Samhsa targeted capacity expansion - project name: HCC network - targeted capacity expansion summary: HCC network proposes to implement targeted strategies that will allow the organization to…

The Substance Abuse and Mental Health Services Administration (SAMHSA) awarded HCC Network $1,495,803 on September 30, 2025, under the Substance Abuse and Mental Health Services Projects of Regional and National Significance program (CFDA 93.243) to implement targeted capacity expansion for substance use disorder and co-occurring disorder treatment services.

HCC Network, a Federally Qualified Health Center doing business as the Health Care Collaborative of Rural Missouri, will deliver universal evidence-based screening for substance use disorder, co-occurring disorder, and suicide risk; treatment services for these conditions; expanded harm reduction services; tobacco cessation programs; and integrated peer support and case management. The organization will also provide allowable services including community engagement activities, recovery support, infectious disease screening and lab testing, low-barrier treatment approaches, test strips and overdose reversal medications, homelessness risk assessment, stigma reduction activities, treatment and transition services for justice-involved individuals, and technical assistance programs.

The service area encompasses five Missouri counties—Carroll, Jackson, Lafayette, Ray, and Saline—covering more than 3,000 square miles with a population of 611,991 residents. The catchment area experiences elevated health disparities characterized by lower median household income, higher poverty rates, higher disability prevalence, and elevated rates of poor mental health, mental distress, suicide, and social isolation compared to Missouri statewide.

The award runs through September 29, 2028, with place of performance in Waverly, Missouri.

Samhsa targeted capacity expansion - project name: HCC network - targeted capacity expansion summary: HCC network proposes to implement targeted strategies that will allow the organization to provide treatment and related services for individuals with or at risk for substance use disorder (SUD) and/or CO-occurring disorder (COD). Populations to be served: individuals diagnosed with or at risk for SUD/COD in the five-county HCC network service area. The five-county geographic catchment area includes over 3,000 square miles (carroll, jackson, lafayette, RAY, and saline counties) and is home to 611,991 residents. The area is predominantly white (80%) and non-hispanic (92.7%). This data shows HCC network service area residents are likely to have higher health disparities due to lower median household income, lower employment rates, high rates of poverty, and a higher percentage of individuals who are disabled than missouri residents as a whole. Mental health indicators for service area counties contribute to disparities as data shows more poor mental health days, more frequent mental distress, higher suicide rates, and more feelings of loneliness. Strategies/interventions: this includes both required and allowable activities. Required: universal evidence-based screening for SUD/COD and risk of suicide; treatment services for SUD/COD; expand harm reduction services; tobacco cessation programs; provide integrated peer support and case management services. Allowable: community engagement activities; provide evidence-based approaches to care; recovery support; education, screening, lab testing for infectious diseases; low-barrier treatment approach; test strips and overdose reversal medications; assessing risk for homelessness; activities to reduce stigma for SUD/COD; treatment/transition for justice-involved individuals; utilization of TTA programs. Goals and objectives: goal 1: to implement targeted strategies to provide treatment and related services for substance use disorder (SUD) and/or CO-occurring disorder (COD) within the HCC network service area. Objective 1: within four months of the start of the project period, HCC network will implement evidence-based universal screening for SUD/COD and risk of suicide for patients coming in for clinic visits at all clinic locations. Objective 2: within four months of the start of the project period, HCC network will provide low barrier SUD/COD evidence-based treatment services at all clinic locations. Objective 3: within four months of the start of the project period, HCC network will expand harm reduction services across the service area. Objective 4: within four months of the start of the project period, HCC network will implement an in-house tobacco cessation program within four months of the start of the project period and provide services to 75% of individuals with tobacco-related SUD. Objective 5: within four months of the start of the project period, HCC network will provide integrated peer support and case management services to individuals with SUD/COD disorders anticipated annual number to be served: HCC network expects participation to increase each year of the project. Year 1-125; year 2-150; and year 3-175 patients for a total of 450 participants over the course of the project period.