H79SM083063

Cuyahoga County CCBHC at The Centers for Families and Children - The Centers intends to lead the Cuyahoga County Certified Community Behavioral Health Clinic (CCBHC) Project in Northeast Ohio. The overall goal of the project is to increase access to, and the quality of, behavioral health treatment and recovery services for three groups experiencing severe health disparities: underrepresented minority adults, low-income families, and youth. Annually, a projected 5,000 individuals will be served, and 15,500 over the two years.

The project service area, Cuyahoga County, includes the city of Cleveland, the county's largest population center. Cleveland also has the second-highest rate of child poverty among large U.S. cities, with more than half of all children living in poverty. Cuyahoga County has the following US Health Resource Services Administration designations: 19 medically underserved areas, 8 primary care health professional shortage areas, 10 dental health professional shortage areas, and a large mental health professional shortage area. The 2018 Cuyahoga County Substance Use Epidemiologic Profile indicated that drug-induced fatalities occur among the population of focus at almost eight times the national rate.

As the largest behavioral health provider in the county, with five service locations, The Centers will engage the community to fully integrate the project with the Ohio Department of Medicaid (Medicaid Managed Care), local hospitals, a federally qualified health center (certified as a patient-centered medical home), 24/7 mobile crisis stabilization and peer support services providers, and leverage community health workers through the local Pathways Community Hub to work closely with individuals and families to connect to social and medical services to remove barriers to health.

Together, an experienced public health researcher and Better Health Partnership, a local multi-stakeholder health care improvement collaborative, will conduct an evaluation to determine whether the project resulted in the Quadruple Aim® for performance improvement of healthcare institutions:

- Aim 1: Increase the capacity of the local behavioral health (BH) system in Cuyahoga County, Ohio to address unmet needs that contribute to longer and healthier lives of the population.
- Aim 2: Improve the client experience through increased accessibility and availability of person-centered, trauma-informed, culturally competent, and recovery-oriented services.
- Aim 3: Increase the effectiveness of a system-wide care coordination, integrated care, and referral programs in Cuyahoga County leading to a reduction in per capita cost of health care.
- Aim 4: Improve recruitment and retention of behavioral health workforce by implementing nationally-recognized best practices that support the work-life of healthcare staff.

The Centers For Families And Children

93.829 - Section 223 Demonstration Programs to Improve Community Mental Health Services

Division of Grants Management [HHS - SAMHSA]

Ohio United States

State-Wide

Certified Community Behavioral Health Clinic Expansion Grants (SM-20-012)