Scharp ccbhc crenshaw - scharp crenshaw ccbhc improvement & advancement bolsters existing behavioral health services to reduce recidivism, opioid related death and return to homelessness

Black angelenos, who represent over 70% of crenshaw & leimert park residents, are at exponentially higher risk. Southern california health and rehabilitation program, a black-led organization, will close these health disparities for 450 clients experiencing serious mental illness and substance use disorders. Scharp has been a continuous provider of behavioral health (BH) and related services to adults and children in LOS angeles county since 1994. The population of focus is unhoused and/or justice involved black adults and young adults in south LOS angeles with serious mental illness (SMI) or substance use disorders (SUD), including veterans. Children/adolescents with serious emotional disorders (SED) are also included, and those with CO-occurring disorders (COD) and a general SMI/ SUD/SED/COD population. Strategies and interventions include process improvements to enhance delivery of the nine ccbhc core services (crisis mental health services; screening, assessment, diagnosis, and risk assessment; patient-centered treatment planning; outpatient mental health and substance use services; primary care screening; targeted case management or TCM; psychiatric rehabilitation; peer support; intensive, community-based mental health care veterans). Interventions also include evidence based practices: motivational interviewing; seeking safety; cognitive behavioral therapy; assertive community treatment (act). Goal 1 is to reduce risk of opioid related deaths in POF through onsite, same day mat/moud treatment. Related objectives are to train all staff in mat/moud and targeted case management for SUD, ensure at least one mat prescriber is scheduled daily for walk-in treatment, establish a trigger and same-day referral in internal workflow for OUD risk, as well as quality assurance program to ensure 42 CFR part 2 documentation. Goal 2 is to reduce POF risk of returning to homelessness by increasing access to targeted case management & assertive community treatment, an evidence based practice. Related objectives are to establish risk assessment for return to homelessness, 100% enrollment in of those at risk in TCM and act, and engage population health strategies to stratify risk and focus team efforts. Goal 3 is to reduce recidivism through peer support by ensuring 100% of clients with recent incarceration are paired with peer with lived experience of justice involvement. Target minimum number of clients served are as follows: 75 in year 1; 125 each year for years 2 through year 4 (total 450 over four years).