Southern highlands ccbhc-IA initiative - the southern highlands ccbhc-IA initiative will provide comprehensive, coordinated behavioral health care for all people in need of behavioral health…

Southern highlands ccbhc-IA initiative - the southern highlands ccbhc-IA initiative will provide comprehensive, coordinated behavioral health care for all people in need of behavioral health services at southern highlands' mercer county clinic which serves mercer, mcdowell & wyoming counties in WV. The target population suffers from SUD, poor mental health, low mental health workforce capacity, poor sdoh & poor disparity group outcomes. The initiative will serve 4,000 clients (1,000/year). Project goals (INTERVENTIONS/STRATEGIES) include: (1) provide a comprehensive suite of ccbhc services for the target population with fidelity to the ccbhc certification criteria and based on regular needs assessments by (a) initiating a project director & coordinator to manage the ccbhc initiative; (B) ensuring agency compliance with the ccbhc certification criteria; (C) collaborating with the state to obtain ccbhc certification; (D) conducting the required needs assessment; (E) completing the ccbhc attestation post needs assessment; (F) implementing the needs assessment driven training plan; (G) supporting processes & procedures for collecting, reporting & tracking encounter, outcome, and quality data; and (H) ensuring agency participation in the ccbhc technical assistance center activities. (2) enhance shcmhc's mercer county ccbhc service provision for the target population by (a) enhancing crisis services by hiring 3 mobile crisis case managers, 2 case managers, 3 mobile crisis peers, a mobile crisis coordinator & assistant crisis evaluator to provide 24 hour mobile crisis and follow-up services; (B) enhancing screening/assessment services by adding the columbia suicide screener and a crisis assessment; (C) enhancing SUD service via enhancement of an act-like intensive program for treatment resistant SUD clients; (D) expanding telehealth services via hiring a telehealth coordinator; (E) enhancing peer services via addition of 3 mobile crisis peers and one SUD peer; (F) creating & initiating a tobacco cessation program; (G) working to obtain mous with veteran serving organizations; (H) enhancing treatment/crisis planning & targeted case management; (I) continuing to partner with TUG river for primary care service provision; and (J) continuing to provide psychiatric rehabilitation services. (3) enhance ccbhc infrastructure development at shcmhc's mercer county ccbhc clinic by (a) maintaining health information technology (HIT) systems to facilitate care coordination; (B) building partnerships to support electronic health information exchange & care coordination; and (C) updating and implementing a ccbhc-wide data-driven continuous quality improvement (CQI) plan. (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) coordinating outreach efforts; (B) serving a total of 1,000 clients annually; (C) clients having a statistically significant decrease in illicit substance use at 6-month noms follow-up; (D) clients having statistically significant improvement in mental health outcomes at 6-month follow-up; (E) clients having statistically significant improvement in social connectedness at 6-month follow-up; (F) clients having statistically significant decrease in tobacco use at 6-month noms follow-up; (G) having 80% of clients remain in treatment for at least 6-months throughout the life of the grant; (H) monitoring disparity group data to ensure equal access/use/outcomes/retention; (I) supporting annual crisis intervention training (CIT) training for law enforcement partners; and (J) developing outreach/referral pathways that engage/target all disparity groups. (5) sustain ccbhc services beyond grant funding to serve the focus population by (a) having the project director lead the peer-driven ccbhc advisory board; and (B) creating a sustainability plan for each budget line item to ensure service sustainability.