTS. IT IMPROVED SERVICE ACCESS AND QUALITY FOR A DISPARATE POPULATION IN THE APPALACHIAN REGION WHICH HAS THE HIGHEST RATES OF ECONOMIC, SOCIAL AND HEALTH DISPARITIES IN THE U.S. PRIMARY PROBLEMS GRANT FUNDS WILL ADDRESS INCLUDE PRESCRIBER WAITING TIMES THAT AVERAGE 16 DAYS WHICH INCREASE SUICIDE RISK, HOSPITALIZATION, AND DELAY MEDICATION ACCESS; LIMITED CRISIS RECEIVING AND STABILIZATION SERVICES THE DRIVE LOCAL INCARCERATION RATES AND EMERGENCY DEPARTMENT (ED) UTILIZATION; LIMITED USE OF PEERS IN THE CRISIS CONTINUUM,; LACK OF BRIEF INTERVENTIONS AND THERAPIES (BIT) TO OFFER IMMEDIATE, SHORT-TERM SERVICES FOR PEOPLE IN CRISIS; AND HEALTH INFORMATION TECHNOLOGY (HIT) INNOVATIONS NEEDED TO STRENGTHEN CARE MANAGEMENT AND POPULATION HEALTH MANAGEMENT. CCBHC-A WILL SERVE 1000 CLIENTS OVER FOUR YEARS - 250 CLIENTS PER YEAR IN YEARS 1-4. THE FOCUS POPULATION WILL BE YOUTH AND ADULTS, TO INCLUDE PERSONS WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDERS, SERIOUS EMOTIONAL DISTURBANCE, CO-OCCURRING DISORDERS, AND PEOPLE IN BEHAVIORAL HEALTH CRISIS. THE POPULATION IS 93% WHITE; 5% BLACK; 2% HISPANIC/LATINO. 50% ARE FEMALE; 49% MALE; 1% TRANSGENDER. 94% ARE HETEROSEXUAL. 7% ARE UNDER 18; 45% ARE BETWEEN 30-49 YEARS. 86% ARE BELOW 138% OF THE FEDERAL POVERTY LEVEL. 84% HAVE A SMI; 47% A COD. SAMHSA FUNDS WILL IMPROVE PSYCHIATRIC PRESCRIBER CAPACITY, ENHANCE CRISIS SERVICES AND ADVANCE HIT. GOALS AND OBJECTIVES INCLUDE: 1) IMPROVE PSYCHIATRIC PRESCRIBER CAPACITY TO INCREASE MEDICATION ACCESS BY HIRING AN ADDITIONAL PRESCRIBER; 2) ENHANCE CRISIS SERVICES TO REDUCE ED USE BY ESTABLISHING A BEHAVIORAL HEALTH URGENT CARE ALIGNED TO THE OHIO DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES STANDARDS; 3) IMPROVE PEER CRISIS SUPPORT TO REDUCE CLIENT DISTRESS BY ESTABLISHING A PEER RESPITE PROGRAM; 4) INCREASE THE AVAILABILITY OF BITS TO IMPROVE ACCESS TO SHORT-TERM INTERVENTIONS BY DEVELOPING SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) PROTOCOLS AND TRAINING STAFF IN SOLUTION-FOCUSED BRIEF THERAPY (SFBT; AND 5) STRENGTHEN CARE COORDINATION AND POPULATION HEALTH MANAGEMENT VIA HIT INNOVATIONS AND ELECTRONIC HEALTH RECORD INTEGRATION TO INCLUDE A PATIENT PORTAL, HEALTH EVENT NOTIFICATION, AND POPULATION HEALTH MANAGEMENT DASHBOARDS AND REPORTS. KEY INTERVENTIONS INCLUDE CRITICAL TIME INTERVENTION, MOTIVATIONAL INTERVIEWING, SBIRT, AND SFBT. GCB HAS SUCCESSFULLY IMPLEMENTED AND SUSTAINED 8 SAMHSA-FUNDED PROJECTS, INCLUDING CCBHC-A. IT HAS THE CAPACITY, EXPERIENCE, AND PARTNERSHIPS TO ENHANCE CCBHC-A TO CONTINUE TO IMPROVE HEALTH AND PROMOTE RECOVERY FOR A DISPARATE POPULATION IN A DISPARATE REGION.