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H79SM083110

Project Grant

Overview

Grant Description
The Harris County CCBHC Expansion Program aims to reduce the incidence and duration of psychiatric and medical hospitalization, emergency healthcare service usage, homelessness, incarceration, and other interactions with the criminal justice system. This will be achieved by improving sustained treatment engagement, treatment adherence, health outcomes, and functional outcomes for patients with serious mental illness (SMI) and their families served in the City of Houston, Harris County, Texas at the Harris Center for Mental Health and IDD. By doing so, the program aims to decrease the taxpayer burden and repeat emergency healthcare service usage.

Harris County, with one of the largest, most diverse, and rapidly growing populations in the U.S., has been struggling to keep pace with the expanding demand for mental healthcare services. This is particularly true for individuals who are high need/service consumers and come from historically underrepresented racial, ethnic, and cultural backgrounds, as well as underserved communities.

Over the course of this 2-year project, the Harris County CCBHC Expansion will serve a total of 2,800 unique uninsured/underinsured residents with SMI in Harris County. These individuals have been assessed as requiring either integrated behavioral/medical care or substance use/abuse intervention. To achieve this, the program will leverage existing relationships between the Harris Center, University of Houston Medical School, West Oaks Hospital, the Council on Recovery, and the Santa Maria Hostel (residential substance abuse) to build coalition relationships among behavioral health entities and other providers. Expanded relationships with substance abuse and primary care providers will support a coordinated and integrated system of care, holistically addressing the health and behavioral health needs of individuals with SMI.

The Harris Center operates same-day, walk-in clinical and financial assessment services Monday through Saturday during normal business hours. Participants in the Harris County CCBHC Expansion will receive individualized treatment planning based on assessment of substance misuse and trauma, in addition to mental health and medical issues. Furthermore, comprehensive health, behavioral health, and psychosocial services will be provided through evidence-based interventions such as Motivational Interviewing (MI), Cognitive Processing Therapy (CPT), Cognitive Behavioral Therapy (CBT), and Trauma-Informed Illness Management and Recovery (IMR) curriculum, as indicated.

The Harris County CCBHC Expansion will add integrated primary medical care and medication-assisted treatment to the Harris Center's current service array. Potential candidates for the integrated care arm of intervention will be identified using a risk stratification tool developed in consultation with the National Council for Behavioral Health, applied to individuals diagnosed with SMI. Candidates for enhanced medication-assisted therapy services will be identified from individuals served in each of the center's four major clinics and its ACT program.

By expanding its services, the Harris County CCBHC Expansion will advance the Harris Center's ability to provide fully integrated services to patients served in all four of its major Harris County clinic locations. The Harris Center is currently accredited by both CARF (3-year certification, November 2019) and by CCBHC by Texas HHSC (3-year certification, June 2019).

The implementation and outcomes of the Harris County CCBHC Expansion will be evaluated through formative and summative evaluation components. This evaluation aims to ensure the program's congruence with program participants' needs, state law, and program goals, and to inform continual program improvement and quality assurance efforts.
Place of Performance
Texas United States
Geographic Scope
State-Wide
The Harris Center For Mental Health & Idd was awarded Harris County CCBHC Expansion: Improving Mental Health Outcomes Project Grant H79SM083110 worth $3,917,239 from the Division of Grants Management in February 2021 with work to be completed primarily in Texas United States. The grant has a duration of 2 years and was awarded through assistance program 93.829 Section 223 Demonstration Programs to Improve Community Mental Health Services. The Project Grant was awarded through grant opportunity Certified Community Behavioral Health Clinic Expansion Grants.

Status
(Complete)

Last Modified 6/20/23

Period of Performance
2/15/21
Start Date
2/14/23
End Date
100% Complete

Funding Split
$3.9M
Federal Obligation
$0.0
Non-Federal Obligation
$3.9M
Total Obligated
100.0% Federal Funding
0.0% Non-Federal Funding

Activity Timeline

Interactive chart of timeline of amendments to H79SM083110

Transaction History

Modifications to H79SM083110

Additional Detail

Award ID FAIN
H79SM083110
SAI Number
H79SM083110-750595565
Award ID URI
SAI UNAVAILABLE
Awardee Classifications
State Government
Awarding Office
75SAMH SAMHSA DIVISION OF GRANTS MANAGEMENT
Funding Office
75MA00 SAMHSA OFFICE OF THE ASSITANT SECRETARY FOR MENTAL HEALTH AND SUBSTANCE ABUSE
Awardee UEI
RAL3P961PPE3
Awardee CAGE
3ZZG2
Performance District
09
Senators
John Cornyn
Ted Cruz
Representative
Al Green
Modified: 6/20/23