FY 2024 behavioral health service expansion - presbyterian medical services (PMS), a 501(c)(3) joint commission accredited federally qualified community health center section 330 (e) (i) and (h)…

FY 2024 behavioral health service expansion - presbyterian medical services (PMS), a 501(c)(3) joint commission accredited federally qualified community health center section 330 (e) (i) and (h) grantee, is requesting 2024 behavioral health service expansion funds to increase access to behavioral health services for individuals requesting mental health services and substance use services, including medications for opioid use disorder. With 53 years of experience providing primary care services in new mexico and 30 years of experience providing behavioral health and mental health services, PMS is well-positioned to expand integrated health access to underserved and marginalized populations. With this funding, PMS proposes to serve 1,060 additional BH, SUD, and moud patients, with 742 of those being new health center patients. According to the national survey on drug use and health, new mexico ranks in the top three states for the percentage of people who have used illicit drugs in the past month, were identified as having a substance use disorders and/or drug use disorders in the past year, and who have attempted suicide in the past year. Of the individuals in new mexico age 12 years and older who were identified as needing substance use treatment, 72.4% did not receive the treatment needed. The largest unmet need was for 18-25-year-olds - 81.78% did not receive the care they needed. A study by KFF reveals new mexico has seen a 96% increase in drug overdose deaths from 2011-2021, and the death rate is currently 59% higher than the US average. Seventy-one percent of the deaths in new mexico in 2021 were caused by opioids. Substance use and suicide deaths disproportionately affect people of color and those living in rural areas. The negative consequences of substance use are not limited to death, but also include domestic violence, crime, poverty, and unemployment, as well as motor vehicle crash and other injuries. As reported by the national alliance of mental illness, people with serious me ntal illness DIE earlier than their peers without mental illness, but most of these deaths are due to chronic physical conditions such as cardiovascular, respiratory, and infectious diseases, diabetes and hypertension. Due to the stigma of behavioral health treatments, limited access, cost, and denial, people are not as likely to seek treatment for mental illness and substance use disorders. Other physical health issues are more likely to cause someone to seek care. PMS' primary health care centers are already well-established in communities throughout new mexico where mental health and SUD concerns have been identified. To build upon the benefits of integrated primary care and behavioral health and expand access to treatment options, PMS proposes to: • develop an internal moud echo lite program with a clinician/champion who will directly mentor and support our broader prescriber workforce in providing moud care. • add BH therapy at hopewell health center, which serves a housing complex and low-income neighborhood in the city of santa FE. • add BH therapy and ortiz mountain health center located in a remote area of santa FE county. • add a prescriber in our southern region, supporting health centers in otero county. • add additional SUD (including moud) services at totah behavioral health authority, which predominantly serves american indian residents in SAN juan county. • develop pain management groups based on the positive results from a pilot group that has started at PMS family health center in RIO rancho (sandoval county). • train staff on community reinforcement approach family training (craft) to teach others how to interact and stay connected with someone addicted to drug or alcohol, increase communication, and effectively encourage the person to seek treatment, while taking care of themselves in the process. • create a peer program that can support some sdoh components, including PMS' supported housing programs in SAN juan county.