H79SM080930

Program for Assertive Community Treatment (PACT) Health and Wellness Expansion Project - The King County Program for Assertive Community Treatment (PACT) Health and Wellness Expansion Project proposes to create additional capacity within existing PACT service providers and expand the scope of services delivered within an ACT model. The goal is to integrate physical-behavioral health care and improve the overall health of PACT participants in King County.

By leveraging the current ACT structure supported by Medicaid and Washington State resources, we will maximize the impact of a SAMHSA ACT grant. This will help achieve outcomes that benefit the community and people with complex behavioral health needs. The project aims to expand overall access to divert and discharge people from costly inpatient care, make significant strides in improving the health of adults with serious mental illness (SMI) and comorbid health conditions, and bridge a critical system transition to fully integrated managed care.

The demographics of individuals served are expected to be similar to current PACT participants in King County, with approximately 52% white and 48% people of color. The majority of participants are male (73%) and between the ages of 25-64 (91%).

Through the addition of physical health-focused clinical staff, including a nurse care manager and peer wellness coach, to three existing PACT teams, this project creates two distinct program expansions. Firstly, it increases overall caseload capacity for 30 people and provides core ACT services to an additional estimated 45 people over the life of the grant. Secondly, it advances physical-behavioral health integration within an ACT scope of service. This includes improving care coordination with healthcare providers, embedding health, wellness, and chronic disease self-management programming, and improving health outcomes for PACT participants across the team caseload.

It is anticipated that approximately 60% of all PACT participants will engage in some form of proposed health and wellness project activities, serving about 180 people during the duration of the grant. The expected outcomes of project activities include increased access to core ACT services, particularly for individuals with SMI and complex and/or chronic comorbid medical conditions. Additionally, there should be a reduction in emergency department, hospital, and jail utilization for added PACT participants. The implementation of physical health and wellness services within PACT teams, an increase in health-promoting/wellness activities for PACT participants, integration of physical health care management within an ACT model, including population health management practices, and improvement of health metrics for PACT participants with complex and/or chronic medical conditions are also expected outcomes.

Beyond the time span of the proposed project, it is intended that the programmatic changes implemented with the support of this grant will be sustained as standard health-integrated ACT services. This will help reduce negative health outcomes of comorbid medical conditions for PACT participants and consequently reduce the risk of early mortality for individuals with SMI.

King, County Of

SAMHSA WAS GIVEN THE AUTHORITY TO ADDRESS PRIORITY SUBSTANCE ABUSE TREATMENT, PREVENTION AND MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE THROUGH ASSISTANCE (GRANTS AND COOPERATIVE AGREEMENTS) TO STATES, POLITICAL SUBDIVISIONS OF STATES, INDIAN TRIBES AND TRIBAL ORGANIZATIONS, AND OTHER PUBLIC OR NONPROFIT PRIVATE ENTITIES. UNDER THESE SECTIONS, CSAT, CMHS AND CSAP SEEK TO EXPAND THE AVAILABILITY OF EFFECTIVE SUBSTANCE ABUSE TREATMENT AND RECOVERY SERVICES AVAILABLE TO AMERICANS TO IMPROVE THE LIVES OF THOSE AFFECTED BY ALCOHOL AND DRUG ADDITIONS, AND TO REDUCE THE IMPACT OF ALCOHOL AND DRUG ABUSE ON INDIVIDUALS, FAMILIES, COMMUNITIES AND SOCIETIES AND TO ADDRESS PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE AND ASSIST CHILDREN IN DEALING WITH VIOLENCE AND TRAUMATIC EVENTS THROUGH BY FUNDING GRANT AND COOPERATIVE AGREEMENT PROJECTS. GRANTS AND COOPERATIVE AGREEMENTS MAY BE FOR (1) KNOWLEDGE AND DEVELOPMENT AND APPLICATION PROJECTS FOR TREATMENT AND REHABILITATION AND THE CONDUCT OR SUPPORT OF EVALUATIONS OF SUCH PROJECTS, (2) TRAINING AND TECHNICAL ASSISTANCE, (3) TARGETED CAPACITY RESPONSE PROGRAMS (4) SYSTEMS CHANGE GRANTS INCLUDING STATEWIDE FAMILY NETWORK GRANTS AND CLIENT-ORIENTED AND CONSUMER RUN SELF-HELP ACTIVITIES AND (5) PROGRAMS TO FOSTER HEALTH AND DEVELOPMENT OF CHILDREN, (6) COORDINATION AND INTEGRATION OF PRIMARY CARE SERVICES INTO PUBLICLY-FUNDED COMMUNITY MENTAL HEALTH CENTERS AND OTHER COMMUNITY-BASED BEHAVIORAL HEALTH SETTINGS

93.243 - Substance Abuse and Mental Health Services Projects of Regional and National Significance

Division of Grants Management [HHS - SAMHSA]

Washington United States

State-Wide

Assertive Community Treatment Grants (Short Title: ACT) (SM-18-013)

Amendment Since initial award the total obligations have increased 352% from $677,993 to $3,065,172.