Project Grant H79SM089450

PASCO-CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (P-CCBHC) - BAYCARE BEHAVIORAL HEALTH (BCBH) IS THE COMPREHENSIVE BEHAVIORAL HEALTH PROVIDER FOR THE BAYCARE HEALTH SYSTEM WITH 53 YEARS OF EXPERIENCE IN PROVIDING EFFECTIVE RECOVERY-ORIENTED, TRAUMA-INFORMED, EVIDENCE-BASED, CULTURALLY, LINGUISTICALLY, AND EQUITY-BASED BEHAVIORAL HEALTH CARE WITHIN PASCO COUNTY. IN 2022, BCBH SERVED 11,768 INDIVIDUALS FROM PASCO COUNTY. BCBH CURRENTLY PROVIDES ALL NINE CCBHC REQUIRED CORE SERVICES AND WILL USE GRANT FUNDING FOR THE PLANNING, DEVELOPMENT, AND IMPLEMENTATION OF THE PASCO-CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (P-CCBHC). THE PROJECT WILL PROVIDE A FULL CONTINUUM OF ENHANCED AND COORDINATED MENTAL HEALTH, ADDICTION, PRIMARY CARE SCREENING AND MONITORING, AND OUTREACH ACTIVITIES. THE POPULATION FOR THIS PROJECT WILL SERVE FOUR TARGETED GROUPS WHO ARE UNINSURED, UNDERINSURED, AND FROM UNDER RESOURCED COMMUNITIES AND INCLUDE CONSUMERS WITH A MENTAL OR SUBSTANCE USE DISORDER, INCLUDING THOSE WITH SERIOUS MENTAL ILLNESS OR OPIOID USE DISORDER, CHILDREN AND ADOLESCENTS WITH SERIOUS EMOTIONAL DISTURBANCE, CONSUMERS WITH A CO-OCCURRING MENTAL AND SUBSTANCE USE DISORDER AND, ACTIVE MILITARY/VETERANS AND THEIR FAMILIES. P-CCBHC WILL SERVE 1600 UNDUPLICATED CONSUMERS (YR. 1: 250; YR. 2: 350; YR. 3: 450; YR. 4: 550). THE EXTENT OF THE PROBLEMS IN PASCO COUNTY INCLUDES A NEED FOR URGENT BEHAVIORAL HEALTHCARE ACCESS, EFFECTIVE CARE COORDINATION FROM INPATIENT SETTINGS, AN ONGOING OPIOID EPIDEMIC, AND AN INCREASE IN CRISIS INCIDENTS RELATED TO SUICIDE, OVERDOSE, AND MENTAL HEALTH ISSUES. THE PROJECT WILL ESTABLISH THE P-CCBHC AS A CCBHC THROUGH THE ENHANCEMENT OF OPERATIONS, INFRASTRUCTURE, AVAILABILITY AND ACCESSIBILITY OF SERVICES, SCOPE OF SERVICES, QUALITY/PERFORMANCE REPORTING, STAFFING, AND AUTHORITY TO OPERATE AS A CCBHC. THE PRIMARY ENHANCEMENT FOR THIS PROJECT WILL BE THE DEVELOPMENT OF AN URGENT CARE CENTER AS PART OF THE CRISIS SYSTEM OF CARE AND TRANSITION POINT FOR INPATIENT CRISIS AND EMERGENCY DEPARTMENT DISCHARGES TO OUTPATIENT CARE. KEY ENHANCEMENTS TO OPERATIONS WOULD INCLUDE (1) PLACING QUALIFIED CLINICIANS AND PEERS AT THE POINT OF INITIAL CONTACT AND/OR TRANSITION (2) OFFERING A HYBRID APPROACH; (3) STANDARDIZING ACCESS, SCREENING, TRANSITION; (4) INCREASING ACQUISITION, ENGAGEMENT, AND RETENTION; (5) REDUCING UNCOORDINATED CARE; (6) INCREASING CONSUMER PERCEPTION; AND (7) DECREASING TIME FROM CONTACT TO CLINICAL CARE. P-CCBHC WILL ACCOMPLISH THE FOLLOWING FIVE GOALS THROUGH SEVENTEEN MEASURABLE OBJECTIVES: 1) INCREASE ACCESS/AVAILABILITY TO HIGH-QUALITY SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS. 2) SUPPORT RECOVERY FROM MENTAL HEALTH AND SUBSTANCE USE DISORDER CHALLENGES VIA A COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT AND SUPPORTS. 3) USE EVIDENCED-BASED PRACTICES THAT ADDRESS THE NEEDS OF THE CONSUMERS SERVED. 4) MEASURE AND IMPROVE THE QUALITY OF SERVICE. 5) INVOLVE CONSUMERS/FAMILY MEMBERS IN THEIR CARE AND BROADER GOVERNANCE.