Project Grant H79SM088894

AMHC CCBHC IMPROVEMENT AND ADVANCEMENT - THE APPLICANT, AMHC, WILL IMPLEMENT CCBHC-IA TO PROVIDE SERVICES TO 808 UNDUPLICATED INDIVIDUALS WITH SERIOUS MENTAL ILLNESS (SMI), SERIOUS EMOTIONAL DISTURBANCE (SED), OR CO-OCCURRING SMI/SED AND SUBSTANCE USE DISORDER (COD) IN 3 NORTHERN MAINE COUNTIES (YR 1: 175; YR 2: 193; YR 3: 211; YR 4: 229). AMHC WILL ENHANCE THE CURRENT CCBHC'S COMPREHENSIVE AND COORDINATED BEHAVIORAL HEALTH CARE BY IMPROVING OUTREACH, SCREENING, ASSESSMENT, TREATMENT, CARE COORDINATION, AND RECOVERY SUPPORTS FOR THOSE WITH SMI, SED, AND/OR COD. WITHIN THE CATCHMENT AREA OF AROOSTOOK, HANCOCK, AND WASHINGTON COUNTIES, MAINE, THE FOCUS POPULATION COMPRISES ESTIMATED 5% (6,570) WHO HAVE AN SMI, 17% (4,826) WHO HAVE AN SED, AND 4% (6,570) WHO HAVE A COD. AMONG AMHC'S FOCUS POPULATION, 50% ARE MALE, 50% ARE FEMALE, 93% ARE WHITE, 1% ARE BLACK, 1% ARE ASIAN, 2% ARE HISPANIC, AND 2% ARE NATIVE AMERICAN. AMHC SUBPOPULATIONS INCLUDE THE 8% WHO ARE VETERANS AND 8% WHO ARE MINORITIES. SAMHSA'S CERTIFIED BEHAVIORAL HEALTH CLINICS (CCBHCS) MODEL WILL GUIDE AMHC'S IMPLEMENTATION OF EVIDENCE-BASED INTERVENTIONS/MODELS, INCLUDING MOTIVATIONAL INTERVIEWING, COGNITIVE BEHAVIORAL THERAPY (CBT), TRAUMA-INFORMED CBT, POSITIVE PARENTING PROGRAM, MODULAR APPROACH TO THERAPY, PEER RECOVERY SUPPORT SERVICES, PSYCHIATRIC COLLABORATIVE CARE MODEL, PSYCHOSOCIAL REHABILITATION MODEL, AND ZERO SUICIDE. AMHC WILL IMPLEMENT ALL 9 CORE CCBHC MODEL SERVICES INCLUDING SCREENINGS/ASSESSMENTS AND DIAGNOSIS; PATIENT-CENTERED PLANNING; OUTPATIENT, MENTAL HEALTH, AND SUD SERVICES, TARGETED CASE MANAGEMENT, OUTPATIENT CLINIC PRIMARY CARE SCREENING/MONITORING, COMMUNITY-BASED MENTAL HEALTH CARE FOR VETERANS, PEER, FAMILY SUPPORT, AND COUNSELOR SERVICES, AND PSYCHIATRIC REHABILITATION SERVICES. OTHER PROGRAM COMPONENTS INCLUDE LINKAGES TO PRIMARY/SPECIALTY CARE AND DISSEMINATION OF COMPREHENSIVE EVALUATION. THE AMHC BOARD OF DIRECTORS COMPRISING STAKEHOLDERS AND FOCUS POPULATION MEMBERS WILL SERVE AS THE ADVISORY BOARD AND SUPPORT AMHC'S GOALS, WHICH INCLUDE ENHANCING/ EXPANDING CAPACITY TO PROVIDE ACCESSIBLE, COORDINATED, AND EVIDENCE-BASED TREATMENT AND RECOVERY SUPPORT SERVICES; DEVELOPING/EXPANDING THE INFRASTRUCTURE/CAPACITY OF AN INTEGRATED COMMUNITY SERVICE SYSTEM; IMPROVING CLIENT HEALTH STATUS AND OUTCOMES; AND DEVELOPING/DISSEMINATING A REPLICABLE SERVICE MODEL. MEASURABLE OBJECTIVES INCLUDE: OUTREACH TO 950 INDIVIDUALS WITH AN SMI, SED, AND/OR COD; COMPLETE A MINIMUM OF 1 COMMUNITY NEEDS ASSESSMENT; STAKEHOLDER OUTREACH/ ENGAGEMENT/EDUCATION TO STRENGTHEN COLLABORATIVE RELATIONSHIPS; REDUCE SUBSTANCE USE, MENTAL HEALTH/TRAUMA SYMPTOMATOLOGY, AND FEELINGS OF LONELINESS/ISOLATION; REDUCE USE OF EMERGENCY DEPARTMENT FOR BEHAVIORAL HEALTH AMONG PARTICIPANTS; REDUCED CRIMINAL JUSTICE INVOLVEMENT; INCREASED TREATMENT ACCESS AND RECOVERY CAPITAL; AND INCREASED SOCIAL DETERMINANTS OF HEALTH. SINCE 1964, THE APPLICANT, AMHC, HAS BEEN A CONTINUOUS PROVIDER OF BEHAVIORAL HEALTH AND RELATED SERVICES TO ADULTS AND CHILDREN IN THE CATCHMENT AREA AND HAS GROWN TO ENCOMPASS BEHAVIORAL HEALTH SERVICE PROVISION AND SUPPORT FOR EVERY LEVEL OF CARE ACROSS A VARIETY OF SETTINGS. AMHC OPERATES A SUCCESSFUL CCBHC IN THE CATCHMENT AREA THAT IS FULLY CERTIFIED. AMHC REFERRAL SERVICES ARE AVAILABLE FOR MEDICATION ASSISTED TREATMENT, MATRIX INTENSIVE OP TREATMENT, OR OTHER HIGHER LEVELS OF CLINICAL CARE. IN ADDITION, PARTNERING ORGANIZATIONS WILL SERVE AS AMHC'S LINKAGE/REFERRAL SOURCES, COLLABORATE IN SERVICE PROVISION, PARTICIPATE IN TRAINING, AND TAKE PART IN ADVISORY BOARD/EVALUATION ACTIVITIES. AMHC PARTNERS ARE ROOTED IN THE FOCUS POPULATION'S CULTURE/LANGUAGES AND HAVE DEMONSTRATED EXPERIENCE/FAMILIARITY WITH THE CATCHMENT AREA CULTURE. PARTNERING COMMUNITY HEALTH PROVIDERS AND HOSPITALS WILL RECEIVE LINKAGE TO ALL CCBHC SERVICES. AMHC STAFF WILL FOCUS EFFORTS ON EXPANDING PARTNERSHIPS WITH VETERAN SERVING ORGANIZATIONS AND THE YOUTH PEER SUPPORT STATEWIDE NETWORK.