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FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION - PROJECT TITLE: FY 2024 BEHAVIORAL HEALTH SERVICE EXPANSION (BHSE) APPLICANT ORGANIZATION NAME: CABARRUS ROWAN COMMUNITY HEALTH CENTER HEALTH CENTER PROGRAM GRANT NUMBER: H80CS06652 ADDRESS: 202D MCGILL AVE. N.W., CONCORD, NC 28025-4615 CONTACT PHONE NUMBER (VOICE): (704) 792-2203 WEBSITE ADDRESS: WWW.CRCHC.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. CABARRUS ROWAN COMMUNITY HEALTH CENTER (CRCHC), A NON-PROFIT COMMUNITY HEALTH CENTER, HAS BEEN PROVIDING ACCESSIBLE, AFFORDABLE, HIGH-QUALITY, PATIENT-FOCUSED PRIMARY HEALTH CARE SINCE 2006 AND SERVES RESIDENTS OF CABARRUS, MECKLENBURG, AND ROWAN COUNTIES, NC. IN 2023, CRCHC SERVED 17,009 TOTAL PATIENTS VIA 55,832 TOTAL ENCOUNTERS FROM NINE SERVICE DELIVERY SITES, INCLUDING 1,453 PATIENTS WITH MENTAL HEALTH (MH) SERVICES, 223 PATIENTS WITH SUBSTANCE USE DISORDER (SUD) SERVICES, AND 31 PATIENTS WITH MEDICATIONS FOR OPIOID USE DISORDER (MOUD) (UDS). AS AN FQHC, CRCHC RECEIVES CHC AND MHC FUNDING. NEED: MORE THAN A QUARTER (26.2% OR 389,971 INDIVIDUALS) OF CRCHC SERVICE AREA RESIDENTS LIVE ON INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG), WHILE 10.5% LIVE ON INCOMES AT OR BELOW 100% FPG. OF ALL SERVICE AREA RESIDENTS, 12.6% ARE UNINSURED; THE RATE INCREASES TO 23.5% FOR THOSE EARNING UNDER 200% FPG (SMALL AREA HEALTH INSURANCE ESTIMATES, CENSUS BUREAU, 2021). THERE IS A WELL-DOCUMENTED SHORTAGE OF SUD AND MENTAL HEALTH TREATMENT SERVICES ACCESSIBLE TO LOW-INCOME AND UNINSURED RESIDENTS; CABARRUS AND MECKLENBURG COUNTIES ARE DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS FOR MENTAL HEALTH CARE, AS IS THE LOW-INCOME POPULATION IN ROWAN COUNTY (FIND SHORTAGE AREAS, HRSA, 2024). THERE ARE AN ESTIMATED 9,503 MSAWS AND FAMILY MEMBERS IN THE SERVICE AREA (MIGRATORY & SEASONAL FARMWORKER POPULATION ESTIMATES, NATIONAL CENTER FOR FARMWORKER HEALTH, 2017). MSAW ARE A VULNERABLE POPULATION WHICH FACES MANY OBSTACLES TO HEALTH CARE ACCESS SUCH AS HIGH COST OF HEALTH CARE, A LACK OF CULTURALLY APPROPRIATE SERVICES, FEAR OF DEPORTATION OR DISCRIMINATION, UNSAFE HOUSING, AND OTHER FACTORS (RURAL MIGRANT HEALTH, RURAL HEALTH INFORMATION HUB, ACCESSED 1/23). SERVICES: CRCHC REQUESTS FUNDING TO SUPPORT EXPANDED BEHAVIORAL SERVICES, INCREASING ACCESS TO MH, SUD, AND MOUD SERVICES FOR THE TARGET POPULATION. CRCHC CURRENTLY PROVIDES MH AND SUD SERVICES DIRECTLY (COLUMN 1), VIA FORMAL CONTRACT WHERE THE HEALTH CENTER PAYS (COLUMN 2), AND VIA FORMAL REFERRAL ARRANGEMENT WHERE THE HEALTH CENTER DOES NOT PAY (COLUMN 3). IN SUPPORT OF THE BHSE PROJECT, CRCHC WILL UTILIZE 8.64 FTE DIRECT MH/SUD STAFF, INCLUDING 0.5 FTE BEHAVIORAL HEALTH PROGRAM MANAGER, 0.25 FTE BEHAVIORAL HEALTH DIRECTOR/PSYCHIATRIC NURSE PRACTITIONER, 1.5 FTE BEHAVIORAL HEALTH TECHNICIANS, 0.5 FTE BEHAVIORAL HEALTH NAVIGATOR, 1.39 FTE PSYCHIATRIC FNPS, 0.5 FTE PSYCHIATRIST, 1.0 FTE CLINICAL SUPERVISOR, AND 3.0 FTE LCSWS. IN ADDITION TO ADDING DIRECT STAFF AT PRIMARY CRCHC SITES, THE CENTER WILL USE PORTABLE CLINICAL CARE AND AN EXISTING MOBILE UNIT TO EXPAND ACCESS TO MH/SUD SERVICES AT LOCAL HOMELESS SHELTERS. THE BHSE PROJECT BUDGET ALSO INCLUDES STAFF EDUCATION AND TRAVEL; MEDICAL AND OFFICE SUPPLIES; BILLING AND QI; A CONTRACT WITH A PSYCHIATRIC AGENCY; AND AN ONLINE VIDEO INTERPRETING SERVICE. POPULATION GROUP: CRCHC ANTICIPATES THAT THE PROPOSED BHSE EXPANSION WILL INCREASE THE NUMBER OF PATIENTS PROVIDED WITH BEHAVIORAL HEALTH SERVICES BY THE END OF THE PROJECT PERIOD (2025), INCLUDING A TOTAL OF 2,200 MENTAL HEALTH SERVICES PATIENTS, 277 SUD SERVICES PATIENTS, AND 499 PATIENTS RECEIVING MOUD SERVICES. OVERALL, THE CENTER ESTIMATES AN INCREASE OF 300 UNDUPLICATED NEW PATIENTS DUE TO THE EXTENSIVE OUTREACH EFFORTS PLANNED. THIS WILL SUPPORT THE BHSE PROGRAM PURPOSE OF INCREASING PATIENTS WHO ACCESS MENTAL HEALTH SERVICES AND SUD SERVICES, INCLUDING PATIENTS RECEIVING TREATMENT WITH MOUD.
$600.0k 9/19/24