Project Grant H79SM089224

MIGRANT HEALTH CENTER, WESTERN REGION, INC. CCBH PROGRAM - MIGRANT HEALTH CENTER WESTERN REGION, INC. (MHC) IS A COMMUNITY BASED 330 (G) (E) (H), NON-PROFIT, 501C3, PROGRAM. MHC IS REQUESTING FUNDING ($1,000,000 PER YEAR/4 YEARS) TO ESTABLISH A NEW CCBHC PROGRAM. THE PROPOSED PROGRAM WOULD BE CALLED CLINICA BIENESTAR (MHC WELLNESS CLINIC). THE OVERALL GOAL IS TO INCREASE ACCESS TO INTEGRATED CARE TO ENSURE CONSUMERS HAVE IMMEDIATE AND TIMELY ACCESS TO COMPREHENSIVE, COORDINATED AND EVIDENCE-BASED BEHAVIORAL HEALTH CARE THROUGH A SINGLE POINT OF ENTRY BY ESTABLISHING THE FIRST CCBHC PROGRAM IN THE WESTERN REGION OF PUERTO RICO (PR). THE POPULATIONS TO BE SERVED ARE INDIVIDUALS WITH SERIOUS MENTAL ILLNESS, SUBSTANCE USE DISORDER, INCLUDING OPIOID USE; CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE; INDIVIDUALS WITH CO-OCCURRING MENTAL AND SUBSTANCE DISORDERS; AND INDIVIDUALS EXPERIENCING A MENTAL HEALTH OR SUBSTANCE USE-RELATED CRISIS IN THE WESTERN REGION OF PR. THE WESTERN REGION OF PR IS HOME OF 408,184 RESIDENTS, OF WHICH 99% ARE HISPANIC/LATINO AND NEARLY 55% LIVE UNDER THE FEDERAL POVERTY LEVEL. THERE IS A HIGH PREVALENCE OF SUBSTANCE USE AND MENTAL HEALTH CONDITIONS AMONG THE TARGET POPULATION AND OFTEN THESE CONDITIONS GO UNDIAGNOSED AND UNTREATED. THROUGH THIS FUNDING MHC WILL: 1) HIRE 22 ADDITIONAL LEADERSHIP, CLINICAL AND SUPPORTIVE STAFF TO EXPAND ACCESS; 2) IMPLEMENT COMPREHENSIVE ASSESSMENT UTILIZING VALIDATED SCREENING AND ASSESSMENT TOOLS, INCLUSIVE OF THOSE FOR ADVERSE CHILDHOOD EXPERIENCES (ACES), SUICIDE RISK, AND BEHAVIORAL HEALTH DISORDERS, AS INDICATED; 3) DEVELOP TAILORED SERVICE AND TREATMENT PLANS; AND 4) PROVIDE A RANGE OF EVIDENCE-BASED PREVENTION AND TREATMENT SERVICES THAT ADDRESS A COMBINATION OF IMMEDIATE AND LONG-TERM NEEDS. TO MEETS THE CCBHC CERTIFICATION CRITERIA, WITHIN ONE YEAR OF GRANT AWARD, MHC WILL PROVIDE AT LEAST FIVE OF THE NINE REQUIRED SERVICES BY THE 6 MONTH AFTER AWARD (SCREENING, ASSESSMENT, AND DIAGNOSIS; TREATMENT PLANNING; TARGETED CASE MANAGEMENT; PSYCHIATRIC REHABILITATION SERVICES; AND PEER SUPPORT COUNSELING SERVICES); AND PROVIDE ALL THE REQUIRED NINE CORE CCBHC SERVICES WITHIN TWELVE MONTHS (ADDING CRISIS MENTAL HEALTH SERVICES, OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES, OUTPATIENT CLINIC PRIMARY CARE SCREENING AND MONITORING, AND COMMUNITY-BASED MENTAL HEALTH FOR MEMBERS OF THE ARMED FORCES AND VETERANS). SOME OF THE EBPS EVIDENCE-INFORMED, THAT WILL BE USED AND THE PROPOSED CCBHC ARE: MOTIVATIONAL INTERVIEWING, SBIRT, PEER AND FAMILY SUPPORT SPECIALISTS, MEDICATION-ASSISTED TREATMENT, SOLUTION-FOCUSED THERAPY, COGNITIVE BEHAVIORAL THERAPY, AND TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, AMONG OTHERS. THE OBJECTIVES OF THE PROPOSED PROJECT ARE: 1) BY 9/29/27 THE PROJECT WILL HAVE PROVIDED SERVICES TO AT LEAST 1,500 (Y1 250, Y2 350, Y3 400, AND Y4 500) UNDUPLICATED INDIVIDUALS FROM THE WESTERN REGION OF PR. 2) BY 9/29/24 MHC WILL OBTAIN THE CCBHC DESIGNATION, COMPLYING WITH ALL CERTIFICATION CRITERIA ESTABLISHED IN THE COMPLIANCE CHECKLIST. 3) BY 03/31/24 THE PROJECT WILL HAVE CONDUCTED A COMMUNITY ASSESSMENT, PRESENTED ITS RESULTS TO SAMHSA, AND WILL BE PROVIDING AT LEAST 5 REQUIRED SERVICES. 4) BY 9/29/24 MHC WILL DEVELOP A SUSTAINABILITY PLAN TO SUPPORT DELIVERY OF SERVICES. 5) BY 12/31/23 MHC WILL HAVE HIRED ALL OF THE PROPOSED 22 CCBHC PROGRAM STAFF. 6) BY 9/29/27 THE PROJECT WILL HAVE INCREASED INITIATION AND ENGAGEMENT IN TREATMENT BY AT LEAST 25% (FROM BASELINE). 7) BY 9/29/27 THE PROJECT WILL HAVE REDUCED THE TIME BETWEEN SCREENING AND TREATMENT INITIATION BY AT LEAST 25% (FROM BASELINE). 8) BY 9/29/27 100% OF PROGRAM PARTICIPANTS WILL HAVE COMPLETED A COMPREHENSIVE INTAKE AND INTEGRATED TREATMENT PLAN DEVELOPMENT PROCESS. AND 9) BY 9/29/27 THE PROJECT WILL HAVE INCREASED THE NUMBER OF CONSUMERS INITIATED ON MEDICATION-ASSISTED TREATMENT BY AT LEAST 20% (FROM BASELINE).