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FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - HCP GRANT NUMBER: H80CS00312 BRIEF DESCRIPTION OF PROPOSED PROJECT: CORNELL SCOTT-HILL HEALTH CORPORATION (CS-HHC) REQUESTS $600,000 IN PROJECT YEAR 1 (PY1) AND $500,000 IN PROJECT YEAR 2 (PY2) TO EXPAND THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES (INCLUDING TREATMENT FOR MOUD). WE WILL USE $600,000 IN PY1 AND $500,000 IN PY2 TO ADD AN 0.59 FTE ADDICTION PSYCHIATRIST (0.31 FTE IN PY2), 2.4 FTE BEHAVIORAL HEALTH CLINICIANS, AND A 1.0 FTE RECOVERY COACH TO ENHANCE AND EXPAND MENTAL HEALTH AND SUD TREATMENT CAPACITY AT OUR RECOVERY AND WELLNESS CENTER (RWC) SITE. WE WILL INCREASE THE NUMBER OF PATIENTS WHO RECEIVE MENTAL HEALTH SERVICES BY 300 OVER THE TWO PROJECT YEARS-AND THE NUMBER OF PATIENTS WHO RECEIVE SUD SERVICES BY 1,000 OVER THE TWO PROJECT YEARS. NEEDS TO BE ADDRESSED: THE TARGET POPULATIONS FOR THIS PROJECT ARE PATIENTS WITH SUD (INCLUDING OUD) OR PATIENTS WITH COD (CO-OCCURRING SUD AND MENTAL HEALTH DISORDER). ACCORDING TO THE KAISER FAMILY FOUNDATION, ACCIDENTAL DRUG OVERDOSES IN CONNECTICUT HAVE RISEN DRASTICALLY FROM 11.2 PER 100,000 IN 2011 TO 42.3 PER 100,000 IN 2021 (COMPARED TO AN INCREASE FROM 13.2 PER 100,000 TO 32.4 PER 100,000 NATIONWIDE DURING THE SAME PERIOD). IN NEW HAVEN, THAT NUMBER IS EVEN HIGHER-WITH A DRUG OVERDOSE RATE OF 115.5 PER 100,000 IN 2021, ACCORDING TO THE CONNECTICUT DEPARTMENT OF PUBLIC HEALTH. THESE NUMBERS INDICATE AN OBVIOUS NEED FOR SUD TREATMENT ENHANCEMENT AND EXPANSION IN NEW HAVEN (AND PARTICULARLY FOR OUD TREATMENT ENHANCEMENT AND EXPANSION SINCE MOST NEW HAVEN OVERDOSE DEATHS INVOLVED AN OPIOID). IN ADDITION, THE NEED FOR INCREASED MENTAL HEALTH SERVICES FOR OUR RWC PATIENTS IS CLEAR, SINCE SAMHSA STATES THAT SUD OCCURS MORE OFTEN IN PATIENTS WITH MENTAL HEALTH ISSUES SUCH AS DEPRESSION, ANXIETY, AND/OR PERSONALITY DISORDER. PROPOSED SERVICES: CS-HHC'S RWC SITE IS ADJACENT TO OUR SOUTH CENTRAL REHABILITATION CENTER (SCRC). TOGETHER, THE TWO SITES FORM A STATE-OF-T HE-ART SUD TREATMENT CAMPUS. THEREFORE, BHSE PROJECT PATIENTS WILL HAVE ON-CAMPUS ACCESS TO A FULL RANGE OF BEHAVIORAL HEALTH SERVICES, INCLUDING MENTAL HEALTH AND SUD ASSESSMENTS; PSYCHIATRIC MEDICATION MANAGEMENT; INPATIENT AND AMBULATORY DETOXIFICATION; OUTPATIENT THERAPY; MEDICATION ASSISTED TREATMENT (MAT); A 52-BED THERAPEUTIC SHELTER; PARTIAL HOSPITALIZATION PROGRAM (PHP); INTENSIVE OUTPATIENT (IOP); COMMUNITY OUTREACH, EDUCATION, AND PREVENTION; AND PEER RECOVERY AND EMPLOYMENT SUPPORT SERVICES. THESE SERVICES ARE INTEGRATED WITH PRIMARY CARE AND INFECTIOUS DISEASES MEDICAL SERVICES AND WRAPAROUND SERVICES SUCH AS CASE MANAGEMENT, WIC, AND HEALTH INSURANCE ENROLLMENT. WITH BHSE FUNDING, CS-HHC WILL INCREASE THE NUMBER MENTAL HEALTH VISITS BY 4,290 OVER THE TWO PROJECT YEARS-AND THE NUMBER OF SUD VISITS BY 9,490 OVER THE TWO PROJECT YEARS. POPULATION GROUP(S) TO BE SERVED: CS-HHC WILL SERVE PATIENTS WITH SUD OR COD FROM NEW HAVEN AND OTHER MUNICIPALITIES IN THE GREATER NEW HAVEN AREA AT SCRC AND RWC. IN CY23, OF THE 55,189 TOTAL UNDUPLICATED PATIENTS CS-HHC SERVED, 7,222 WERE MENTAL HEALTH PATIENTS (WITH 103,355 MENTAL HEALTH VISITS) AND 2,639 WERE SUD PATIENTS (WITH 25,063 VISITS). OUR PATIENTS TEND TO BE FROM UNDERSERVED POPULATIONS, SUCH AS LOW-INCOME INDIVIDUALS (71%), UNINSURED INDIVIDUALS (9%), AND RACIAL AND/OR ETHNIC MINORITIES (79%). HOW THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH SERVICES AND SUD SERVICES: THE PROJECT WILL INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUD SERVICES BY ADDING AN 0.59 FTE ADDICTION PSYCHIATRIST (0.31 FTE IN PY2), 2.4 FTE BEHAVIORAL HEALTH CLINICIANS, AND A 1.0 FTE RECOVERY COACH AT RWC. THESE STAFFING ADDITIONS WILL ENHANCE AND EXPAND OUR CAPACITY TO ADDRESS THE UNMET NEED FOR MENTAL HEALTH AND SUD (INCLUDING OUD) SERVICES IN GREATER NEW HAVEN.
$600.0k 9/19/24