FY 2024 behavioral health service expansion - project title: FY 2024 behavioral health service expansion (BHSE) applicant organization name: hope family health services health center program grant…

FY 2024 behavioral health service expansion - project title: FY 2024 behavioral health service expansion (BHSE) applicant organization name: hope family health services health center program grant number: H80CS24109 address: 1124 new HWY 52 east, westmoreland, TN 37186-5032 contact phone number: (615) 644-2000 website address: hopefamilyhealth.ORG program funds requested in the application: this application requests a total of $1,100,000 in BHSE funding, with $600,000 for year 1 and $500,000 for year 2. Hope family health services (HFHS), a non-profit federally qualified health center (FQHC), has been providing accessible, high-quality, patient-focused health care to residents of macon, sumner, and trousdale counties, TN since 2005. In 2023, HFHS served 4,627 patients with 18,106 encounters, including 3,534 virtual visits, from three service delivery sites, including 971 patients with mental health (MH) services, 100 patients with substance use disorder (SUD) services, and 10 patients with medications for opioid use disorder (MOUD) (UDS). Need: in the three-county service area, there are an estimated 44,887 individuals ages 12 and older who are in need of SUD treatment. Of these, an estimated 9,383 individuals are in treatment. The national survey on drug use and health (NSDUH) estimates that 71.4% of individuals 18 and older and 61.0% of individuals ages 12 to 17 who are in need of SUD treatment in TN are not receiving SUD services. Therefore, the number of individuals with SUD who need treatment in the HFHS service area is approximately 31,473. In addition, there are an estimated 43,257 individuals with mental illness in the service area (NSDUH, samhsa, 2021-2022). Among adults with any mental illness in TN, 46.4% have not received needed treatment. In the HFHS service area, this would indicate at least 20,071 individuals needing but not receiving MH services. Most of those not receiving care reported the primary factor was that they could not afford IT ("adults with AMI reporting unmet need 2023," mental health america). Many of these individuals may be among the estimated 25,341 uninsured or 38,380 medicaid enrolled residents of the service area, as many providers of SUD and mental health treatment only accept private insurance (sahie, census bureau, 2021; ACS, census bureau, 2018-2022). HFHS is an essential safety net provider of comprehensive care in the service area. Services: HFHS is requesting funding to expand BH services, increasing access to MH, SUD, and MOUD for the target population. HFHS has an established integrated BH program; however, the need for services exceeds HFHS's capacity. HFHS will augment its BH care team by hiring 7.25 FTE BH staff by year 2, including: 1.0 FTE psychiatric nurse practitioner, 1.0 FTE addiction counselor, 2.0 FTE peer support specialists, 1.0 FTE BH medical assistant, 1.0 FTE clinical pharmacist. 1.0 FTE BH therapist, and 0.25 FTE addiction recovery program lead. HFHS will also contract with a psychiatrist to provide direct care and additional clinical oversight. HFHS will also purchase neurofeedback equipment and a mobile unit to deliver services in rural communities in need. Training on neurofeedback and MOUD is included in the project, to ensure proficiency, current knowledge and awareness of emerging SUD issues. Population group: HFHS anticipates that the BHSE expansion will increase the number of patients within the service area who receive mental health, SUD, and MOUD services. By 12/31/2025, HFHS anticipates serving a total of 2,100 mental health services patients, 190 SUD services patients, and 35 patients receiving treatment with MOUD, supporting the BHSE program purpose of increasing the number of patients who access MH and SUD services, including patients receiving treatment with MOUD. HFHS also anticipates serving 75 new health center patients in CY2025 with BHSE funding.