Project Grant H79SM088989

FAMILY SERVICE OF RHODE ISLAND'S CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC IMPROVEMENT AND ADVANCEMENT PROPOSAL - FAMILY SERVICE OF RHODE ISLAND (FSRI) IS A STATEWIDE, FULL-SERVICE NONPROFIT BEHAVIORAL HEALTH (BH) AND SOCIAL SERVICE ORGANIZATION WITH A LONG HISTORY AND DEEP PRESENCE IN PROVIDENCE, RI. OUR CCBHC, WHICH IS CENTRALLY LOCATED AT 55 HOPE ST. IN PROVIDENCE, RI, SERVES CHILDREN AND YOUTH WITH SERIOUS EMOTIONAL DISTURBANCE (SED), AS WELL AS INDIVIDUALS OF ALL AGES WITH SERIOUS MENTAL ILLNESS (SMI), SUBSTANCE USE DISORDERS (SUD), AND CO-OCCURRING DISORDERS (COD) WHO LIVE IN PROVIDENCE. OUR CURRENT CCBHC AND OTHER PROGRAMS PROVIDE ACCESS TO THOSE FACING THE GREATEST BH INEQUITIES IN OUR REGION, INCLUDING LOW-INCOME PEOPLE OF COLOR, IMMIGRANTS, LGBTQIA+ INDIVIDUALS, AND VETERANS AND THEIR FAMILIES. APPROXIMATELY 50% OF THOSE SERVED WILL IDENTIFY AS HISPANIC OR LATINO, WITH MOST BEING OF DOMINICAN DESCENT. UNFORTUNATELY, PROVIDENCE'S EXISTING COMPLEX AND UNDER-RESOURCED SERVICE SYSTEM CANNOT FULLY MEET OUR CATCHMENT AREA'S BH NEEDS. THROUGH OUR CCBHC-IA, FSRI SEEKS TO EXPAND OUR CAPACITY TO OFFER 24/7 ACCESS TO COMMUNITY BASED BH SERVICES; TREATMENT OF COD; AND PHYSICAL HEALTHCARE (PH) SERVICES. WE WILL PRIORITIZE ACCESS FOR INDIVIDUALS WHO ARE MONOLINGUAL SPANISH SPEAKING BY CONDUCTING TARGETED OUTREACH TO THESE COMMUNITIES IN PROVIDENCE. ADDITIONALLY, FSRI SEEKS TO EXPAND ACCESS TO A RANGE OF SUD SERVICES, ENHANCE CARE COORDINATION FOR TRANSITION AGED YOUTH (TAY), STRENGTHEN OUR RECRUITMENT OF BILINGUAL STAFF TO ENSURE MONOLINGUAL SPANISH SPEAKING INDIVIDUALS RECEIVE SERVICES IN THEIR PREFERRED LANGUAGE, AND MODIFY OUR EXISTING INFRASTRUCTURE TO ENSURE THE SPACE IS ACCESSIBLE AND TRAUMA INFORMED. OUR GOALS AND OBJECTIVES INCLUDE THE FOLLOWING: 1) INCREASE OUR CAPACITY AS A CCBHC IN ALIGNMENT WITH THE REVISED CCBHC CRITERIA, BY DEMONSTRATING THE FOLLOWING OBJECTIVES A) WITHIN 4 MOS. OF GRANT AWARD, HIRE ADDITIONAL CLINICAL STAFF TO SUPPORT THE GROWING BH NEEDS IN PROVIDENCE, INCLUDING A CLINICAL SUPERVISOR, A CPST CASE MANAGER, AND A BILINGUAL CLINICIAN; B) TRAIN 75% OF CCBHC STAFF AS TRAINERS IN OVERDOSE RESPONSE AND NARCAN ADMINISTRATION WITHIN 4 MONTHS OF CONTRACT AWARD; C) ENGAGE 100% OF CCBHC CONSUMERS USING SCREENING-BRIEF INTERVENTION-REFERRAL TO TREATMENT (SBIRT), SCREENING THEM TO IDENTIFY SUD AND CONNECT THOSE WITH RISKS TO TREATMENT WITHIN 30 DAYS; D) OFFER ACCESS TO MAT TO 100% OF CONSUMERS IDENTIFIED AS USING OPIOIDS WITHIN 5 DAYS OF IDENTIFICATION; E) 100% OF CONSUMERS WITH IDENTIFIED SUBSTANCE USE RISKS WILL BE OFFERED PARTICIPATION IN THE SEVEN CHALLENGES EBP OR SUD COUNSELING WITHIN 7 DAYS OF SCREENING; F) MEET ALL REVISED CCBHC CRITERIA BY JULY 1, 2024, AS MEASURED BY FSRI'S ATTESTATION STATEMENT DOCUMENTATION. 2) INCREASE ACCESS TO CCBHC SERVICES FOR PEOPLE WHO ARE MONOLINGUAL SPANISH SPEAKING, BY DEMONSTRATING THE FOLLOWING OBJECTIVES: A) ANNUALLY, HOST 4 STAKEHOLDER EDUCATIONAL SESSIONS WITH EXTERNAL COMMUNITY AGENCIES SERVING HISPANIC INDIVIDUALS IN PROVIDENCE; B) CONDUCT TARGETED RECRUITMENT TO ENSURE OUR TEAM REFLECTS OUR COMMUNITY; WITHIN 4 MOS. OF AWARD, 50% OF OUR CCBHC TEAM WILL BE BILINGUAL; C) WITHIN 4 MOS. OF AWARD AND ANNUALLY THEREAFTER, PROVIDE 100% OF CCBHC STAFF WITH CULTURALLY AND LINGUISTICALLY COMPETENT CARE TRAINING, 3) ENHANCE SERVICES TO TRANSITION-AGED YOUTH (TAY) TO REDUCE HOSPITALIZATIONS AND SUICIDE RISK, BY DEMONSTRATING THE FOLLOWING OBJECTIVES: A) WITHIN 7 DAYS PROVIDE TARGETED CASE MANAGEMENT TO 100% OF TAY THAT WE SERVE; B) 3.B IN THE FIRST GRANT YEAR, WE WILL ESTABLISH A BASELINE FOR HOSPITAL UTILIZATION AMONG OUR CCBHC CLIENTS. IN THE SECOND GRANT YEAR, WE WILL ACHIEVE A 10% DECREASE IN HOSPITAL UTILIZATION FROM THE ESTABLISHED BASELINE; C) BY THE END OF Y1, TRAIN 100% OF CCBHC STAFF IN ZERO SUICIDE; D) BY THE END OF Y1, TRAIN 50% OF CCBHC STAFF IN FIRST EPISODE PSYCHOSIS TO BETTER RESPOND TO THE NEEDS OF TRANSITION-AGED YOUTH.