Strategic ccbhc systems- and individual-level outcomes model for geauga county, OH - ravenwood health, a geauga county, OH behavioral health care provider with 57 years' experience serving children,…

Strategic ccbhc systems- and individual-level outcomes model for geauga county, OH - ravenwood health, a geauga county, OH behavioral health care provider with 57 years' experience serving children, adolescents, and adults with mental health and substance use disorders, will achieve systems-wide and individual-level outcomes with the ccbhc model. The project will serve 650 children and adults over four years, expanding access to care, and linkage to EBP services informed by university-based fidelity models from nationally-recognized researchers. Ravenwood health's proposed project serves 1) adults with severe mental illness; 2) children and adolescents with serious emotional disorders (SED), and 3) individuals with CO-occurring mental and substance abuse disorders. This population of focus resides in geauga county, a predominately rural catchment area that is home to an historically african-american enclave in the northwest corner of the county that is affected by the social determinants of health. The project serves 70 individuals in year 1, 130 in year 2, 200 in year 3, and 250 in year 4. The project goals and objectives are informed by a county-wide needs assessment, the 2023-2025 geauga county community health improvement plan, which identifies behavioral health and health care access and quality as two of its top 3 health GAP priorities. The project goals are two-fold, producing systems-wide and individual-level outcomes. First, ravenwood health will improve access to care on a systems-wide level within the catchment area through the full implementation of the ccbhc model by 9/29/2027. Objective a. Establish a comprehensive health care model which includes care coordination services at ravenwood health ccbhc. Objective B. Expand the diversity, equity, and inclusion of ravenwood health ccbhc for individuals in need of mental health services. Objective C. Increase and enhance evidence-based practices (EBP) in place at the ravenwood health ccbhc by implementing and monitoring practice-specific fidelity measures. Ebps that will be added without modification during the ccbhc implementation include trauma-focused cognitive behavioral therapy, mobile response stabilization services and screening, brief intervention and referral to treatment. Ebps in use today that will be used or improved include eye movement desensitization and reprocessing, intensive home-based therapy, motivational interviewing, and peer support. Second, ravenwood health will improve mental health and substance abuse treatment outcomes for individuals by utilizing the ccbhc model objective a. Increase referrals and assessments of unduplicated individuals to ravenwood health ccbhc for mental health and substance use disorder services. Objective B. By 9/29/2024, increase the number of unduplicated individuals linked with 1 or more EBP-informed services at ravenwood health ccbhc by 20%. Objective C. Improve client outcomes for mental health, quality of life and social functioning for unduplicated ravenwood health ccbhc clients. Project evaluators from case western reserve university's begun center for violence prevention will conduct outcome data collection and performance measurement. System- and individual-level change as set forth in project goals will be evaluated by measuring increases in fidelity and service access to a powerful array of carefully matched services.