Westbrook ccbhc-IA initiative - the westbrook ccbhc-IA initiative will provide comprehensive, coordinated behavioral health care for all people across the lifespan in need of behavioral health…

Westbrook ccbhc-IA initiative - the westbrook ccbhc-IA initiative will provide comprehensive, coordinated behavioral health care for all people across the lifespan in need of behavioral health services at westbrook's wood county clinic which serves wood & wirt counties in west virginia. The target population suffers from SUD, poor mental health, low mental health workforce capacity, poor social determinants of health & poor disparity group outcomes. The initiative will serve 1,600 clients (400/year). Project goals (interventions/strategies) include: (1) provide a comprehensive suite of ccbhc services for the focus population with fidelity to the ccbhc certification criteria and based on regular needs assessments by (a) initiating a project director to manage the ccbhc initiative; (b) ensuring agency compliance with the ccbhc certification criteria; (c) collaborating with the state to obtain ccbhc certification; (d) contracting with a consultant to conduct the required needs assessment; (e) completing the ccbhc attestation post needs assessment; (f) supporting processes & procedures for collecting, reporting & tracking encounter, outcome, and quality data; (g) collaborating with the westbrook change team in new policy/procedure implementation; and (h) ensuring agency participation in ccbhc technical assistance center activities. (2) enhance westbrook's wood county clinic ccbhc service provision for the target population by (a) hiring care coordinators to enhance the nine core ccbhc services; (b) hiring a mental health peer to serve clients discharging from the crisis unit; (c) designating a veterans care coordinator to serve the veteran population; (d) designating a tobacco cessation care coordinator to initiate an agency-wide tobacco cessation program; (e) expanding medical director and physician's assistant time; and (f) initiating an sdoh screener to be conducted & addressed by the care coordinators. (3) enhance ccbhc infrastructure development at westbrook's wood county clinic ccbhc by (a) implementing health information technology to support care coordination; (b) working with west virginia university to gain access to the WVU medicine EHR; (c) managing care coordination agreements with service partners; (d) developing community partnerships; and (e) working with the westbrook grit diversity team to provide cultural competency and implicit bias reduction training. (4) support recovery from mental illness and or substance use disorders by providing access to high-quality mental health and substance use services to the target population by (a) serving a total of 400 clients annually; (b) clients having a statistically significant decrease in illicit substance use at 6-month noms follow-up; (c) clients having statistically significant improvement in mental health outcomes at 6-month follow-up; (d) clients having statistically significant improvement in social connectedness at 6-month follow-up; (e) having 100 clients engage in the smoking cessation program throughout the duration of the grant; (f) having 80% of clients remain in treatment for at least 6-months throughout the life of the grant; and (g) monitoring disparity group data to ensure equal access/use/outcomes/retention. (5) sustain ccbhc services beyond grant funding to serve the target population by (a) having the peer-led board of directors serve as the ccbhc board; and (b) creating a sustainability plan.