H79SM082699

2019 Indiana Promoting Integration of Primary and Behavioral Health Care - The proposed project will build and improve upon Indiana's Primary Care Behavioral Health Integration Initiative – a partnership between the Indiana Division of Mental Health and Addiction (DMHA) and 12 Community Mental Health Centers (CMHCs) throughout Indiana.

The program is currently implemented in eight counties throughout Indiana: Lake, Marion, Vigo, Posey, Owen, Delaware, Cass, Starke, and Madison (urban and rural), and serves approximately 20,000 participants. Program data from Jan-Dec 2018 shows that the majority of people served through this initiative with Serious Mental Illness (SMI) or Serious Emotional Disturbance (SED) have at least one of the following chronic physical comorbidities: hypertension (71%), obesity (58%), asthma (46%), and diabetes (36%). Given this, these participants will form our target population.

A qualitative and quantitative analysis of the current program enabled DMHA to determine that the CMHCs involved require a greater level of technical assistance to improve the fidelity of the program and to bolster the integration efforts thus far. In addition, DMHA can provide leadership in continuous quality improvement, data management, and population health management.

The project will also align with an evidence-based chronic disease management model and associated suite of services that we know works in other states with similar population demographics to that of Indiana, namely: care coordination, case management, health promotion, comprehensive transitional care, and referrals.

The main goals and overall objectives of the project are to:

- Improve the health of the target population by increasing the proportion of the population with access to community-based primary and behavioral healthcare.
- Increase the provision of evidence-based health promotion, disease prevention, and chronic disease management programs and services within the CMHCs.
- Increase the capacity of CMHCs to provide screening, diagnosis, and intervention of physical health conditions for people with SMI/SED.
- Increase the coordination of CMHCs with other health services (i.e. specialists, hospitals, other community services) by improving the provision of transitional care and referrals.
- Sustain the integrated care efforts to date and ensure the fidelity of the program and the use of data for quality improvement, care coordination, and case management.
- Decrease the number of inpatient stays and emergency department (ED) visits for Ambulatory Care Sensitive Conditions (ACSC) within the target population by implementing evidence-based care coordination and case management activities.
- Improve participant experience and satisfaction with the quality of care they receive.
- Improve healthcare providers' experience and satisfaction with the quality of care they provide and the environment they work in.

Indiana Family And Social Serv

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]

Indiana United States

State-Wide

Promoting Integration of Primary and Behavioral Health Care (SM-20-003)

Amendment Since initial award the total obligations have increased 354% from $2,000,000 to $9,088,306.