Centerstone's certified community behavioral health clinic in carbondale, illinois (c-ccbhc) - centerstone will establish a new ccbhc in carbondale, illinois (c-ccbhc), to expand access to/quality…

Centerstone's certified community behavioral health clinic in carbondale, illinois (c-ccbhc) - centerstone will establish a new ccbhc in carbondale, illinois (c-ccbhc), to expand access to/quality of community behavioral health services, including 24/7 crisis services, for individuals with serious mental illness (SMI), substance use disorders (SUD), opioid use disorders (OUD), CO-occurring disorders (COD), youth with serious emotional disturbance (SED), and those experiencing a mental health or substance use related crisis. C-ccbhc will serve 1,000 unduplicated individuals (Y1: 100; Y2-4: 300/year). Focus population demographics and clinical characteristics are expected to mirror those of individuals in the 5-county geographic catchment area (i.e., franklin, jackson, perry, union, and williamson counties, illinois) and of current clinic clients. Those under 18 are expected to comprise 48% male, 52% female, 75% white, 10% black/african american, and 2% hispanic/ latino individuals. Those 18+ are expected to comprise 38% male, 62% female, 77% white, 9% black/african american, and 2% hispanic/latino individuals. Of the catchment area's population of 197,430, 4% (6,250) of adults are expected to have SMI, and 2,140 youth ages 12-17, SED. Roughly 17% (26,560) of area adults have SUD, including 2% (3,125) with OUD, and 11% (1,690) of area youth ages 12-17 have SUD. Within the catchment area, 8% (12,500) of adults have COD and 4% (615) of youth ages 12-17 have CO-occurring SUD/major depressive episode. Chronic health conditions disproportionately impact the focus population: an estimated 16% of area adults with a mood disorders will have diabetes versus 10% in the general population. C-ccbhc will provide an array of integrated primary/behavioral health services (e.g., crisis care; screening, assessment, and diagnosis; person-/family-centered treatment planning; mental health/substance use services; primary care screenings and monitoring of key health indicators/ risks; targeted case management; psychiatric rehabilitation services; peer supports, counseling services, and family supports; intensive, community-based mental health services for past/current members of the armed forces). C-ccbhc's evidence-based interventions include cognitive behavioral therapy (CBT), trauma-informed CBT, motivational interviewing, dialectical behavior therapy, assertive community treatment, integrated dual disorder treatment, and more. C-ccbhc will accomplish the following goals: a) establish the ccbhc and address infrastructure/capacity for care coordination, ensuring services address focus population' physical, behavioral, and social service needs; b) ensure the timely, integrated, age/culturally appropriate evidence-based scope of services are accessible/available regardless of ability to pay/residence; c) address whole-person recovery needs, measuring recipient outcomes in mental, substance use, etc. Domains; and d) apply a quality improvement approach to drive outcome improvement and ensure ongoing service delivery/sustainability. To support these goals, c-ccbhc will achieve the following measurable objectives: decrease mental health symptomatology among 45% of those with mental health disorders; decrease substance use among 45% of those with SUD/OUD/COD; improve housing stability among 80% who are homeless/marginally housed; improve physical health indicators among 75% of service recipients; and achieve satisfaction in care experience among 80% of service recipients/family. Key c-ccbhc strategies include conducting 2 needs assessments (1 by month 6 of year 1 and another 6 months prior to year 4) and meeting full compliance with the ccbhc certification criteria by the end of year 1; establishing/enhancing access/services; establishing/convening the advisory work group; collaborating with community providers to promote whole-person wellness and recovery; utilizing an experienced evaluation team; and applying a continuous quality improvement approach to drive improvements and sustainability.