H79SM083189

Spokane CCBHC - Summary: CHAS Health will create the first CCBHC in Spokane, WA to expand access to higher-acuity behavioral health services integrated with primary care. The target population is Medicaid-insured patients, uninsured patients, and patients whose insurance does not adequately cover behavioral health services, as well as individuals experiencing homelessness. The city of Spokane is the target service area, and Frontier Behavioral Health is a partner for this project.

Project Name: Spokane CCBHC

Goal 1: Create Spokane's first CCBHC to expand access to high-acuity BH services integrated with existing primary medical care. This will serve patients with co-occurring mental, substance use, or physical health disorders, and will be targeted to patients who are Medicaid-insured, uninsured, underinsured, and/or experiencing homelessness.

Objective 1A: By month 4 of the project period, the CCBHC will begin to serve patients, and at least 50% of the clinical staff identified in the staffing plan will be hired.

Objective 1B: The CCBHC will serve 450 patients during year 1 of the project period, 900 patients during year 2, and a total of 1,012 unduplicated patients during the 2-year project period.

Goal 2: Establish agreements with community partners to ensure CCBHC patients have clear pathways to achieve access to services not provided directly by the CCBHC.

Objective 2A: By month 2 of the project period, CHAS will finalize a DCO MOU with Frontier for 24/7 crisis services and assertive community treatment (ACT).

Objective 2B: By month 4 of the project period, CHAS will have in place care coordination agreements with at least 5 community partners, including inpatient psychiatric treatment, inpatient SUD treatment, the local school district, youth and adult court systems, and the VA.

Strategies/Interventions: Comprehensive outpatient mental health and substance use services will be provided, targeted to serve moderate-to-severe behavioral health needs. Patients will have the opportunity to participate in therapeutic groups to develop skills in relapse prevention, coping skill development, and interpersonal relationships. Treatment will include an emphasis on building strong support networks to promote sustained recovery. Strategies will include psychiatric advanced directives, trauma-informed care, and peer support, in addition to motivational interviewing, harm reduction, CBT, and psycho-education. Frontier Behavioral Health will provide 24/7 crisis services and assertive community treatment for the CCBHC.

Community Health Association Of Spokane

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

Division of Grants Management [HHS - SAMHSA]

Washington United States

State-Wide

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